Knowledge, beliefs, and perceptions of tuberculosis among community members in Ntcheu district, Malawi

Peter Nyasulu, Simon Sikwese, Tobias Chirwa, Chandra Makanjee, Madalitso Mmanga, Joseph Omoniyi Babalola, James Mpunga, Hastings T. Banda, Adamson S. Muula, Alister C. Munthali

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Abstract

Introduction: The global burden of tuberculosis (TB) remains significantly high, with over-reliance on biomedical interventions and inadequate exploration of the socioeconomic and cultural context of the infected population. A desired reduction in disease burden can be enhanced through a broader theoretical understanding of people's health beliefs and concerns about TB. In this qualitative study, we explore the knowledge, beliefs, and perceptions of community members and people diagnosed with TB toward TB in Ntcheu district, Malawi. Methods: Using a qualitative phenomenological study design, data were obtained from eight focus-group discussions and 16 individual in-depth interviews. The community's experiences and perceptions of TB were captured without using any preconceived framework. Adult participants who had had or never had a diagnosis of TB were purposively selected by sex and age and enrolled for the study. Discussions and individual interviews lasting about 60 minutes each were audiotaped, transcribed, and translated into English and analyzed using MaxQDA 10 software for qualitative analysis. Results: Most participants believed that TB was curable and would go for diagnosis if they had symptoms suggestive of the disease. However, based on their beliefs, individuals expressed some apprehension about the spread of TB and the social implications of being diagnosed with the disease. This perception affected participants' responses about seeking diagnosis and treatment. Conclusion: A supportive and collective approach consisting of a combination of mass media, interactive communication campaigns, emphasizing TB symptoms, transmission, and stigma could be useful in addressing barriers to early diagnosis and care-seeking behavior.
Original languageEnglish
Pages (from-to)375-389
Number of pages15
JournalJournal of Multidisciplinary Healthcare
Volume11
DOIs
Publication statusPublished - 2018

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Malawi
Tuberculosis
Interviews
Mass Media
Focus Groups
Early Diagnosis
Software
Communication

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Nyasulu, Peter ; Sikwese, Simon ; Chirwa, Tobias ; Makanjee, Chandra ; Mmanga, Madalitso ; Babalola, Joseph Omoniyi ; Mpunga, James ; Banda, Hastings T. ; Muula, Adamson S. ; Munthali, Alister C. / Knowledge, beliefs, and perceptions of tuberculosis among community members in Ntcheu district, Malawi. In: Journal of Multidisciplinary Healthcare. 2018 ; Vol. 11. pp. 375-389.
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abstract = "Introduction: The global burden of tuberculosis (TB) remains significantly high, with over-reliance on biomedical interventions and inadequate exploration of the socioeconomic and cultural context of the infected population. A desired reduction in disease burden can be enhanced through a broader theoretical understanding of people's health beliefs and concerns about TB. In this qualitative study, we explore the knowledge, beliefs, and perceptions of community members and people diagnosed with TB toward TB in Ntcheu district, Malawi. Methods: Using a qualitative phenomenological study design, data were obtained from eight focus-group discussions and 16 individual in-depth interviews. The community's experiences and perceptions of TB were captured without using any preconceived framework. Adult participants who had had or never had a diagnosis of TB were purposively selected by sex and age and enrolled for the study. Discussions and individual interviews lasting about 60 minutes each were audiotaped, transcribed, and translated into English and analyzed using MaxQDA 10 software for qualitative analysis. Results: Most participants believed that TB was curable and would go for diagnosis if they had symptoms suggestive of the disease. However, based on their beliefs, individuals expressed some apprehension about the spread of TB and the social implications of being diagnosed with the disease. This perception affected participants' responses about seeking diagnosis and treatment. Conclusion: A supportive and collective approach consisting of a combination of mass media, interactive communication campaigns, emphasizing TB symptoms, transmission, and stigma could be useful in addressing barriers to early diagnosis and care-seeking behavior.",
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Nyasulu, P, Sikwese, S, Chirwa, T, Makanjee, C, Mmanga, M, Babalola, JO, Mpunga, J, Banda, HT, Muula, AS & Munthali, AC 2018, 'Knowledge, beliefs, and perceptions of tuberculosis among community members in Ntcheu district, Malawi', Journal of Multidisciplinary Healthcare, vol. 11, pp. 375-389. https://doi.org/10.2147/JMDH.S156949

Knowledge, beliefs, and perceptions of tuberculosis among community members in Ntcheu district, Malawi. / Nyasulu, Peter; Sikwese, Simon; Chirwa, Tobias; Makanjee, Chandra; Mmanga, Madalitso; Babalola, Joseph Omoniyi; Mpunga, James; Banda, Hastings T.; Muula, Adamson S.; Munthali, Alister C.

In: Journal of Multidisciplinary Healthcare, Vol. 11, 2018, p. 375-389.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Knowledge, beliefs, and perceptions of tuberculosis among community members in Ntcheu district, Malawi

AU - Nyasulu, Peter

AU - Sikwese, Simon

AU - Chirwa, Tobias

AU - Makanjee, Chandra

AU - Mmanga, Madalitso

AU - Babalola, Joseph Omoniyi

AU - Mpunga, James

AU - Banda, Hastings T.

AU - Muula, Adamson S.

AU - Munthali, Alister C.

PY - 2018

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N2 - Introduction: The global burden of tuberculosis (TB) remains significantly high, with over-reliance on biomedical interventions and inadequate exploration of the socioeconomic and cultural context of the infected population. A desired reduction in disease burden can be enhanced through a broader theoretical understanding of people's health beliefs and concerns about TB. In this qualitative study, we explore the knowledge, beliefs, and perceptions of community members and people diagnosed with TB toward TB in Ntcheu district, Malawi. Methods: Using a qualitative phenomenological study design, data were obtained from eight focus-group discussions and 16 individual in-depth interviews. The community's experiences and perceptions of TB were captured without using any preconceived framework. Adult participants who had had or never had a diagnosis of TB were purposively selected by sex and age and enrolled for the study. Discussions and individual interviews lasting about 60 minutes each were audiotaped, transcribed, and translated into English and analyzed using MaxQDA 10 software for qualitative analysis. Results: Most participants believed that TB was curable and would go for diagnosis if they had symptoms suggestive of the disease. However, based on their beliefs, individuals expressed some apprehension about the spread of TB and the social implications of being diagnosed with the disease. This perception affected participants' responses about seeking diagnosis and treatment. Conclusion: A supportive and collective approach consisting of a combination of mass media, interactive communication campaigns, emphasizing TB symptoms, transmission, and stigma could be useful in addressing barriers to early diagnosis and care-seeking behavior.

AB - Introduction: The global burden of tuberculosis (TB) remains significantly high, with over-reliance on biomedical interventions and inadequate exploration of the socioeconomic and cultural context of the infected population. A desired reduction in disease burden can be enhanced through a broader theoretical understanding of people's health beliefs and concerns about TB. In this qualitative study, we explore the knowledge, beliefs, and perceptions of community members and people diagnosed with TB toward TB in Ntcheu district, Malawi. Methods: Using a qualitative phenomenological study design, data were obtained from eight focus-group discussions and 16 individual in-depth interviews. The community's experiences and perceptions of TB were captured without using any preconceived framework. Adult participants who had had or never had a diagnosis of TB were purposively selected by sex and age and enrolled for the study. Discussions and individual interviews lasting about 60 minutes each were audiotaped, transcribed, and translated into English and analyzed using MaxQDA 10 software for qualitative analysis. Results: Most participants believed that TB was curable and would go for diagnosis if they had symptoms suggestive of the disease. However, based on their beliefs, individuals expressed some apprehension about the spread of TB and the social implications of being diagnosed with the disease. This perception affected participants' responses about seeking diagnosis and treatment. Conclusion: A supportive and collective approach consisting of a combination of mass media, interactive communication campaigns, emphasizing TB symptoms, transmission, and stigma could be useful in addressing barriers to early diagnosis and care-seeking behavior.

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