Evidence map›Paper›PMID 36922792›Full record

ArticleBMC public health2023

A qualitative exploration into the presence of TB stigmatization across three districts in South Africa.

Daniel DeSanto, Kavindhran Velen, Richard Lessells, Sewele Makgopa, Dumile Gumede, Katherine Fielding, Alison D Grant, Salome Charalambous, Candice M Chetty-Makkan

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Article in BMC public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Tuberculosis- and Diabetes Mellitus-Associated Knowledge, Stigma, and Health-Seeking Behaviour in Ghana.International journal of environmental research and public health · 2026
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  20. Patient-reported outcomes in tuberculosis: a qualitative exploration of psychosocial, economic, and treatment-related challenges.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Daniel DeSantoAfrica Health Research Institute, KwaZulu-Natal, South Africa. desanto.daniel@gmail.com.
Kavindhran VelenThe Aurum Institute, Johannesburg, South Africa.
Richard LessellsAfrica Health Research Institute, KwaZulu-Natal, South Africa.
Sewele MakgopaThe Aurum Institute, Johannesburg, South Africa.
Dumile GumedeAfrica Health Research Institute, KwaZulu-Natal, South Africa.
Katherine FieldingSchool of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Alison D GrantAfrica Health Research Institute, KwaZulu-Natal, South Africa.
Salome CharalambousThe Aurum Institute, Johannesburg, South Africa.
Candice M Chetty-MakkanThe Aurum Institute, Johannesburg, South Africa.

Funding

Medical Research Council MC_PC_16020Medical Research Council MR/R010161/1
6 · The paper itself

Abstract

backgroundTuberculosis (TB) stigma is a barrier to active case finding and delivery of care in fighting the TB epidemic. As part of a project exploring different models for delivery of TB contact tracing, we conducted a qualitative analysis to explore the presence of TB stigma within communities across South Africa.

methodsWe conducted 43 in-depth interviews with 31 people with TB and 12 household contacts as well as five focus group discussions with 40 ward-based team members and 11 community stakeholders across three South African districts.

resultsTB stigma is driven and facilitated by fear of disease coupled with an understanding of TB/HIV duality and manifests as anticipated and internalized stigma. Individuals are marked with TB stigma verbally through gossip and visually through symptomatic identification or when accessing care in either TB-specific areas in health clinics or though ward-based outreach teams. Individuals' unique understanding of stigma influences how they seek care.

conclusionTB stigma contributes to suboptimal case finding and care at the community level in South Africa. Interventions to combat stigma, such as community and individual education campaigns on TB treatment and transmission as well as the training of health care workers on stigma and stigmatization are needed to prevent discrimination and protect patient confidentiality.

Indexed as

HIV InfectionsTuberculosisHumansSocial StigmaSouth AfricaStereotypingActive case findingHealth seeking BehaviourHealth System strengtheningHIV StigmaStigmaStigma interventionsTuberculosis stigma

Identifiers

PMID36922792
PMCPMC10017062

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.