Assessment of prevalence of pulmonary Tuberculosis among diabetic patients and Exploring Health Seeking Behaviors To Improve Early TB Diagnosis at Queen Elizabeth Central Hospital, Blantyre and Bwaila Hospital Lilongwe
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Date
2020-11-11
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Kamuzu university of Health Sciences
Abstract
The study will aim to assess the relationship between prevalence of pulmonary
tuberculosis and social determinants of health among Diabetic patients attending clinics
at Queen Elizabeth Central Hospital and Bwaila Hospital.
Globally, TB has been recognized as socially stratified disease that preys mostly on the
disadvantaged countries, communities and sub populations. Unequal distribution of wealth,
education, living and working conditions, nutrition has left some population more vulnerable
to transitioning to active TB infection than others [12]. These factors, in addition to some
disease states like diabetes as shown in other settings through studies has increased the risk
greatly and increased the burden of disease. With Diabetes being regarded as a disease of the
middle class, there is need for further research to establish the role that social determinants of
health play in the event of diabetes to increase the risk of pulmonary tuberculosis and
currently no such studies have been done in Malawi and diabetic and TB services are offered
in parallel within our hospitals [6]. The study will therefore, bring out important issues on
relationship between these key programmatic areas and explore some health seeking behaviors
of patients that are have such co-morbidities.
Study design
The study will follow mixed methods designs where retrospective analytical observational
study design will be used for secondary data and qualitative approach through in-depth
interviews with key informants including diabetic patients.
Study setting
The study will be conducted in diabetic clinics at Queen Elizabeth Central Hospital in
Blantyre and Bwaila Hospital in Lilongwe
Study Participants
15 diabetic patients will be interviewed and secondary data of 685 diabetic patients screened
for pulmonary TB will be extracted from facility TB registers. Sample size for in-depth
interviews will be increased accordingly in case on theoretical non-saturation.
Data collection
A data extraction tool and an in-depth interview guide will be used to collect secondary and
qualitative data respectively. Major variables to be collected include age, sex, type of diabetes,
duration and type of treatment, HIV status, diagnostic test done, Test results, other
comorbidities, previous TB infection, presence of TB in the family, history of smoking and
alcohol intake, place of residence, average monthly income and occupation.
11-Nov