ArticleBMC public health2017
The social determinants of tuberculosis treatment adherence in a remote region of Papua New Guinea.
Article in BMC public health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.
- An Adaptable Framework for Factors Contributing to Medication Adherence: Results from a Systematic Review of 102 Conceptual Frameworks.Journal of general internal medicine · 2021Pooled it
- Adherence to isoniazid preventive therapy among child contacts in Rwanda: A mixed-methods study.PloS one · 2019Trial
- Heart failure management systems in the Western Pacific Region: A rapid scoping review.Dialogues in health · 2026Review
- The role and value of counsellors in the treatment journeys of people with tuberculosis and their families: Qualitative insights from the South Fly District of Papua New Guinea.PLOS global public health · 2024Article
- A distributional regression approach to modeling the impact of structural and intermediary social determinants on communities burdened by tuberculosis in Eastern Amazonia - Brazil.Archives of public health = Archives belges de sante publique · 2023Article
- TB treatment using family members, treatment supporters and self-administered therapies in rural Papua New Guinea.Public health action · 2023Article
- Barriers to childhood tuberculosis case detection and management in Cambodia: the perspectives of healthcare providers and caregivers.BMC infectious diseases · 2023Article
- Seroepidemiology of Strongyloides spp. Infection in Balimo, Western Province, Papua New Guinea.The American journal of tropical medicine and hygiene · 2023Article
- Factors associated with loss to follow-up among TB patients in rural Papua New Guinea.Public health action · 2021Article
- Knowledge, Beliefs, and Perceptions of TB and Its Treatment amongst TB Patients in the Limpopo Province, South Africa.International journal of environmental research and public health · 2021Article
- Article
- Factors Influencing Medication Nonadherence to Pulmonary Tuberculosis Treatment in Tibet, China: A Qualitative Study from the Patient Perspective.Patient preference and adherence · 2020Article
- Gaps in tuberculosis care in West Sepik Province of Papua New Guinea.Public health action · 2019Article
- The effects of decentralisation of tuberculosis services in the East New Britain Province, Papua New Guinea.Public health action · 2019Article
- More Than Malnutrition: A Review of the Relationship Between Food Insecurity and Tuberculosis.Open forum infectious diseases · 2019Review
- Perspectives on TB patients' care and support: a qualitative study conducted in Accra Metropolis, Ghana.Globalization and health · 2019Article
- Temporal pattern of tuberculosis cure, mortality, and treatment abandonment in Brazilian capitals.Revista latino-americana de enfermagem · 2019Article
- Factors influencing adherence to tuberculosis treatment in Asmara, Eritrea: a qualitative study.Journal of health, population, and nutrition · 2018Article
- Implementing TB control in a rural, resource-limited setting: the stop-TB Italia project in Senegal.Multidisciplinary respiratory medicine · 2018Article
- Patients' perception regarding the influence of individual and social vulnerabilities on the adherence to tuberculosis treatment: a qualitative study.BMC public health · 2017Article
Corrections and comments
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Authors and funding
9 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPapua New Guinea (PNG) is a diverse and culturally-rich country with severe infrastructural and health problems. Tuberculosis (TB) is widespread, and the number of cases with drug resistance is rising. Treatment adherence is known to be important for both effective treatment and limiting the emergence of drug resistance. The aim of this study was to construct a matrix of the factors that act as facilitators or barriers to TB treatment adherence in a remote region of PNG.
methodsThe study was based in the Balimo region of the Western Province. People known to have undergone TB treatment, as well as staff involved in managing people with TB, were asked to participate in an in-depth interview about their experiences. Purposive sampling was used to identify a diverse range of participants, from different geographic locations, social backgrounds, and with successful and unsuccessful treatment outcomes. The interview data was analysed based on grounded theory methodology.
resultsThe study identified a range of factors that influence TB treatment adherence, with these being classified as personal, systems, and sociocultural. These factors are presented along with suggested recommendations for adaptations to DOTS-based treatment in this region. Barriers included the challenges associated with travel to treatment sites, and the difficulties of undertaking treatment alongside the daily need to maintain subsistence food production. However, facilitators were also identified, including the positive influence of religious beliefs, and high confidence in the ability of DOTS-based treatment to cure TB.
conclusionsDocumenting the wide range of factors that influence treatment adherence in a severely affected remote population will assist in improving TB control. These results provide impetus for further community-based efforts aimed at improving access to TB diagnosis and treatment, and maintaining successful treatment outcomes in the face of emerging drug resistance.
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