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Barriers in access to services and information gaps by genders and key populations in the national Tuberculosis programme in Cambodia

Bibliographic Data

ID15540317
AuthorsSiyan Yi (0000-0002-3045-5386, National University of Singapore, corresponding author), Alvin Kuo Jing Teo (0000-0002-0569-3518, National University of Singapore), Say Sok (0000-0003-0828-0193), Sovannary Tuot (0000-0001-8617-4578, The University of Tokyo), Sivanna Tieng (Cambodia National Malaria Center), Kim Eam Khun (Cambodia National Malaria Center), Sok Chamreun Choub, Sok Heng Pheng (Cambodia National Malaria Center), Tan Eang Mao (Cambodia National Malaria Center)
Year2021
Volume17
Issue8
Pages1743-1756
Publication date2021-09-06
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueGlobal Public Health (JOURNAL)
Journal identifiersISSN: 1744-1692 • E-ISSN: 1744-1706
PublisherTaylor & Francis (PUBLISHER • GB)
DOI10.1080/17441692.2021.1954226
PMID34488555
OpenAlexW3196797305
LanguageEN
Citations received3
References cited16

Approximately 34% of people with tuberculosis (TB) were undiagnosed in Cambodia in 2017. This study explored barriers in access to TB services and information gaps by genders and key populations in the Cambodian national TB programme. In 2017, we conducted a consensus and validation workshop, desk reviews, 19 in-depth interviews, and 30 focus group discussions with representatives of stakeholder groups, affected populations, and communities. Content analyses were performed for qualitative interviews. We employed the consensus development methods during the workshop to define and prioritise key populations. Key themes that inhibited access to TB services included the lack of knowledge, awareness, time and financial means, and gender-specific vulnerabilities. Systemic barriers included inconsistencies in policy and guideline implementation and lack of resources required for effective TB management. We did not find indications of coercive practices against women and key populations. However, stigma and discrimination did exist in healthcare institutions, the workplace, and the community. There were significant gaps in gender and key population-specific data and reporting systems at all levels. Data availability is vital for understanding gender and key population-specific gaps, and they should be duly utilised. Mechanisms to ensure equality and inclusivity are necessary to end TB in Cambodia

Business · Environmental health · Focus group · Political science · Population · Public relations · Qualitative research · Sociology · Stakeholder · Stigma (botany · Thematic analysis · Tuberculosis · Global Maternal and Child Health · Medicine · Pneumocystis jirovecii pneumonia detection and treatment · Tuberculosis Research and Epidemiology · Marketing

  • Where are the missing people affected by tuberculosis? A programme review of patient-pathway and cascade of care to optimise tuberculosis case-finding, treatment and prevention in Cambodia

    Open Access•Alvin Kuo Jing Teo, Fukushi Morishita et al.•BMJ Global Health•2023

  • Sources of knowledge empowerment amongst pregnant women with TB disease

    Open Access•Mulondo Seani Adrinah, Lunic B Khoza et al.•Health Expectations•2024

  • Economic Evaluation of Community Tuberculosis Active Case-Finding Approaches in Cambodia

    Open Access•Alvin Kuo Jing Teo, Kiesha Prem et al.•International Journal of…•2021

  • Economy Profile of Cambodia

    Open Access•World Bank Group•2018

  • Gender differences in delays in diagnosis and treatment of tuberculosis

    Open Access•Fazlul Karim, Md Ashraful Islam et al.•Health Policy and Planning•2007

  • Social Ecological Approaches to Individuals and Their Contexts

    Open Access•Shelley D Golden, Jo Anne L Earp et al.•Health Education & Behavior•2012

Unique citing works3
Citations per year0,6
Citation span2021 - 2024 (4)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 3

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