| Titre : | Tuberculosis in Pakistan : socio-cultural constraints and opportunities in treatment. (2000) |
| Auteurs : | A. KHAN ; N. IMDAD ; J. NEWELL ; J. WALLEY ; Nuffield Institute for Health. Leeds. GBR |
| Type de document : | Article |
| Dans : | Social science and medicine (vol. 50, n° 2, 2000) |
| Pagination : | 247-254 |
| Langues: | Anglais |
| Mots-clés : | Tuberculose ; Bactériose ; Infection ; Coût ; Thérapeutique ; Thérapeutique médicamenteuse ; Observance thérapeutique ; Homme ; Pakistan ; Asie |
| Résumé : | [BDSP. Notice produite par INIST oVR0xdhp. Diffusion soumise à autorisation]. This study explores the extent to which factors related to individuals, the care provision process, and the cultural context influence the behaviour of tuberculosis patients attending TB clinics in rural Pakistan, and examines the effects of disease on their personal lives. Thirty-six patients attending three TB treatment clinics were interviewed in depth. These patients were stratified by stage of treatment (treatment proceeding, treatment completed, default), sex and by rural/urban status. Results indicate that the majority of patients were very poor, but nonetheless initially chose to attend private practitioners. Normally their disease was correctly diagnosed as tuberculosis only after repeated visits to a succession of health care providers. Patients'knowledge about their disease was limited, and doctors gave incorrect or only very limited health education. Most patients reported dissatisfaction with care provided. Almost all patients reported problems with access to treatment, both in terms of time and money ; this was particularly true of women, whose freedom to travel in Pakistan is limited. Potential causes of default appeared to be more closely linked to deficiencies in treatment provision rather than patients'unwillingness to comply. Largely because of a perception that TB was incurable, respondents were generally unwilling to disclose that they were undergoing or had undergone TB treatment. (...) |
Service Documentation EHESP
Me connecter
PORTAIL DOCUMENTAIRE
École des hautes études en santé publique
Catalogue
Multi-bases
Accueil
Sélection de la langue
Adresse
Service Documentation EHESPBibliothèque Rennes Avenue du Professeur Léon Bernard – CS 74312 – 35043 Rennes Cedex Bibliothèque MSSH Paris 20 avenue George Sand - 93210 La Plaine Saint-Denis
France
Bibliothèque Rennes : 02 99 02 29 50 Bibliothèque MSSH Paris : 02 99 02 24 50
contact