ArticleBMC health services research2017
Lost in care pathway: a qualitative investigation on the health system delay of extra pulmonary tuberculosis patients in Bangladesh.
Article in BMC health services research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.
- Individual and community factors determining delayed leprosy case detection: A systematic review.PLoS neglected tropical diseases · 2021Pooled it
- Trial
- Factors associated with delayed diagnosis of pulmonary tuberculosis in Chitwan district of Nepal.PLOS global public health · 2026Article
- Mixed-methods study to assess delay among patients with tuberculosis in an urban setting of Bangladesh.PloS one · 2025Article
- Pharmacists' Role in Global TB Elimination: Practices, Pitfalls, and Potential.Healthcare (Basel, Switzerland) · 2024Review
- Burden of tuberculosis and challenges related to screening and diagnosis in Ethiopia.Journal of clinical tuberculosis and other mycobacterial diseases · 2020Article
- What Constitutes Health Care Seeking Pathway of TB Patients: A Qualitative Study in Rural Bangladesh.Journal of epidemiology and global health · 2019Article
- Knowledge, attitudes and practices related to tuberculosis in pharmacy workers in a cross-sectional survey in El Agustino, Peru.PloS one · 2018Article
Corrections and comments
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Authors and funding
8 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAlthough extra pulmonary tuberculosis (EPTB) has long been known as a major public health concern globally, the complex healthcare-seeking pathways of EPTB patients are not widely studied. This study aims to explore the pattern of healthcare-seeking pathways of rural and urban EPTB patients registered with the BRAC TB control programme. BRAC is a Bangladesh-based non-governmental organization dedicated to alleviating poverty through empowering the poor.
methodData were collected through 60 in-depth interviews with rural and urban EPTB patients in Bangladesh.
resultsThe findings reveal that the rural EPTB patients encountered a substantial diagnostic delay as compared to the urban patients. However, the difference between the average number of healthcare providers consulted by the rural verses the urban EPTB patients was not significant. This study also shows that the healthcare-seeking journey of rural and urban EPTB patients usually starts either at pharmacies or private facilities. Through exploring the detailed nature of the pathway, this study reveals the ways in which non-medical informants, mainly relatives and friends, can benefit patients.
conclusionsThe private and informal healthcare providers should receive appropriate training on the diagnosis of EPTB. Such training could effectively shorten the long and complex healthcare-seeking pathways of EPTB patients.
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