Socio-Cultural Barriers in Health Seeking Behaviors among Female Patients Of Tuberculosis in Southern Punjab

Authors

  • Muhammad Anwar Director Medical Education, Institute of Public Health, Lahore
  • Aftab Iqbal MCH Department, Institute of Public Health, Lahore
  • Muhammad Bilal Anwar
  • Sana Abbasi
  • Hafiz Muhammad Dawood Associate Professor Department of Community Medicine, Sahara Medical College, Lahore
  • Imtiaz Warraich Associate Professor, Department of Sociology, BZU, Multan
  • Muhammad Awais Anwar
  • Junaid Mirza Assistant Professor Department of Community Medicine, Sahara Medical College, Lahore

DOI:

https://doi.org/10.59058/jaimc.v21i1.50

Keywords:

Seeking behavior, Tuberculosis, Cultural behavior .Delay services

Abstract

Background: In Pakistani Society, it is generally considered that woman’s place is at home, and they are discouraged to visit outside, Due to their non-visit to health facility they might have various health problems which remain undiagnosed or untreated. According to latest TB trends the female ratio in smear positive cases is increasing each year in the world which is indeed a serious threat. Objective of study is to find out the socio- cultural barriers faced by the women while seeking the health care services for TB and determine the relationship, if any, between the socio-cultural barriers and health seeking behavior.

Methods: This cross-sectional descriptive study was carried out in two District Hospitals of the southern Punjab. This study  provided snapshot of the current impact of socio-cultural factors on women health-care seeking behaviors. In-depth interview on a structured questionnaire was applied on 190 women TB Patients selected through simple random probability sampling technique.

Results: The results showed that a significant majority (58%) of the female TB patients were not satisfied of organizational management, (86%) with travelling cost,  (77%) with non-availability of transport. Among female patients 95% were concerned for far distance of health care facility and 62% claimed to have less family support. The most (87%) of  respondents were of the opinion that  women associated with TB are more affected due to social stigma and community pressures and 59% think that delay in seeking treatment is due to social stigma. These concerns or barriers put the negative affect on treatment seeking behavior of the TB patient. The organizational factors, travelling, family, financial and social stigma related barriers  plays a vital role in delay of the TB treatment for female patients.

Conclusion: This study concludes that health seeking  behaviour of Female TB patients  is related with the socio cultural barriers.

References

World Health Organization, Tuberculosis report, 2018 (Web. accessed on 15 Nov, 2019).

Annual Report, National TB Control Program, Pakistan.2013, P: 10-11.

Surveillance report, National TB Control Program,2013, Government of Pakistan,

World Health Organization, Diagnostic and treatment delay in Tuberculosis: An in-depth analysis of the health-seeking behavior of patients and health system response in the Several countries of the Eastern Mediterranean Region.2010

Somma D, Thomas B.E, Karim F, Kemp J. Gender and socio-cultural determinants of tuberculosis related stigma among women in Bangladesh, 2008.

World Health Organization. Tuberculosis in Women Report, Eastern Mediterranean Region, Egypt, November, 2015

Khan.M.S, Uzma , (2012), Factor influencing sex difference in numbers of tuberculosis suspect at diagnostic centers in Pakistan. International Journal of Tuberculosis Lung Diseases.2012, P.172

Sudhakar M.V, Suryawanshi N. Socio-cultural aspects of tuberculosis among women in western rural maharashtra, india. Medicus Mundi Schweiz. MMS Bulletin #77 July,

Krishnag L. Gender related barriers and delay in accessing TB treatment services. A systematic review of qualitative studies, Tuberculosis research and treatment. 2014;Vol.23 P: 2-10.

Onifade D.A.The innovative socio economic interventions against tuberculosis: an operational assessment. International Journal of Tuberculosis and Lung Dieases.(IJTLD) 2011, Vol.15(8), P:550-57

Eastwood S.V, Hill P.C: A gender-focused qualitative study of barriers to accessing tuberculosis treatment, West Africa. IJTLD. 2004, Vol.8, P: 70-75

Long N.H, Johansson E, Lonnroth K, Diwan V..K. Comparative research on longer delays in tuberculosis diagnosis among women in Vietnam. International Journal of Tuberculosis & Lung Diseases. 1999, Vol.9 (5) P: 388-393

Khan. M.S, (2012), Factor influencing sex difference in numbers of tuberculosis suspect at diagnostic centers in Pakistan. International Journal of Tuberculosis Lung Diseases.2012, P.172

Rajeswari R, Chandrasekaran V. Factors associated with patient and health system delays in diagnosis of tuberculosis in south India.International Journal of Tuberculosis and Lung Diseases. 2012, Vol 6(9) P.789-95

Agboatwalla M,Qazi G.N,.Shah S.K,.Tariq M. Gender perspectives on knowledge and practices regarding tuberculosis in urban and rural in Pakistan. Eastern Mediterranean Health Journal, 2003, Vol.9,(4), P. 732-40.

Ahsan G et al, (2004), gender difference in treatment seeking behavior of tuberculosis cases in rural communities of Bangladesh, Asian Juranal of Public Health, March,(35): 126-35.

Global Tuberculosis Control, Geneva, World Health Organization, 1999 (WHO/CDS/CPC/Tuberculosis,1999,P:259

Chandrashekhar V, Sreeramareddy T, Kishore V Panduru, J.M. A systematic review study: Time delays in diagnosis of tuberculosis. Bio-Med Central infectious Diseases.2009 Vol. 9:91

(doi.1471 -2334)

Downloads

Published

01-07-2023

How to Cite

Anwar, M., Iqbal, A., Anwar, M. B., Abbasi, S., Dawood, H. M., Warraich, I., Anwar, M. A., & Mirza, J. (2023). Socio-Cultural Barriers in Health Seeking Behaviors among Female Patients Of Tuberculosis in Southern Punjab. JAIMC: Journal of Allama Iqbal Medical College, 21(1). https://doi.org/10.59058/jaimc.v21i1.50

Most read articles by the same author(s)