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Stigma against Tuberculosis Patients in Addis Ababa, Ethiopia

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  • Sebsibe Tadesse

Abstract

Background: Stigma attached to tuberculosis contributes to the limited effectiveness of current TB control approaches. However, there is a dearth of studies that explore the causes of stigma attached to tuberculosis and its effects on patients and tuberculosiscontrol programs in Ethiopia. Methods: An institution-based qualitative study was conducted at St. Peter Tuberculosis Specialized Hospital in Addis Ababa, Ethiopia from July to August, 2015. Ten in-depth interviews and 6 key-informant interviews were carried out among tuberculosis patients and healthcare workers, respectively.The Open Code computer software package was used to analyze the data thematically. Results: The study revealed that fear of infection and inappropriate health education messages by media were the main causes of tuberculosis stigma. The patients experienced isolation within their family and community, separation, and financial crisis. The stigma attached to tuberculosis may contribute to delayed healthcare seeking, poor treatment adherence, and poor prognosis. Conclusion: Interventions thatreduce the stigma attached to tuberculosis should target on areas, such as creating community awareness, patient counseling on problem-solving and emotional skills, preparing culturally sensitive and scientifically sound media messages, providing financial support for the patients, and enhancing the qualities of the healthcare workers, such as empathy, concern, respect for the patient and cultural sensitivity.

Suggested Citation

  • Sebsibe Tadesse, 2016. "Stigma against Tuberculosis Patients in Addis Ababa, Ethiopia," PLOS ONE, Public Library of Science, vol. 11(4), pages 1-11, April.
  • Handle: RePEc:plo:pone00:0152900
    DOI: 10.1371/journal.pone.0152900
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    References listed on IDEAS

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    1. Macq, Jean & Solis, Alejandro & Martinez, Guillermo & Martiny, Patrick & Dujardin, Bruno, 2005. "An exploration of the social stigma of tuberculosis in five "municipios" of Nicaragua to reflect on local interventions," Health Policy, Elsevier, vol. 74(2), pages 205-217, October.
    2. Long, Nguyen Hoang & Johansson, Eva & Diwan, Vinod K. & Winkvist, Anna, 2001. "Fear and social isolation as consequences of tuberculosis in VietNam: a gender analysis," Health Policy, Elsevier, vol. 58(1), pages 69-81, October.
    3. Collins, Pamela Y. & von Unger, Hella & Armbrister, Adria, 2008. "Church ladies, good girls, and locas: Stigma and the intersection of gender, ethnicity, mental illness, and sexuality in relation to HIV risk," Social Science & Medicine, Elsevier, vol. 67(3), pages 389-397, August.
    4. Yang, Lawrence Hsin & Kleinman, Arthur & Link, Bruce G. & Phelan, Jo C. & Lee, Sing & Good, Byron, 2007. "Culture and stigma: Adding moral experience to stigma theory," Social Science & Medicine, Elsevier, vol. 64(7), pages 1524-1535, April.
    5. Johansson, E. & Long, N. H. & Diwan, V. K. & Winkvist, A., 2000. "Gender and tuberculosis control: Perspectives on health seeking behaviour among men and women in Vietnam," Health Policy, Elsevier, vol. 52(1), pages 33-51, May.
    6. Rajeswari, R. & Muniyandi, M. & Balasubramanian, R. & Narayanan, P.R., 2005. "Perceptions of tuberculosis patients about their physical, mental and social well-being: a field report from south India," Social Science & Medicine, Elsevier, vol. 60(8), pages 1845-1853, April.
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    2. Marta Vericat-Ferrer & Alba Ayala & Policarpo Ncogo & Juan Eyene-Acuresila & Belén García & Agustín Benito & María Romay-Barja, 2022. "Knowledge, Attitudes, and Stigma: The Perceptions of Tuberculosis in Equatorial Guinea," IJERPH, MDPI, vol. 19(14), pages 1-12, July.
    3. Li‐Yun Lee & Heng‐Hsin Tung & Shu‐Ching Chen & Chiung‐Hui Fu, 2017. "Perceived stigma and depression in initially diagnosed pulmonary tuberculosis patients," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(23-24), pages 4813-4821, December.
    4. Acha-Anyi, Asongu & Acha-Anyi, Paul N. & Asongu, Simplice A. & Tchamyou, Vanessa S., 2020. "Social media for health promotion: A visual analysis of “TB proof” South Africa's Facebook page," Technology in Society, Elsevier, vol. 63(C).
    5. Daniel G Datiko & Dereje Habte & Degu Jerene & Pedro Suarez, 2019. "Knowledge, attitudes, and practices related to TB among the general population of Ethiopia: Findings from a national cross-sectional survey," PLOS ONE, Public Library of Science, vol. 14(10), pages 1-16, October.
    6. Asongu Acha-Anyi & Paul N. Acha-Anyi & Simplice A. Asongu & Vanessa Tchamyou, 2020. "Social media for health promotion: A visual analysis of “TB Proof†South Africa’s Facebook page," Research Africa Network Working Papers 20/065, Research Africa Network (RAN).
    7. Sebsibe Tadesse & Fikre Enqueselassie & Seifu Hagos, 2018. "Spatial and space-time clustering of tuberculosis in Gurage Zone, Southern Ethiopia," PLOS ONE, Public Library of Science, vol. 13(6), pages 1-14, June.
    8. K. A. T. M. Ehsanul Huq & Michiko Moriyama & David Krause & Habiba Shirin & John Koku Awoonor-Willaims & Mahfuzur Rahman & Md Moshiur Rahman, 2022. "Perceptions, Attitudes, Experiences and Opinions of Tuberculosis Associated Stigma: A Qualitative Study of the Perspectives among the Bolgatanga Municipality People of Ghana," IJERPH, MDPI, vol. 19(22), pages 1-19, November.

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