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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.
dc.contributor.author Mfinanga, Sayoki Godfrey
dc.contributor.author Wandwalo, Eliud R.
dc.contributor.author Mørkve, Odd
dc.date.accessioned 2011-02-17T14:06:07Z
dc.date.available 2011-02-17T14:06:07Z
dc.date.issued 2009-10-29
dc.identifier.citation BMC Health Services Research 9(196) en_US
dc.identifier.issn 1472-6963
dc.identifier.uri http://dx.doi.org/10.1186/1472-6963-9-196
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 en_US
dc.publisher BioMed Central en
dc.rights Copyright 2009 Ngadaya et al; licensee BioMed Central en_US
dc.rights.uri http://creativecommons.org/licenses/by/2.0 en_US
dc.title Delay in Tuberculosis case detection in Pwani region, Tanzania. a cross sectional study en_US
dc.type Journal article en
dc.type Peer reviewed en
dc.subject.nsi VDP::Medical disciplines: 700::Clinical medical disciplines: 750::Communicable diseases: 776 en_US
dc.rightsHolder Ngadaya et al; licensee BioMed Central en_US
dc.type.version publishedVersion en_US


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