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Perceptions, preferences, and experiences of tuberculosis education and counselling among patients and providers in Kampala, Uganda

A qualitative study

Bibliographic Data

ID15539986
AuthorsIrene Ayakaka (0000-0003-1051-5684, Liverpool School of Tropical Medicine, corresponding author), Mari Armstrong‐Hough (0000-0001-6947-4528, Yale University), Alisse Hannaford (0000-0002-0276-9820, Hospital of the University of Pennsylvania), Joseph Ggita (0000-0001-9282-563X), Patricia Turimumahoro (0000-0003-1910-8559), Achilles Katamba (0000-0002-2347-4183, Makerere University), Anne Katahoire (0000-0003-3520-070X, Makerere University), Adithya Cattamanchi (0000-0002-6553-2601, San Francisco General Hospital), Sheela V Shenoi (0000-0001-7654-4344, Yale University), J Lucian Davis (0000-0002-8629-9992, Yale University)
Year2022
Volume17
Issue11
Pages2911-2928
Publication date2022-04-20
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueGlobal Public Health (JOURNAL)
Journal identifiersISSN: 1744-1692 • E-ISSN: 1744-1706
PublisherTaylor & Francis (PUBLISHER • GB)
DOI10.1080/17441692.2021.2000629
PMID35442147
OpenAlexW4224223050
LanguageEN
Citations received4
References cited48

Tuberculosis (TB) education seeks to increase patient knowledge about TB, while TB counselling seeks to offer tailored advice and support for medication adherence. While universally recommended, little is known about how to provide effective, efficient, patient-centred TB education and counselling (TEC) in low-income, high HIV-TB burden settings. We sought to characterise stakeholder perceptions of TEC in a public, primary care facility in Kampala, Uganda, by conducting focus group discussions with health workers and TB patients in the TB and HIV clinics. Participants valued TEC but reported that high-quality TEC is rarely provided, because of a lack of time, space, staff, planning, and prioritisation given to TEC. To improve TEC, they recommended adopting practices that have proven effective in the HIV clinic, including better specifying educational content, and employing peer educators focused on TEC. Patients and health workers suggested that TEC should not only improve TB patient knowledge and adherence, but should also empower and assist all those undergoing evaluation for TB, whether confirmed or not, to educate their households and communities about TB. Community-engaged research with patients and front-line providers identified opportunities to streamline and standardise the delivery of TEC using a patient-centred, peer-educator model

Business · Family medicine · Focus group · Medical education · Public relations · Qualitative research · Stakeholder · TEC · Tuberculosis · HIV/AIDS Research and Interventions · Medicine · Nursing · Pneumocystis jirovecii pneumonia detection and treatment · Tuberculosis Research and Epidemiology

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Unique citing works4
Citations per year1,33
Citation span2023 - 2026 (4)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 4
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