ArticleBMC infectious diseases2018
Health seeking behaviour and delayed management of tuberculosis patients in rural Bangladesh.
Article in BMC infectious diseases, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed.
- Network analysis of pairwise relative tuberculosis transmission probabilities in Lima, Peru.American journal of epidemiology · 2026Article
- Analysis of medical care seeking delay in pulmonary tuberculosis patients and influencing factors in Chongqing, China.BMC public health · 2026Article
- Patterns of Multidrug Resistance and Treatment Outcomes Among Pulmonary Tuberculosis Patients in Bangladesh.Pathogens (Basel, Switzerland) · 2026Article
- Factors associated with delayed diagnosis of pulmonary tuberculosis in Chitwan district of Nepal.PLOS global public health · 2026Article
- Value of an automated machine learning model with post-hoc explanation for predicting healthcare-seeking delays among residents in Tibetan regions.Frontiers in public health · 2026Article
- Network Analysis of Pairwise Relative Tuberculosis Transmission Probabilities in Lima, Peru.medRxiv : the preprint server for health sciences · 2025Article
- Healthcare-seeking pathway and delay analysis of rifampicin-resistant tuberculosis patient in Southwestern China.BMC public health · 2025Article
- A methodological review of patient healthcare-seeking journeys from symptom onset to receipt of care.BMJ global health · 2025Review
- Approaches and results of intersectoral actions for tuberculosis control in the world: A scoping review.PloS one · 2025Article
- 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
- Article
- Healthcare seeking behavior and delays in case of Drug-Resistant Tuberculosis patients in Bangladesh: Findings from a cross-sectional survey.PLOS global public health · 2024Article
- Health-seeking pathway of drug-resistant TB patients in Vadodara, India.Public health action · 2023Article
- Knowledge, attitude and preventative practice of tuberculosis in rural communities of Dikgale, Mamabolo and Mothiba health and demographic surveillance system in Limpopo province, South Africa.BMC public health · 2023Article
- Barriers and facilitators to integrating depression care in tuberculosis services in South Asia: a multi-country qualitative study.BMC health services research · 2023Article
- Health-Seeking Behavior Regarding Coughs in Urban Slums in Lagos, Nigeria.Medicines (Basel, Switzerland) · 2023Article
- Perceptions, Attitudes, Experiences and Opinions of Tuberculosis Associated Stigma: A Qualitative Study of the Perspectives among the Bolgatanga Municipality People of Ghana.International journal of environmental research and public health · 2022Article
- Article
- Determinants of Care-Seeking Practices for Children with Sickle Cell Disease in Ekiti, Southwest Nigeria.Journal of blood medicine · 2021Article
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11 authors.
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Abstract
backgroundEarly diagnosis of tuberculosis (TB) and involvement of the public-private partnership are critical to eradicate TB. Patients need to receive proper treatment through the National Tuberculosis Control Programme (NTP). This study describes various predictors for health seeking behaviour of TB patients and health system delay made by the different health care providers.
methodsA cross-sectional study was conducted in a public health facility of a rural area in Bangladesh. Newly diagnosed smear positive pulmonary TB (PTB) patients who were ≥ 15 years of age were sequentially enrolled in this study. The socio-demographic characteristics and proportion of health care utilization by the patients, and health system delay made by the health care providers were calculated. Multivariate analysis was conducted to determine the independent association of the risk factors with the time to seek medical care.
resultsTwo hundred and eighty patients were enrolled in this study. Among them, 73.6% were male and 26.4% were female. A hundred percent of patients primarily sought treatment for their cough, 170 (60.7%) first consulted a non-qualified practitioner while 110 patients (39.3%) first consulted with qualified practitioners about their symptoms. Pharmacy contact was the highest (27.9%) among the non-qualified practitioners, and 58.9% non-qualified practitioners prescribed treatment without any laboratory investigation. The average health system delay was 68.5 days. Multiple logistic regressions revealed a significant difference between uneducated and educated patients (OR 2.33; CI 1.39-3.92), and qualified and non-qualified practitioners (OR 2.34; CI 1.38-3.96) to be independent predictors of health system delay.
conclusionsCompared to men, fewer women sought TB treatment. Uneducated patients and questionably qualified practitioners made for a longer delay in detecting TB. Increasing public health awareness and improving health seeking behavior of females and uneducated patients, and greater participation of the qualified practitioners in the NTP are highly recommended.
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