Support and unmet needs of patients undergoing multidrug‐resistant tuberculosis (MDR‐TB) treatment in southern Nigeria
Summary Multidrug‐resistant tuberculosis (MDR‐TB) is presently a major public health threat. MDR‐TB patients face diverse financial and psychosocial difficulties. Researchers conducted in‐depth interviews based on interview guides with 42 participants. Data were analyzed using categorization, coding...
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| Veröffentlicht in: | The International journal of health planning and management 2020-07, Vol.35 (4), p.832-842 |
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| container_title | The International journal of health planning and management |
| container_volume | 35 |
| creator | Oshi, Daniel Chukwu, Joseph Nwafor, Charles Chukwu, Ngozi E. Meka, Anthony O. Anyim, Moses Ukwaja, Kingsley N. Alobu, Isaac Ekeke, Ngozi Oshi, Sarah N. |
| description | Summary
Multidrug‐resistant tuberculosis (MDR‐TB) is presently a major public health threat. MDR‐TB patients face diverse financial and psychosocial difficulties. Researchers conducted in‐depth interviews based on interview guides with 42 participants. Data were analyzed using categorization, coding, generation of themes, and thematic memo writing. The key findings were as follows: Out of the 42 patients, 30 (71.4%) were males and 12 (28.6%) were females. All patients received financial stipends for transport and monthly social support. The patients however needed more financial support than they received (suggesting high unmet financial needs). Patients suffered depressive mood before and during treatment but received inadequate mental health/psychosocial care and treatment. Patients developed hearing impairment as a major adverse drug reaction, but the care and treatment they received were inadequate. In conclusion, the programmatic support provided for MDR‐TB patients' financial and mental health/psychosocial needs and auditory drug side effects fell short of their need. Programmes for control of MDR‐TB should increase budgetary allocations and ramp up mechanisms for provision of mental health/psychosocial support and care/treatment for drug side effects. |
| doi_str_mv | 10.1002/hpm.2929 |
| format | Article |
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Multidrug‐resistant tuberculosis (MDR‐TB) is presently a major public health threat. MDR‐TB patients face diverse financial and psychosocial difficulties. Researchers conducted in‐depth interviews based on interview guides with 42 participants. Data were analyzed using categorization, coding, generation of themes, and thematic memo writing. The key findings were as follows: Out of the 42 patients, 30 (71.4%) were males and 12 (28.6%) were females. All patients received financial stipends for transport and monthly social support. The patients however needed more financial support than they received (suggesting high unmet financial needs). Patients suffered depressive mood before and during treatment but received inadequate mental health/psychosocial care and treatment. Patients developed hearing impairment as a major adverse drug reaction, but the care and treatment they received were inadequate. In conclusion, the programmatic support provided for MDR‐TB patients' financial and mental health/psychosocial needs and auditory drug side effects fell short of their need. Programmes for control of MDR‐TB should increase budgetary allocations and ramp up mechanisms for provision of mental health/psychosocial support and care/treatment for drug side effects.</description><identifier>ISSN: 0749-6753</identifier><identifier>EISSN: 1099-1751</identifier><identifier>DOI: 10.1002/hpm.2929</identifier><identifier>PMID: 31849112</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Adult ; Allocations ; Critical incidents ; Deafness ; Drug abuse ; Drug resistance ; Drugs ; Emotions ; Female ; financial incentives ; Financial support ; Health administration ; Health care expenditures ; Health risks ; Hearing loss ; Humans ; Interviews ; Interviews as Topic ; Male ; Mental depression ; Mental disorders ; Mental health ; Mental health care ; Mental health services ; Middle Aged ; Mood ; Multidrug resistant organisms ; multidrug‐resistant tuberculosis ; Needs ; Needs Assessment ; Nigeria ; Patients ; Psychosocial factors ; Psychosocial support ; Psychosocial therapy ; Public health ; Qualitative Research ; Reimbursement, Incentive ; Side effects ; Social interactions ; social protection ; Social Support ; Tuberculosis ; Tuberculosis, Multidrug-Resistant - drug therapy ; unmet needs</subject><ispartof>The International journal of health planning and management, 2020-07, Vol.35 (4), p.832-842</ispartof><rights>2019 John Wiley & Sons, Ltd.</rights><rights>2020 John Wiley & Sons, Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3499-4e34b1a0be9109c5366e633e4f90eedb6bca00da7921ee9c838d85b9c19625303</citedby><cites>FETCH-LOGICAL-c3499-4e34b1a0be9109c5366e633e4f90eedb6bca00da7921ee9c838d85b9c19625303</cites><orcidid>0000-0002-6731-8641</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fhpm.2929$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fhpm.2929$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1416,27923,27924,30998,33773,45573,45574</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31849112$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Oshi, Daniel</creatorcontrib><creatorcontrib>Chukwu, Joseph</creatorcontrib><creatorcontrib>Nwafor, Charles</creatorcontrib><creatorcontrib>Chukwu, Ngozi E.</creatorcontrib><creatorcontrib>Meka, Anthony O.</creatorcontrib><creatorcontrib>Anyim, Moses</creatorcontrib><creatorcontrib>Ukwaja, Kingsley N.</creatorcontrib><creatorcontrib>Alobu, Isaac</creatorcontrib><creatorcontrib>Ekeke, Ngozi</creatorcontrib><creatorcontrib>Oshi, Sarah N.</creatorcontrib><title>Support and unmet needs of patients undergoing multidrug‐resistant tuberculosis (MDR‐TB) treatment in southern Nigeria</title><title>The International journal of health planning and management</title><addtitle>Int J Health Plann Manage</addtitle><description>Summary
Multidrug‐resistant tuberculosis (MDR‐TB) is presently a major public health threat. MDR‐TB patients face diverse financial and psychosocial difficulties. Researchers conducted in‐depth interviews based on interview guides with 42 participants. Data were analyzed using categorization, coding, generation of themes, and thematic memo writing. The key findings were as follows: Out of the 42 patients, 30 (71.4%) were males and 12 (28.6%) were females. All patients received financial stipends for transport and monthly social support. The patients however needed more financial support than they received (suggesting high unmet financial needs). Patients suffered depressive mood before and during treatment but received inadequate mental health/psychosocial care and treatment. Patients developed hearing impairment as a major adverse drug reaction, but the care and treatment they received were inadequate. In conclusion, the programmatic support provided for MDR‐TB patients' financial and mental health/psychosocial needs and auditory drug side effects fell short of their need. Programmes for control of MDR‐TB should increase budgetary allocations and ramp up mechanisms for provision of mental health/psychosocial support and care/treatment for drug side effects.</description><subject>Adult</subject><subject>Allocations</subject><subject>Critical incidents</subject><subject>Deafness</subject><subject>Drug abuse</subject><subject>Drug resistance</subject><subject>Drugs</subject><subject>Emotions</subject><subject>Female</subject><subject>financial incentives</subject><subject>Financial support</subject><subject>Health administration</subject><subject>Health care expenditures</subject><subject>Health risks</subject><subject>Hearing loss</subject><subject>Humans</subject><subject>Interviews</subject><subject>Interviews as Topic</subject><subject>Male</subject><subject>Mental depression</subject><subject>Mental disorders</subject><subject>Mental health</subject><subject>Mental health care</subject><subject>Mental health services</subject><subject>Middle Aged</subject><subject>Mood</subject><subject>Multidrug resistant organisms</subject><subject>multidrug‐resistant tuberculosis</subject><subject>Needs</subject><subject>Needs Assessment</subject><subject>Nigeria</subject><subject>Patients</subject><subject>Psychosocial factors</subject><subject>Psychosocial support</subject><subject>Psychosocial therapy</subject><subject>Public health</subject><subject>Qualitative Research</subject><subject>Reimbursement, Incentive</subject><subject>Side effects</subject><subject>Social interactions</subject><subject>social protection</subject><subject>Social Support</subject><subject>Tuberculosis</subject><subject>Tuberculosis, Multidrug-Resistant - drug therapy</subject><subject>unmet needs</subject><issn>0749-6753</issn><issn>1099-1751</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>BHHNA</sourceid><recordid>eNp1kctKHEEUhotg0IkKeYJQ4MYseqxL32qZjEkMOCpq1kV19-mxhu6qTl2QySqP4DP6JCkzJoGAqwP_-fg4hx-ht5TMKSHs5G4a50ww8QrNKBEio1VBd9CMVLnIyqrge-iN92tC0o6KXbTHaZ0LStkM_biJ02RdwMp0OJoRAjYAnce2x5MKGkzwKe_Araw2KzzGIejOxdXjzwcHXvugTMAhNuDaONgU4OPl6XXa3n58j4MDFcbkwNpgb2O4A2fwhV6B0-oAve7V4OHwee6jb58_3S7OsvPLL18XH86zlufplxx43lBFGhDpt7bgZQkl55D3gqRLm7JpFSGdqgSjAKKted3VRSNaKkpWcML30fHWOzn7PYIPctS-hWFQBmz0knFW87ykVZnQo__QtY3OpOsky1kiqCjoP2HrrPcOejk5PSq3kZTIpz5k6kM-9ZHQd8_C2IzQ_QX_FJCAbAvc6wE2L4rk2dXyt_AXja2XDw</recordid><startdate>202007</startdate><enddate>202007</enddate><creator>Oshi, Daniel</creator><creator>Chukwu, Joseph</creator><creator>Nwafor, Charles</creator><creator>Chukwu, Ngozi E.</creator><creator>Meka, Anthony O.</creator><creator>Anyim, Moses</creator><creator>Ukwaja, Kingsley N.</creator><creator>Alobu, Isaac</creator><creator>Ekeke, Ngozi</creator><creator>Oshi, Sarah N.</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7U3</scope><scope>BHHNA</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-6731-8641</orcidid></search><sort><creationdate>202007</creationdate><title>Support and unmet needs of patients undergoing multidrug‐resistant tuberculosis (MDR‐TB) treatment in southern Nigeria</title><author>Oshi, Daniel ; Chukwu, Joseph ; Nwafor, Charles ; Chukwu, Ngozi E. ; Meka, Anthony O. ; Anyim, Moses ; Ukwaja, Kingsley N. ; Alobu, Isaac ; Ekeke, Ngozi ; Oshi, Sarah N.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3499-4e34b1a0be9109c5366e633e4f90eedb6bca00da7921ee9c838d85b9c19625303</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adult</topic><topic>Allocations</topic><topic>Critical incidents</topic><topic>Deafness</topic><topic>Drug abuse</topic><topic>Drug resistance</topic><topic>Drugs</topic><topic>Emotions</topic><topic>Female</topic><topic>financial incentives</topic><topic>Financial support</topic><topic>Health administration</topic><topic>Health care expenditures</topic><topic>Health risks</topic><topic>Hearing loss</topic><topic>Humans</topic><topic>Interviews</topic><topic>Interviews as Topic</topic><topic>Male</topic><topic>Mental depression</topic><topic>Mental disorders</topic><topic>Mental health</topic><topic>Mental health care</topic><topic>Mental health services</topic><topic>Middle Aged</topic><topic>Mood</topic><topic>Multidrug resistant organisms</topic><topic>multidrug‐resistant tuberculosis</topic><topic>Needs</topic><topic>Needs Assessment</topic><topic>Nigeria</topic><topic>Patients</topic><topic>Psychosocial factors</topic><topic>Psychosocial support</topic><topic>Psychosocial therapy</topic><topic>Public health</topic><topic>Qualitative Research</topic><topic>Reimbursement, Incentive</topic><topic>Side effects</topic><topic>Social interactions</topic><topic>social protection</topic><topic>Social Support</topic><topic>Tuberculosis</topic><topic>Tuberculosis, Multidrug-Resistant - drug therapy</topic><topic>unmet needs</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Oshi, Daniel</creatorcontrib><creatorcontrib>Chukwu, Joseph</creatorcontrib><creatorcontrib>Nwafor, Charles</creatorcontrib><creatorcontrib>Chukwu, Ngozi E.</creatorcontrib><creatorcontrib>Meka, Anthony O.</creatorcontrib><creatorcontrib>Anyim, Moses</creatorcontrib><creatorcontrib>Ukwaja, Kingsley N.</creatorcontrib><creatorcontrib>Alobu, Isaac</creatorcontrib><creatorcontrib>Ekeke, Ngozi</creatorcontrib><creatorcontrib>Oshi, Sarah N.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Social Services Abstracts</collection><collection>Sociological Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>The International journal of health planning and management</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Oshi, Daniel</au><au>Chukwu, Joseph</au><au>Nwafor, Charles</au><au>Chukwu, Ngozi E.</au><au>Meka, Anthony O.</au><au>Anyim, Moses</au><au>Ukwaja, Kingsley N.</au><au>Alobu, Isaac</au><au>Ekeke, Ngozi</au><au>Oshi, Sarah N.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Support and unmet needs of patients undergoing multidrug‐resistant tuberculosis (MDR‐TB) treatment in southern Nigeria</atitle><jtitle>The International journal of health planning and management</jtitle><addtitle>Int J Health Plann Manage</addtitle><date>2020-07</date><risdate>2020</risdate><volume>35</volume><issue>4</issue><spage>832</spage><epage>842</epage><pages>832-842</pages><issn>0749-6753</issn><eissn>1099-1751</eissn><abstract>Summary
Multidrug‐resistant tuberculosis (MDR‐TB) is presently a major public health threat. MDR‐TB patients face diverse financial and psychosocial difficulties. Researchers conducted in‐depth interviews based on interview guides with 42 participants. Data were analyzed using categorization, coding, generation of themes, and thematic memo writing. The key findings were as follows: Out of the 42 patients, 30 (71.4%) were males and 12 (28.6%) were females. All patients received financial stipends for transport and monthly social support. The patients however needed more financial support than they received (suggesting high unmet financial needs). Patients suffered depressive mood before and during treatment but received inadequate mental health/psychosocial care and treatment. Patients developed hearing impairment as a major adverse drug reaction, but the care and treatment they received were inadequate. In conclusion, the programmatic support provided for MDR‐TB patients' financial and mental health/psychosocial needs and auditory drug side effects fell short of their need. Programmes for control of MDR‐TB should increase budgetary allocations and ramp up mechanisms for provision of mental health/psychosocial support and care/treatment for drug side effects.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>31849112</pmid><doi>10.1002/hpm.2929</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0002-6731-8641</orcidid></addata></record> |
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| source | Wiley-Blackwell Journals; Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; Sociological Abstracts |
| subjects | Adult Allocations Critical incidents Deafness Drug abuse Drug resistance Drugs Emotions Female financial incentives Financial support Health administration Health care expenditures Health risks Hearing loss Humans Interviews Interviews as Topic Male Mental depression Mental disorders Mental health Mental health care Mental health services Middle Aged Mood Multidrug resistant organisms multidrug‐resistant tuberculosis Needs Needs Assessment Nigeria Patients Psychosocial factors Psychosocial support Psychosocial therapy Public health Qualitative Research Reimbursement, Incentive Side effects Social interactions social protection Social Support Tuberculosis Tuberculosis, Multidrug-Resistant - drug therapy unmet needs |
| title | Support and unmet needs of patients undergoing multidrug‐resistant tuberculosis (MDR‐TB) treatment in southern Nigeria |
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