||Johansson E, Diwan VK, Huong ND & Ahlberg BM
||Staff and patient attitudes to tuberculosis and compliance
with treatment: an exploratory study in a district in Vietnam
||TUBERCLE & LUNG DIS 1996, 77, 178-83
The study, a collaboration between the National
Tuberculosis Institute, Hanoi, Vietnam and the Karolinska Institutet,
Stockholm, Sweden, was carried out in a district of Quang Ninh Province
in North Vietnam.
To describe TB services, attitudes of staff and
attitudes of patients considered as defaulters to TB treatment.
Two focus group discussions were carried out with
staff at the district hospital. Ten defaulter patients were interviewed
in their homes.
This exploratory study has revealed some important
aspects of staff and patients attitudes to TB and its treatment.
TB is considered a dirty disease, which mainly affects
poor people. There is a tendency to avoid telling others about it.
Obvious symptoms are explained as being over-worked.
A patient with TB feels less respected by others. The
social stigmatization leads to delays in seeking medical care, often
only after self-medication: anti-TB drugs can be brought without
prescription in various pharmacies. The patients economic
situation is also an important determinant of compliance and non-compliance.
These factors need to be taken into consideration in TB control
|KEY WORDS: COMPLIANCE; HEALTH EDUCATION; ATTITUDES;
SOCIAL BEHAVIOUR; VIETNAM.