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Delay in Tuberculosis case detection in Pwani region, Tanzania. a cross sectional study

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dc.contributor.author Ngadaya, Esther S. eng
dc.contributor.author Mfinanga, Sayoki Godfrey eng
dc.contributor.author Wandwalo, Eliud R. eng
dc.contributor.author Mørkve, Odd eng
dc.date.accessioned 2011-02-17T14:06:07Z
dc.date.available 2011-02-17T14:06:07Z
dc.date.issued 2009-10-29 eng
dc.identifier.citation BMC Health Services Research 9(196) en_US
dc.identifier.issn 1472-6963 eng
dc.identifier.uri http://hdl.handle.net/1956/4515
dc.description.abstract Background: Delay in Tuberculosis (TB) case detection may worsen the disease and increase TB transmission. It is also a challenge to the National TB and Leprosy control Program (NTLP). Methods: We conducted a cross sectional study in four out of six districts in Pwani region to estimate the extent and factors responsible for delay in TB case detection in Pwani region. Delays were divided into patient, health facility and total delay. Results: We enrolled a total of 226 smear positive TB patients. Out of 226 patient's results were available for 206. The majority (66.5%) of the patients were males. Mean age for males and females were 37.3 and 33.7 years respectively. Mean (SD) total delay was 125.5 (98.5) days (median 90). Out of 206 patients, 79 (38.35%) delayed to seek TB health care. Health facility delay was observed among 121 (58.7%) patients. Risk factors for delay was poor knowledge that chest pain may be a TB symptom (OR = 2.9; 95%CI 1.20- 7.03) and the belief that TB is always associated with HIV/AIDS (OR = 2.7; 95%CI 1.39-5.23). Risk for delay was low among patients who first presented to a government health facility (OR = 0.3; 95%CI 0.12- 0.71) and those presenting with chest pain (OR = 0.2; 95%CI 0.10-0.61). Conclusion: There is a considerable delay in TB case detection in Pwani mainly contributed by patients. Risk factors for delay include misconception about TB/HIV and poor knowledge of TB symptoms. en_US
dc.language.iso eng eng
dc.publisher BioMed Central eng
dc.rights Attribution CC BY eng
dc.rights.uri http://creativecommons.org/licenses/by/2.0 eng
dc.title Delay in Tuberculosis case detection in Pwani region, Tanzania. a cross sectional study eng
dc.type Journal article eng
dc.type Peer reviewed eng
dc.subject.nsi VDP::Medical disciplines: 700::Clinical medical disciplines: 750::Communicable diseases: 776 eng
dc.rights.holder Copyright 2009 Ngadaya et al; licensee BioMed Central
dc.rights.holder Ngadaya et al; licensee BioMed Central eng
dc.type.version publishedVersion eng
bora.peerreviewed Peer reviewed eng
bibo.doi http://dx.doi.org/10.1186/1472-6963-9-196 eng
dc.identifier.doi http://dx.doi.org/10.1186/1472-6963-9-196


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