Socio-economic, gender and health services factors affecting diagnostic delay for tuberculosis patients in urban Zambia

Dale M. Needham, Susan D. Foster, George Tomlinson, Peter Godfrey-Faussett

Research output: Contribution to journalArticlepeer-review

Abstract

In-depth interviews regarding health seeking behaviour were conducted with 202 adults registered with pulmonary tuberculosis at the centralized Chest Clinic in Lusaka, Zambia. The median (mean) diagnostic delay was 8.6 (9) weeks, and was significantly associated with the following factors: female sex, lower education, more than six instances of health-seeking encounters, outpatient diagnosis of tuberculosis, and visiting a private doctor or traditional healer. More effective tuberculosis control interventions require novel methods of accessing women and less educated people. Decentralization of public tuberculosis care and improved integration with private sector health providers may also reduce diagnostic delay.

Original languageEnglish (US)
Pages (from-to)256-259
Number of pages4
JournalTropical Medicine and International Health
Volume6
Issue number4
DOIs
StatePublished - May 10 2001
Externally publishedYes

Keywords

  • Africa
  • Diagnostic delay
  • Gender
  • Socio-economic
  • Tuberculosis

ASJC Scopus subject areas

  • Parasitology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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