Strategies for reduction of stigma in people with new smear positive pulmonary tuberculosis patients in Trang province
Keywords:
empowerment, tuberculosis, DOT observer, stigmaAbstract
This qualitative research was undertaken to explore and get a deeper understanding of what happen when the people with new smear positive pulmonary tuberculosis patients living in and to generate knowledge for decreasing the stigma in order to promoting patient adherence to TB treatment. Heidegger’s hermeneutic phenomenology was applied to conduct this research. Data were gathered from six TB Coordinators, six DOT observers, and six TB patients. In-depth interviews, field notes, and document reviews were used for data collection. The data were tape-recorded and transcribed verbatim and then analyzed by using content analysis.
The results reveal the stigma was defined as to be disgusted and fear of stigma which were considered significant barriers among TB Coordinators, DOT observers and TB patients. Another key result is the challenges for TB Coordinators in order to promoting patient adherence to TB treatment, which comprises three strategies: empowering the DOT observers; empowering towards TB patients; and community participation. An empowerment approach can be used to increase the self-confidence of the DOT observers, the personal resilience and reduce stigma towards TB patients.
References
Bureau of Tuberculosis, Ministry of Public Health, Thailand. (2018). National Tuberculosis Control Programme Guideline, Thailand, 2018. Bangkok: Aksorn Graphic and Design Publication Limited Partnership.
Choowong, J., Tillgren, P., & Söderbäck, M. (2016)., Thai District Leaders’ Perceptions of Managing the Direct Observation Treatment Program in Trang Province, Thailand. BioMed Central Public Health, 16:653, DOI 10.1186/s12889-016-3341-1.
Choowong, J. Tillgren, P., & Söderbäck, M. (2017). Thai People Living with Tuberculosis and How they Adhere to Treatment: A Grounded Theory Study. Nursing & Health Sciences, 1-8, DOI: 10.1111/nhs.12362.
Escott, S., & Walley, J. (2005). Listening to those on the frontline: lessons for community-based tuberculosis programmes from a qualitative study in Swaziland. Social Science & medicine, 61(8), 1701-1710.
Goffman, E. (1963). Stigma: Note on the Management of Spoiled Identity. New Jersey: Prentice-Hall.
Graneheim, H. U., & Lundman, B. (2004). Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Education Today, 24, 105-112.
Jin, J., Sklar, G. E., Sen, Oh. V. M, & Li, S. C. (2008). Factors Affecting Therapeutic Compliance: A Review from the Participant's Perspective. Therapeutics and Clinical Risk Management, 4(1), 269- 286.
Lertmaharit, S., Kamol-Ratankul, P., Sawert, H., Jittimanee, S., & Wangmanee, S. (2005). Factors associated with compliance among tuberculosis participants in Thailand. Journal of the Medical Association of Thailand, 88(4), S149-S156.
Lewis, C. P. & Newel, J. N. (2009). Improving tuberculosis care in low income countries–a qualitative study of patients’ understanding of “patient support” in Nepal. Biomed Central Public Health, 9: 190, 1-8. doi: 10.1186/ 1471-2458-9-190
Macq, J., Torfoss, T., & Getahun, H. (2007). Patient empowerment in tuberculosis control: reflecting on past documented experiences. Tropical Medicine & International Health, 12(7), 873–885.
Marton, F., & Booth, S. (1997). Learning and Awareness. Mahwah, New Jersey, USA: Lawrence Erlbaum Ass. Marton, F., & Booth, S. (1997). Learning and Awareness. Mahwah, New Jersey, USA: Lawrence Erlbaum Ass.
Ngamvithayapong-Yanai, J., Winkvist, A., Luangjina, S., & Diwan, V. (2005). If We Have to Die, We Just Die: Challenges and Opportunities for Tuberculosis and HIV/AIDS Prevention and Care in Northern Thailand. Qualitative Health Research, 15(9), 1164-1179. DOI: 10.1177/1049732305281616
Open Society Institute Public Health Program. (2006). Civil Society Perspectives on TB Policy in Bangladesh, Brazil, Nigeria, Tanzania and Thailand. New York: Open Society Institute.
Pandit, N., & Choudhary, S. K. (2006). A Study of Treatment Compliance in Directly Observed Therapy for Tuberculosis. Indian Journal of Community Medicine, 31(4), 241-243.
Pungrassami, P., Johnsen, P., Chonguvivatwong, V., & Olsen, J. (2002). Has Directly Observed Treatment Improved Outcome for Participants with Tuberculosis in Southern Thailand? Tropical Medicine & International Health, 7(3), 271-279.
Sengupta, S., Pungrassami, P., & Balthip, Q. (2006). Social Impact of Tuberculosis in Southern Thailand: Views from Participants, Care Providers and the Community. International Journal of Tuberculosis and Lung Disease, 10(9), 1008–1012.
Stutterheim, S.E., Pryor, J.B., Bos, A.E.R., Hoogendijk, R., Muris, P., & Schaalma, H.P. (2007). HIV-related stigma and psychological distress: the harmful effects of specific stigma manifestations in various social settings. Department of Work and Social Psychology. Maastricht University. Netherlands.
Suwankeeree, W., & Picheansathian, W. (2014). Strategies to Promote Adherence to Treatment by Pulmonary Tuberculosis Patients: a Systematic Review. International Journal of Evidence-Based Healthcare, 12(1), 3-16. DOI: 10.1097/01.XEB.0000444614.17658.46
World Health Organization. (2018). Global tuberculosis report 2018. France: World Health Organization, WHO/CDS/TB/2018
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