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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.
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Abstract |
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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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