Institute of Public Health, the University of Gondar, Gondar, Ethiopia.
BMC Public Health. 2013 May 1;13:424. doi: 10.1186/1471-2458-13-424.
Timely tuberculosis treatment initiation and compliance are the two key factors for a successful tuberculosis control program. However, studies to understand patents' perspective on tuberculosis treatment initiation and compliance have been limited in Ethiopia. The aim of this study is to attempt to do that in rural Ethiopia.
This qualitative, phenomenological study conducted 26 in-depth interviews with tuberculosis patients. A thematic content analysis of the interviews was performed using the Open Code software version 3.1.
We found that lack of geographic access to health facilities, financial burdens, use of traditional healing systems and delay in diagnosis by health care providers were the main reasons for not initiating tuberculosis treatment timely. Lack of geographic access to health facilities, financial burdens, quality of health services provided and social support were also identified as the main reasons for failing to fully comply with tuberculosis treatments.
This study highlighted complexities surrounding tuberculosis control efforts in Dabat District. Challenges of geographic access to health care facilities and financial burdens were factors that most influenced timely tuberculosis treatment initiation and compliance. Decentralization of tuberculosis diagnosis and treatment services to peripheral health facilities, including health posts is of vital importance to make progress toward achieving tuberculosis control targets in Ethiopia.
及时启动结核病治疗和遵守治疗方案是结核病控制规划取得成功的两个关键因素。然而，在埃塞俄比亚，对于了解患者对结核病治疗启动和遵守的看法的研究一直有限。本研究旨在尝试在埃塞俄比亚农村地区进行这样的研究。
本定性、现象学研究对 26 名结核病患者进行了 26 次深入访谈。使用 Open Code 软件版本 3.1 对访谈进行了主题内容分析。
我们发现，无法获得医疗设施的地理位置、经济负担、使用传统治疗系统以及医疗服务提供者的延迟诊断是未能及时启动结核病治疗的主要原因。缺乏获得医疗设施的地理位置、经济负担、提供的医疗服务质量和社会支持也被确定为未能完全遵守结核病治疗方案的主要原因。
本研究强调了达巴特区结核病控制工作面临的复杂性。获得医疗保健设施的地理位置和经济负担方面的挑战是最能影响及时启动结核病治疗和遵守治疗方案的因素。将结核病诊断和治疗服务下放到包括卫生所在内的周边医疗机构，对于在埃塞俄比亚实现结核病控制目标至关重要。
