No Cover Image

E-Thesis 509 views 108 downloads

An ethnographic study of Knowledge, Attitudes and Health Seeking Behaviours of Patients, Healthcare Worker (HCWs) and Community Members towards Pulmonary Tuberculosis in Akure, Ondo State, Nigeria / MARGARET AKINBILEJE

Swansea University Author: MARGARET AKINBILEJE

  • Akinbileje_Margaret_MPhil_Thesis_Final_Redacted_Signature.pdf

    PDF | E-Thesis – open access

    Copyright: The author, Margaret W. M. Akinbileje, 2022. Released under the terms of a Creative Commons Attribution-Share Alike (CC-BY-SA) License. Third party content is excluded for use under the license terms.

    Download (9.94MB)

DOI (Published version): 10.23889/SUthesis.61641

Abstract

This ethnographic study is an exploration of a research study conducted on Pulmonary Tuberculosis (PTB) infection that has claimed many lives. The incidence of TB in Nigeria in 2016 was estimated to be 219 cases per 100,000 population, which accounts for about 4% of the TB incidence globally. Nigeri...

Full description

Published: Swansea 2022
Institution: Swansea University
Degree level: Master of Philosophy
Degree name: M.Phil
Supervisor: Merrell, Joy ; Condon, Louise
URI: https://cronfa.swan.ac.uk/Record/cronfa61641
Tags: Add Tag
No Tags, Be the first to tag this record!
first_indexed 2022-10-24T11:19:54Z
last_indexed 2023-01-13T19:22:31Z
id cronfa61641
recordtype RisThesis
fullrecord <?xml version="1.0"?><rfc1807><datestamp>2022-10-24T13:48:41.8786567</datestamp><bib-version>v2</bib-version><id>61641</id><entry>2022-10-24</entry><title>An ethnographic study of Knowledge, Attitudes and Health Seeking Behaviours of Patients, Healthcare Worker (HCWs) and Community Members towards Pulmonary Tuberculosis in Akure, Ondo State, Nigeria</title><swanseaauthors><author><sid>d4610cd1d3244cb821bd3250b737c96e</sid><firstname>MARGARET</firstname><surname>AKINBILEJE</surname><name>MARGARET AKINBILEJE</name><active>true</active><ethesisStudent>false</ethesisStudent></author></swanseaauthors><date>2022-10-24</date><abstract>This ethnographic study is an exploration of a research study conducted on Pulmonary Tuberculosis (PTB) infection that has claimed many lives. The incidence of TB in Nigeria in 2016 was estimated to be 219 cases per 100,000 population, which accounts for about 4% of the TB incidence globally. Nigeria holds the highest TB burden in West Africa with Nigeria among the 30 countries with the highest burden for pulmonary TB (PTB) and TB/HIV Multiple drug resistant-tuberculosis (MDR-TB) is prevalent in Africa. The management of PTB in Nigeria has been affected by the lack of funding, poor human resources, and weak health systems that are unable to support an efficient scale-up of TB services. Despite a high prevalence of MDR-TB in Nigeria, to date, there have been few or no qualitative studies which have sought to explore the knowledge, attitudes, and health-seeking behaviours that could influence the high prevalence of the disease. Aim: The aim of this study is to investigates the knowledge, attitudes, and health-seeking behaviours of patients, HCWs, and community members that comprises (Palace chiefs, religious leaders, traditional healers), in regard to PTB in Akure South, Ondo State, Nigeria. Methods: This ethnographic study adapted the health belief model and social ecological model as a theoretical framework. This ethnographic study used multiple methods of data collection methods, namely, semi structured interviews, focus groups, and participant observation in a PTB clinic and community DOTS site clinic. The purposive samples comprised of 2 community nominated leaders, 2 palace chiefs, 2 traditional healers, 2 religious&#x2019; leaders, 5 patients, 5 carers/relatives, and 12 healthcare workers. The focus groups who participated in the study comprised seven Muslim men, seven Muslim women, seven church groups and seven university students. The total sample size was 58 participants, and analysis of the data was performed using the NVivo programme. Findings: The study identified four themes:&#x2022;Barriers to accessing healthcare services&#x2022;Knowledge and perceptions of PTB&#x2022;The socio-cultural context of PTB&#x2022;Health promotion and preventionThe fear of PTB by society led to imposition of a social&#x2013;physical distance of the community from PTB sufferers. Within the HCWs system, the fear of PTB affected the attitudes and behaviour of the HCWs towards the patients and the work with PTB. The doctors indicated that TB clinics were not adequately equipped to enable the provision of quality services. For accessing services, the fear of stigmatisation, traditional beliefs, and the implications of poverty resulted in people reporting to the hospital only after a prolonged period of self-medication. Many participants highlighted that religious and traditional beliefs resulted in a reluctance or refusal to accept PTB test results. The prevention and management of PTB in Nigeria is inadequate due to a lack of funding and human resources. Implications: The findings provide a baseline for the government to set up health promotion and disease prevention programmes in partnership with the community and non-governmental organisations (NGOs). Healthcare workers and NGOs can participate in promoting health education and prevention messages through mass media to the community to aid understanding of the disease. PTB services should be integrated into the curriculum to all schools, colleges, and universities, as well as religious programmes. The national tuberculosis and leprosy control programme (NTBLCP) is well placed to provide a monitoring and evaluation of progress.</abstract><type>E-Thesis</type><journal/><volume/><journalNumber/><paginationStart/><paginationEnd/><publisher/><placeOfPublication>Swansea</placeOfPublication><isbnPrint/><isbnElectronic/><issnPrint/><issnElectronic/><keywords>Pulmonary tuberculosis</keywords><publishedDay>13</publishedDay><publishedMonth>10</publishedMonth><publishedYear>2022</publishedYear><publishedDate>2022-10-13</publishedDate><doi>10.23889/SUthesis.61641</doi><url/><notes/><college>COLLEGE NANME</college><CollegeCode>COLLEGE CODE</CollegeCode><institution>Swansea University</institution><supervisor>Merrell, Joy ; Condon, Louise</supervisor><degreelevel>Master of Philosophy</degreelevel><degreename>M.Phil</degreename><apcterm/><funders/><projectreference/><lastEdited>2022-10-24T13:48:41.8786567</lastEdited><Created>2022-10-24T12:14:21.0431595</Created><path><level id="1">Faculty of Medicine, Health and Life Sciences</level><level id="2">School of Health and Social Care - Public Health</level></path><authors><author><firstname>MARGARET</firstname><surname>AKINBILEJE</surname><order>1</order></author></authors><documents><document><filename>61641__25558__b8c36ba9dce8490abd834c5a60186e84.pdf</filename><originalFilename>Akinbileje_Margaret_MPhil_Thesis_Final_Redacted_Signature.pdf</originalFilename><uploaded>2022-10-24T12:43:27.3306391</uploaded><type>Output</type><contentLength>10419921</contentLength><contentType>application/pdf</contentType><version>E-Thesis &#x2013; open access</version><cronfaStatus>true</cronfaStatus><documentNotes>Copyright: The author, Margaret W. M. Akinbileje, 2022. Released under the terms of a Creative Commons Attribution-Share Alike (CC-BY-SA) License. Third party content is excluded for use under the license terms.</documentNotes><copyrightCorrect>true</copyrightCorrect><language>eng</language><licence>https://creativecommons.org/licenses/by-sa/4.0/</licence></document></documents><OutputDurs/></rfc1807>
spelling 2022-10-24T13:48:41.8786567 v2 61641 2022-10-24 An ethnographic study of Knowledge, Attitudes and Health Seeking Behaviours of Patients, Healthcare Worker (HCWs) and Community Members towards Pulmonary Tuberculosis in Akure, Ondo State, Nigeria d4610cd1d3244cb821bd3250b737c96e MARGARET AKINBILEJE MARGARET AKINBILEJE true false 2022-10-24 This ethnographic study is an exploration of a research study conducted on Pulmonary Tuberculosis (PTB) infection that has claimed many lives. The incidence of TB in Nigeria in 2016 was estimated to be 219 cases per 100,000 population, which accounts for about 4% of the TB incidence globally. Nigeria holds the highest TB burden in West Africa with Nigeria among the 30 countries with the highest burden for pulmonary TB (PTB) and TB/HIV Multiple drug resistant-tuberculosis (MDR-TB) is prevalent in Africa. The management of PTB in Nigeria has been affected by the lack of funding, poor human resources, and weak health systems that are unable to support an efficient scale-up of TB services. Despite a high prevalence of MDR-TB in Nigeria, to date, there have been few or no qualitative studies which have sought to explore the knowledge, attitudes, and health-seeking behaviours that could influence the high prevalence of the disease. Aim: The aim of this study is to investigates the knowledge, attitudes, and health-seeking behaviours of patients, HCWs, and community members that comprises (Palace chiefs, religious leaders, traditional healers), in regard to PTB in Akure South, Ondo State, Nigeria. Methods: This ethnographic study adapted the health belief model and social ecological model as a theoretical framework. This ethnographic study used multiple methods of data collection methods, namely, semi structured interviews, focus groups, and participant observation in a PTB clinic and community DOTS site clinic. The purposive samples comprised of 2 community nominated leaders, 2 palace chiefs, 2 traditional healers, 2 religious’ leaders, 5 patients, 5 carers/relatives, and 12 healthcare workers. The focus groups who participated in the study comprised seven Muslim men, seven Muslim women, seven church groups and seven university students. The total sample size was 58 participants, and analysis of the data was performed using the NVivo programme. Findings: The study identified four themes:•Barriers to accessing healthcare services•Knowledge and perceptions of PTB•The socio-cultural context of PTB•Health promotion and preventionThe fear of PTB by society led to imposition of a social–physical distance of the community from PTB sufferers. Within the HCWs system, the fear of PTB affected the attitudes and behaviour of the HCWs towards the patients and the work with PTB. The doctors indicated that TB clinics were not adequately equipped to enable the provision of quality services. For accessing services, the fear of stigmatisation, traditional beliefs, and the implications of poverty resulted in people reporting to the hospital only after a prolonged period of self-medication. Many participants highlighted that religious and traditional beliefs resulted in a reluctance or refusal to accept PTB test results. The prevention and management of PTB in Nigeria is inadequate due to a lack of funding and human resources. Implications: The findings provide a baseline for the government to set up health promotion and disease prevention programmes in partnership with the community and non-governmental organisations (NGOs). Healthcare workers and NGOs can participate in promoting health education and prevention messages through mass media to the community to aid understanding of the disease. PTB services should be integrated into the curriculum to all schools, colleges, and universities, as well as religious programmes. The national tuberculosis and leprosy control programme (NTBLCP) is well placed to provide a monitoring and evaluation of progress. E-Thesis Swansea Pulmonary tuberculosis 13 10 2022 2022-10-13 10.23889/SUthesis.61641 COLLEGE NANME COLLEGE CODE Swansea University Merrell, Joy ; Condon, Louise Master of Philosophy M.Phil 2022-10-24T13:48:41.8786567 2022-10-24T12:14:21.0431595 Faculty of Medicine, Health and Life Sciences School of Health and Social Care - Public Health MARGARET AKINBILEJE 1 61641__25558__b8c36ba9dce8490abd834c5a60186e84.pdf Akinbileje_Margaret_MPhil_Thesis_Final_Redacted_Signature.pdf 2022-10-24T12:43:27.3306391 Output 10419921 application/pdf E-Thesis – open access true Copyright: The author, Margaret W. M. Akinbileje, 2022. Released under the terms of a Creative Commons Attribution-Share Alike (CC-BY-SA) License. Third party content is excluded for use under the license terms. true eng https://creativecommons.org/licenses/by-sa/4.0/
title An ethnographic study of Knowledge, Attitudes and Health Seeking Behaviours of Patients, Healthcare Worker (HCWs) and Community Members towards Pulmonary Tuberculosis in Akure, Ondo State, Nigeria
spellingShingle An ethnographic study of Knowledge, Attitudes and Health Seeking Behaviours of Patients, Healthcare Worker (HCWs) and Community Members towards Pulmonary Tuberculosis in Akure, Ondo State, Nigeria
MARGARET AKINBILEJE
title_short An ethnographic study of Knowledge, Attitudes and Health Seeking Behaviours of Patients, Healthcare Worker (HCWs) and Community Members towards Pulmonary Tuberculosis in Akure, Ondo State, Nigeria
title_full An ethnographic study of Knowledge, Attitudes and Health Seeking Behaviours of Patients, Healthcare Worker (HCWs) and Community Members towards Pulmonary Tuberculosis in Akure, Ondo State, Nigeria
title_fullStr An ethnographic study of Knowledge, Attitudes and Health Seeking Behaviours of Patients, Healthcare Worker (HCWs) and Community Members towards Pulmonary Tuberculosis in Akure, Ondo State, Nigeria
title_full_unstemmed An ethnographic study of Knowledge, Attitudes and Health Seeking Behaviours of Patients, Healthcare Worker (HCWs) and Community Members towards Pulmonary Tuberculosis in Akure, Ondo State, Nigeria
title_sort An ethnographic study of Knowledge, Attitudes and Health Seeking Behaviours of Patients, Healthcare Worker (HCWs) and Community Members towards Pulmonary Tuberculosis in Akure, Ondo State, Nigeria
author_id_str_mv d4610cd1d3244cb821bd3250b737c96e
author_id_fullname_str_mv d4610cd1d3244cb821bd3250b737c96e_***_MARGARET AKINBILEJE
author MARGARET AKINBILEJE
author2 MARGARET AKINBILEJE
format E-Thesis
publishDate 2022
institution Swansea University
doi_str_mv 10.23889/SUthesis.61641
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Health and Social Care - Public Health{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Health and Social Care - Public Health
document_store_str 1
active_str 0
description This ethnographic study is an exploration of a research study conducted on Pulmonary Tuberculosis (PTB) infection that has claimed many lives. The incidence of TB in Nigeria in 2016 was estimated to be 219 cases per 100,000 population, which accounts for about 4% of the TB incidence globally. Nigeria holds the highest TB burden in West Africa with Nigeria among the 30 countries with the highest burden for pulmonary TB (PTB) and TB/HIV Multiple drug resistant-tuberculosis (MDR-TB) is prevalent in Africa. The management of PTB in Nigeria has been affected by the lack of funding, poor human resources, and weak health systems that are unable to support an efficient scale-up of TB services. Despite a high prevalence of MDR-TB in Nigeria, to date, there have been few or no qualitative studies which have sought to explore the knowledge, attitudes, and health-seeking behaviours that could influence the high prevalence of the disease. Aim: The aim of this study is to investigates the knowledge, attitudes, and health-seeking behaviours of patients, HCWs, and community members that comprises (Palace chiefs, religious leaders, traditional healers), in regard to PTB in Akure South, Ondo State, Nigeria. Methods: This ethnographic study adapted the health belief model and social ecological model as a theoretical framework. This ethnographic study used multiple methods of data collection methods, namely, semi structured interviews, focus groups, and participant observation in a PTB clinic and community DOTS site clinic. The purposive samples comprised of 2 community nominated leaders, 2 palace chiefs, 2 traditional healers, 2 religious’ leaders, 5 patients, 5 carers/relatives, and 12 healthcare workers. The focus groups who participated in the study comprised seven Muslim men, seven Muslim women, seven church groups and seven university students. The total sample size was 58 participants, and analysis of the data was performed using the NVivo programme. Findings: The study identified four themes:•Barriers to accessing healthcare services•Knowledge and perceptions of PTB•The socio-cultural context of PTB•Health promotion and preventionThe fear of PTB by society led to imposition of a social–physical distance of the community from PTB sufferers. Within the HCWs system, the fear of PTB affected the attitudes and behaviour of the HCWs towards the patients and the work with PTB. The doctors indicated that TB clinics were not adequately equipped to enable the provision of quality services. For accessing services, the fear of stigmatisation, traditional beliefs, and the implications of poverty resulted in people reporting to the hospital only after a prolonged period of self-medication. Many participants highlighted that religious and traditional beliefs resulted in a reluctance or refusal to accept PTB test results. The prevention and management of PTB in Nigeria is inadequate due to a lack of funding and human resources. Implications: The findings provide a baseline for the government to set up health promotion and disease prevention programmes in partnership with the community and non-governmental organisations (NGOs). Healthcare workers and NGOs can participate in promoting health education and prevention messages through mass media to the community to aid understanding of the disease. PTB services should be integrated into the curriculum to all schools, colleges, and universities, as well as religious programmes. The national tuberculosis and leprosy control programme (NTBLCP) is well placed to provide a monitoring and evaluation of progress.
published_date 2022-10-13T04:20:36Z
_version_ 1763754363212267520
score 11.017797

Similar Items