Knowledge, beliefs, and perceptions of tuberculosis among community members in Ntcheu district, Malawi
Open Access
- 1 August 2018
- journal article
- research article
- Published by Taylor & Francis Ltd in Journal of Multidisciplinary Healthcare
- Vol. ume 11, 375-389
- https://doi.org/10.2147/jmdh.s156949
Abstract
Introduction: The global burden of tuberculosis (TB) remains significantly high, with overreliance on biomedical interventions and inadequate exploration of the socioeconomic and cultural context of the infected population. A desired reduction in disease burden can be enhanced through a broader theoretical understanding of people’s health beliefs and concerns about TB. In this qualitative study, we explore the knowledge, beliefs, and perceptions of community members and people diagnosed with TB toward TB in Ntcheu district, Malawi. Methods: Using a qualitative phenomenological study design, data were obtained from eight focus-group discussions and 16 individual in-depth interviews. The community’s experiences and perceptions of TB were captured without using any preconceived framework. Adult participants who had had or never had a diagnosis of TB were purposively selected by sex and age and enrolled for the study. Discussions and individual interviews lasting about 60 minutes each were audiotaped, transcribed, and translated into English and analyzed using MaxQDA 10 software for qualitative analysis. Results: Most participants believed that TB was curable and would go for diagnosis if they had symptoms suggestive of the disease. However, based on their beliefs, individuals expressed some apprehension about the spread of TB and the social implications of being diagnosed with the disease. This perception affected participants’ responses about seeking diagnosis and treatment. Conclusion: A supportive and collective approach consisting of a combination of mass media, interactive communication campaigns, emphasizing TB symptoms, transmission, and stigma could be useful in addressing barriers to early diagnosis and care-seeking behavior.Keywords
This publication has 55 references indexed in Scilit:
- Social Capital and Psychological DistressJournal of Health and Social Behavior, 2011
- The Social Determinants of Tuberculosis: From Evidence to ActionAmerican Journal of Public Health, 2011
- Management of pulmonary tuberculosis patients in an urban setting in Zambia: a patient's perspectiveBMC Public Health, 2010
- The synergy between TB and HIV co-infection on perceived stigma in EthiopiaBMC Research Notes, 2010
- Factors underlying diagnostic delay in tuberculosis patients in a rural area in Tanzania: a qualitative approachInfection, 2010
- Knowledge and perception of pulmonary tuberculosis in pastoral communities in the middle and Lower Awash Valley of Afar region, EthiopiaBMC Public Health, 2010
- Drivers of tuberculosis epidemics: The role of risk factors and social determinantsSocial Science & Medicine (1982), 2009
- The Malawi National Tuberculosis Programme: an equity analysisInternational Journal for Equity in Health, 2007
- Stigma associated with tuberculosis in a time of HIV/ AIDS: Narratives from the Eastern Cape, South AfricaSouth African Review of Sociology, 2007
- Perceptions of tuberculosis and health seeking behaviour in rural Inner Mongolia, ChinaHealth Policy, 2007