Please use this identifier to cite or link to this item: https://hdl.handle.net/10321/4949
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dc.contributor.authorDeSanto, Danielen_US
dc.contributor.authorVelen, Kavindhranen_US
dc.contributor.authorLessells, Richarden_US
dc.contributor.authorMakgopa, Seweleen_US
dc.contributor.authorGumede, Dumileen_US
dc.contributor.authorFielding, Katherineen_US
dc.contributor.authorGrant, Alison D.en_US
dc.contributor.authorCharalambous, Salomeen_US
dc.contributor.authorChetty-Makkan, Candice M.en_US
dc.date.accessioned2023-08-11T12:58:13Z-
dc.date.available2023-08-11T12:58:13Z-
dc.date.issued2023-03-15-
dc.identifier.citationDeSanto, D. et al. 2023. A qualitative exploration into the presence of TB stigmatization across three districts in South Africa. BMC Public Health. 23(1): 504-. doi:10.1186/s12889-023-15407-2en_US
dc.identifier.issn1471-2458 (Online)-
dc.identifier.otherisidoc: A0MP6-
dc.identifier.otherpubmed: 36922792-
dc.identifier.urihttps://hdl.handle.net/10321/4949-
dc.description.abstractTuberculosis (TB) stigma is a barrier to active case finding and delivery of care in fighting the TB epidemic. As part of a project exploring different models for delivery of TB contact tracing, we conducted a qualitative analysis to explore the presence of TB stigma within communities across South Africa.<h4>Methods</h4>We conducted 43 in-depth interviews with 31 people with TB and 12 household contacts as well as five focus group discussions with 40 ward-based team members and 11 community stakeholders across three South African districts.<h4>Results</h4>TB stigma is driven and facilitated by fear of disease coupled with an understanding of TB/HIV duality and manifests as anticipated and internalized stigma. Individuals are marked with TB stigma verbally through gossip and visually through symptomatic identification or when accessing care in either TB-specific areas in health clinics or though ward-based outreach teams. Individuals' unique understanding of stigma influences how they seek care.<h4>Conclusion</h4>TB stigma contributes to suboptimal case finding and care at the community level in South Africa. Interventions to combat stigma, such as community and individual education campaigns on TB treatment and transmission as well as the training of health care workers on stigma and stigmatization are needed to prevent discrimination and protect patient confidentiality.en_US
dc.format.extent10 p.en_US
dc.format.mediumElectronic-
dc.language.isoenen_US
dc.publisherSpringer Science and Business Media LLCen_US
dc.relation.ispartofBMC Public Health; Vol. 23, Issue 1en_US
dc.subjectStigmaen_US
dc.subjectTuberculosis stigmaen_US
dc.subjectHIV Stigmaen_US
dc.subjectStigma interventionsen_US
dc.subjectActive case findingen_US
dc.subjectHealth seeking Behaviouren_US
dc.subjectHealth System strengtheningen_US
dc.subjectActive case findingen_US
dc.subjectHIV Stigmaen_US
dc.subjectHealth System strengtheningen_US
dc.subjectHealth seeking Behaviouren_US
dc.subjectStigmaen_US
dc.subjectStigma interventionsen_US
dc.subjectTuberculosis stigmaen_US
dc.subject1117 Public Health and Health Servicesen_US
dc.subjectPublic Healthen_US
dc.subject.meshHumans-
dc.subject.meshTuberculosis-
dc.subject.meshHIV Infections-
dc.subject.meshStereotyping-
dc.subject.meshSouth Africa-
dc.subject.meshSocial Stigma-
dc.subject.meshHumans-
dc.subject.meshStereotyping-
dc.subject.meshSouth Africa-
dc.subject.meshHIV Infections-
dc.subject.meshTuberculosis-
dc.subject.meshSocial Stigma-
dc.titleA qualitative exploration into the presence of TB stigmatization across three districts in South Africaen_US
dc.typeArticleen_US
dc.date.updated2023-08-04T17:28:44Z-
dcterms.dateAccepted2023-3-8-
dc.identifier.doi10.1186/s12889-023-15407-2-
local.sdgSDG03-
item.grantfulltextopen-
item.cerifentitytypePublications-
item.openairetypeArticle-
item.languageiso639-1en-
item.fulltextWith Fulltext-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
Appears in Collections:Research Publications (Health Sciences)
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