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Qualitative Health Research
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*Tuberculosis
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Article

Exploring Tuberculosis Patients' Adherence to Treatment Regimens and Prevention Programs at a Public Health Site

Pamela Naidoo*, Judy Dick, and Diane Cooper

University of the Western Cape, Bellville, South Africa

* To whom correspondence should be addressed. E-mail: pam{at}global.co.za.


   Abstract
Our aim with this study was to explore the factors that contribute to tuberculosis patients’ adherence and nonadherence to the Directly Observed Treatment Short Course strategy. A qualitative, phenomenological research design was used. Fifteen male and female participants between the ages of 18 and 57 years were recruited through purposive sampling at a primary care clinic located in a disadvantaged area, and in-depth interviews were conducted. The data analysis indicated that the factors found to influence adherence were social and economic resources; causal attributions assigned to TB; the social, cultural, economic, disease-related, and psychological challenges faced as a consequence of having TB; quality of health care received; use of the traditional healing system; and the participants’ HIV status. Factors found to be associated with nonadherence included poverty, HIV co-infection, stigma, unsupportive social and work environments, and a high prevalence of helplessness and hopelessness.

First published on November 7, 2008, doi:10.1177/1049732308327893

Qualitative Health Research 2009;19:55.

A more recent version of this article appeared on January 1, 2009


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[Abstract] [PDF]