IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v365y2025ics0277953624010852.html
   My bibliography  Save this article

Tuberculosis treatment and undernutrition on Daru Island, Papua New Guinea: A qualitative exploration of a local foodscape

Author

Listed:
  • Persson, A.
  • Jops, P.
  • Cowan, J.
  • Kupul, M.
  • Nake Trumb, R.
  • Majumdar, S.S.
  • Islam, S.
  • Nindil, H.
  • Pomat, W.
  • Bell, S.
  • Marks, G.
  • Bauri, M.
  • Graham, S.M.
  • Kelly-Hanku, A.

Abstract

A substantial proportion of people with tuberculosis (TB)—one of the world's deadliest infectious diseases—live in resource-poor, food insecure settings. It is widely recognised that undernutrition significantly heightens vulnerability to TB, as well as contributes to poor treatment adherence and outcomes. However, more attention is needed to understand what shapes food insecurity and undernutrition in a particular setting. We use the concept of “foodscapes” to explore the distinct food environment on Daru Island, a recognised “hotspot” for multidrug-resistant TB in the Western Province of Papua New Guinea. Drawing on 128 qualitative interviews and 10 focus groups (conducted July 2019 and July 2020) with people with TB, family members, healthcare providers, community leaders and other stakeholders, we seek to elucidate the critical entwinement of food insecurity, people with TB, and their treatment experiences on Daru Island. We argue that potential solutions need to focus on the social and structural conditions that contribute to undernutrition in the first place, rather than on undernutrition itself.

Suggested Citation

  • Persson, A. & Jops, P. & Cowan, J. & Kupul, M. & Nake Trumb, R. & Majumdar, S.S. & Islam, S. & Nindil, H. & Pomat, W. & Bell, S. & Marks, G. & Bauri, M. & Graham, S.M. & Kelly-Hanku, A., 2025. "Tuberculosis treatment and undernutrition on Daru Island, Papua New Guinea: A qualitative exploration of a local foodscape," Social Science & Medicine, Elsevier, vol. 365(C).
    • Handle: RePEc:eee:socmed:v:365:y:2025:i:c:s0277953624010852
    DOI: 10.1016/j.socscimed.2024.117631
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953624010852
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.socscimed.2024.117631?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Salla A Munro & Simon A Lewin & Helen J Smith & Mark E Engel & Atle Fretheim & Jimmy Volmink, 2007. "Patient Adherence to Tuberculosis Treatment: A Systematic Review of Qualitative Research," PLOS Medicine, Public Library of Science, vol. 4(7), pages 1-16, July.
    2. Salla A Munro, 2007. "Patient Adherence to Tuberculosis Treatment: A Systematic Review of Qualitative Research," Working Papers id:1107, eSocialSciences.
    3. Brian McKay & Maria Castellanos & Mark Ebell & Christopher C Whalen & Andreas Handel, 2019. "An attempt to reproduce a previous meta-analysis and a new analysis regarding the impact of directly observed therapy on tuberculosis treatment outcomes," PLOS ONE, Public Library of Science, vol. 14(5), pages 1-13, May.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Imad Cherkaoui & Radia Sabouni & Iraqi Ghali & Darya Kizub & Alexander C Billioux & Kenza Bennani & Jamal Eddine Bourkadi & Abderrahmane Benmamoun & Ouafae Lahlou & Rajae El Aouad & Kelly E Dooley, 2014. "Treatment Default amongst Patients with Tuberculosis in Urban Morocco: Predicting and Explaining Default and Post-Default Sputum Smear and Drug Susceptibility Results," PLOS ONE, Public Library of Science, vol. 9(4), pages 1-9, April.
    2. Pinho, S.T.R. & Rodrigues, P. & Andrade, R.F.S. & Serra, H. & Lopes, J.S. & Gomes, M.G.M., 2015. "Impact of tuberculosis treatment length and adherence under different transmission intensities," Theoretical Population Biology, Elsevier, vol. 104(C), pages 68-77.
    3. Thomas N Nissen & Michala V Rose & Godfather Kimaro & Ib C Bygbjerg & Sayoki G Mfinanga & Pernille Ravn, 2012. "Challenges of Loss to Follow-up in Tuberculosis Research," PLOS ONE, Public Library of Science, vol. 7(7), pages 1-8, July.
    4. de Vries, H. & van de Klundert, J.J. & Wagelmans, A.P.M., 2013. "Health Benets of Roadside Healthcare Services," Econometric Institute Research Papers EI 2014-01, Erasmus University Rotterdam, Erasmus School of Economics (ESE), Econometric Institute.
    5. Rosa van Hoorn & Ernesto Jaramillo & David Collins & Agnes Gebhard & Susan van den Hof, 2016. "The Effects of Psycho-Emotional and Socio-Economic Support for Tuberculosis Patients on Treatment Adherence and Treatment Outcomes – A Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 11(4), pages 1-27, April.
    6. Samanta Madeira de Oliveira & Stephan Altmayer & Matheus Zanon & Luzielio Alves Sidney-Filho & Ana Luiza Schneider Moreira & Paulo de Tarso Dalcin & Anderson Garcez & Bruno Hochhegger & José da Silva , 2018. "Predictors of noncompliance to pulmonary tuberculosis treatment: An insight from South America," PLOS ONE, Public Library of Science, vol. 13(9), pages 1-10, September.
    7. Natasha Chida & Zara Ansari & Hamidah Hussain & Maria Jaswal & Stephen Symes & Aamir J Khan & Shama Mohammed, 2015. "Determinants of Default from Tuberculosis Treatment among Patients with Drug-Susceptible Tuberculosis in Karachi, Pakistan: A Mixed Methods Study," PLOS ONE, Public Library of Science, vol. 10(11), pages 1-14, November.
    8. Hadley, Mary, 2011. "Does increase in utilisation rates alone indicate the success of a user fee removal policy? A qualitative case study from Zambia," Health Policy, Elsevier, vol. 103(2), pages 244-254.
    9. Lewin, Simon & Green, Judith, 2009. "Ritual and the organisation of care in primary care clinics in Cape Town, South Africa," Social Science & Medicine, Elsevier, vol. 68(8), pages 1464-1471, April.
    10. Victoria A Wade & Jonathan Karnon & Jaklin A Eliott & Janet E Hiller, 2012. "Home Videophones Improve Direct Observation in Tuberculosis Treatment: A Mixed Methods Evaluation," PLOS ONE, Public Library of Science, vol. 7(11), pages 1-13, November.
    11. Sujan Babu Marahatta & Rajesh Kumar Yadav & Deena Giri & Sarina Lama & Komal Raj Rijal & Shiva Raj Mishra & Ashish Shrestha & Pramod Raj Bhattrai & Roshan Kumar Mahato & Bipin Adhikari, 2020. "Barriers in the access, diagnosis and treatment completion for tuberculosis patients in central and western Nepal: A qualitative study among patients, community members and health care workers," PLOS ONE, Public Library of Science, vol. 15(1), pages 1-18, January.
    12. Núñez Ares, J. & de Vries, H. & Huisman, D., 2015. "A Column Generation Approach for Locating Roadside Clinics in Africa based upon Effectiveness and Equity," Econometric Institute Research Papers EI2015-19, Erasmus University Rotterdam, Erasmus School of Economics (ESE), Econometric Institute.
    13. Xiaoqiu Liu & Terrence Blaschke & Bruce Thomas & Sabina De Geest & Shiwen Jiang & Yongxin Gao & Xinxu Li & Elizabeth Whalley Buono & Stacy Buchanan & Zhiying Zhang & Shitong Huan, 2017. "Usability of a Medication Event Reminder Monitor System (MERM) by Providers and Patients to Improve Adherence in the Management of Tuberculosis," IJERPH, MDPI, vol. 14(10), pages 1-11, September.
    14. Paulo Ruiz-Grosso & Rodrigo Cachay & Adriana de la Flor & Alvaro Schwalb & Cesar Ugarte-Gil, 2020. "Association between tuberculosis and depression on negative outcomes of tuberculosis treatment: A systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 15(1), pages 1-13, January.
    15. Lieve Vanleeuw & Wanga Zembe-Mkabile & Salla Atkins, 2022. "Falling through the cracks: Increased vulnerability and limited social assistance for TB patients and their households during COVID-19 in Cape Town, South Africa," PLOS Global Public Health, Public Library of Science, vol. 2(7), pages 1-18, July.
    16. Samia Laokri & Arnaud Amoussouhui & Edgard M Ouendo & Athanase Cossi Hounnankan & Séverin Anagonou & Martin Gninafon & Ferdinand Kassa & Léon Tawo & Bruno Dujardin, 2014. "A Care Pathway Analysis of Tuberculosis Patients in Benin: Highlights on Direct Costs and Critical Stages for an Evidence-Based Decision-Making," PLOS ONE, Public Library of Science, vol. 9(5), pages 1-8, May.
    17. Beatrice Benatti & Nicolaja Girone & Dario Conti & Maddalena Cocchi & Francesco Achilli & Silvia Leo & Gianmarco Putti & Monica Bosi & Bernardo Dell’Osso, 2023. "The Role of Lifestyle on Adherence to Treatment in a Sample of Patients with Unipolar and Bipolar Depression," IJERPH, MDPI, vol. 20(3), pages 1-12, January.
    18. Shahed Hossain & Mohammad Abdul Quaiyum & Khalequ Zaman & Sayera Banu & Mohammad Ashaque Husain & Mohammad Akramul Islam & Erwin Cooreman & Martien Borgdorff & Knut Lönnroth & Abdul Hamid Salim & Fran, 2012. "Socio Economic Position in TB Prevalence and Access to Services: Results from a Population Prevalence Survey and a Facility-Based Survey in Bangladesh," PLOS ONE, Public Library of Science, vol. 7(9), pages 1-8, September.
    19. Francine Mwayuma Birungi & Stephen Michael Graham & Jeannine Uwimana & Angèle Musabimana & Brian van Wyk, 2019. "Adherence to isoniazid preventive therapy among child contacts in Rwanda: A mixed-methods study," PLOS ONE, Public Library of Science, vol. 14(2), pages 1-16, February.
    20. Benissa E. Salem & Erin Klansek & Donald E. Morisky & Sanghyuk S. Shin & Kartik Yadav & Alicia H. Chang & Adeline M. Nyamathi, 2020. "Acceptability and Feasibility of a Nurse-Led, Community Health Worker Partnered Latent Tuberculosis Medication Adherence Model for Homeless Adults," IJERPH, MDPI, vol. 17(22), pages 1-14, November.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:365:y:2025:i:c:s0277953624010852. See general information about how to correct material in RePEc.

    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 CitEc recognized a bibliographic reference but did not link an item in RePEc 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 RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.