Barriers of Early TB Diagnosis among the Poor in Highly Urbanized Areas in the Philippines
AbstractOver the last decade, there was a significant drop in mortality and morbidity cases attributed to tuberculosis (TB). The high TB Case Detection (CDR) and Treatment Success Rates (TSR) may have underpinned the decreasing prevalence. Despite these successes, TB still appears to be a major health problem in the country. Disturbingly, the rate of decrease in the mortality and morbidity is not fast enough. This makes the country`s MDG goal targets on TB eradication shaky. The Philippines is also in the list of 27 countries with the highest burden of TB. To further augment case detection rate and early diagnosis, this study aims to qualitatively explore the barriers to diagnosis among the poor highly urbanized population, one of the identified high-risk population groups. Using focus group discussions of TB patients with delayed diagnosis conducted in three highly urbanized cities in the Philippines, namely, Metro Manila, Cebu, and Davao, the researchers investigated and explored wide range of factors that hinder patients to seek health care despite the presence of triggering factors among urban poor. Results suggest sociocultural, financial, and health system factors are identified as important barriers. These factors ascertain the findings identified in most developing countries. This study hopes to augment the prevention and control program of the Department of Health and Philippine Health Insurance Corporation to increase awareness and health-seeking behavior.
Download InfoIf you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
Bibliographic InfoPaper provided by Philippine Institute for Development Studies in its series Discussion Papers with number DP 2014-18.
Date of creation: 2014
Date of revision:
poverty; Philippines; tuberculosis; TBDOTS; early diagnosis; case detection rate; highly urbanized population;
This paper has been announced in the following NEP Reports:
- NEP-ALL-2014-04-11 (All new papers)
- NEP-GER-2014-04-11 (German Papers)
- NEP-HEA-2014-04-11 (Health Economics)
- NEP-SEA-2014-04-11 (South East Asia)
You can help add them by filling out this form.
reading list or among the top items on IDEAS.Access and download statisticsgeneral information about how to correct material in RePEc.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Aniceto Orbeta).
If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.
If references are entirely missing, you can add them using this form.
If the full references list an item that is present in RePEc, but the system did not link to it, you can help with this form.
If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your profile, as there may be some citations waiting for confirmation.
Please note that corrections may take a couple of weeks to filter through the various RePEc services.