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Free Content Feasibility of home-based and health centre-based DOT: perspectives of TB care providers and clients in an HIV-endemic area of Thailand

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Abstract:

Focus groups were conducted in a high human immunodeficiency virus (HIV) prevalence area of Thailand to elicit perspectives of health staff and clients regarding the feasibility of directly observed therapy (DOT) for tuberculosis. Most participants perceived health centre-based DOT to be impractical for clients due to severe illness, travel inconvenience, and interference with employment. Most providers perceived home-based DOT to be difficult because of the inconvenience of travel, staff shortages and the high tuberculosis caseload. Most clients except HIV-negative tuberculous females considered home visits to be undesirable due to stigma. The preparedness of providers for home-based DOT might be improved through awareness building among staff about multidrug-resistant tuberculosis.

Keywords: DOT; HIV/AIDS; Thailand; attitude of staff and clients; qualitative research; tuberculosis

Document Type: Regular Paper

Affiliations: 1: TB/HIV Research Project, the Research Institute of Tuberculosis, Tokyo, Japan and Division of International Health, Karolinska Institute, Stockholm, Sweden and Epidemiology, Department of Public Health and Clinical Medicine, Umea University, Umea, 2: TB/HIV Research Project, the Research Institute of Tuberculosis, Tokyo, Japan 3: Epidemiology, Department of Public Health and Clinical Medicine, Umea University, Umea, Sweden 4: Chiang Rai Provincial Health Office, Chiang Rai, Thailand 5: Division of International Health, Karolinska Institute, Stockholm, Sweden and Nordic School of Public Health, Goteborg, Sweden

Publication date: 2001-08-01

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  • The International Journal of Tuberculosis and Lung Disease publishes articles on all aspects of lung health, including public health-related issues such as training programmes, cost-benefit analysis, legislation, epidemiology, intervention studies and health systems research. The IJTLD is dedicated to the continuing education of physicians and health personnel and the dissemination of information on tuberculosis and lung health world-wide.

    Certain IJTLD articles are selected for translation into French, Spanish, Chinese or Russian. They are available on the Union website

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