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Tuberculosis management and referral practices among traditional medicine practitioners in Lagos, Nigeria

INTRODUCTION: Despite the potential role of Traditional Birth Attendants (TBAs) and Traditional Healers (THs), little is known about their knowledge of tuberculosis (TB) management and referral practices in Nigeria. OBJECTIVE: To determine knowledge and self-reported practices of traditional birth a...

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Autores principales: Adepoju, Victor Abiola, Oladimeji, Olanrewaju, Sibiya, Maureen Nokuthula, Inegbeboh, Jude, Egesemba, Ginika
Formato: Online Artículo Texto
Lenguaje:English
Publicado: PAGEPress Publications, Pavia, Italy 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10099958/
https://www.ncbi.nlm.nih.gov/pubmed/37065812
http://dx.doi.org/10.4081/jphia.2023.1480
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author Adepoju, Victor Abiola
Oladimeji, Olanrewaju
Sibiya, Maureen Nokuthula
Inegbeboh, Jude
Egesemba, Ginika
author_facet Adepoju, Victor Abiola
Oladimeji, Olanrewaju
Sibiya, Maureen Nokuthula
Inegbeboh, Jude
Egesemba, Ginika
author_sort Adepoju, Victor Abiola
collection PubMed
description INTRODUCTION: Despite the potential role of Traditional Birth Attendants (TBAs) and Traditional Healers (THs), little is known about their knowledge of tuberculosis (TB) management and referral practices in Nigeria. OBJECTIVE: To determine knowledge and self-reported practices of traditional birth attendants and traditional healers in managing TB in Lagos, Nigeria. METHODS: A cross-sectional study of 120 THs and TBAs in three high TB burden Local Government Areas (LGAs) in Lagos, Nigeria. Data were collected between April 2018 to September 2018 through interviewer-administered questionnaires. We used Statistical Package for Social Sciences software for data analyses. Independent predictors of being TBA or TH were determined using logistic regression at the statistical significance of P<0.05 and 95% confidence interval. RESULTS: TB knowledge increased from 52.7% pre-test to 61.7% post-test and did not differ between TBAs and THs. Of the 120 Traditional Medical Practitioners studied, 70% (84) never treated TB; 57.3 % (69) ever referred chronic cough patients to a health facility; 90% (108) were willing to collaborate with National Tuberculosis, Leprosy and Buruli Ulcer Control Programme (NTBLCP), 85% (102) attached monetary and token incentive as a condition for the collaboration. THs had decreased odds of ever referring TB patient to the hospital (AOR: 0.3, 95% CI:0.14-0.64, P=0.002); currently referring TB patients (AOR: 0.06, 95% CI:0.02-0.17, P<0.0001) and consulting <40 patients in a year (AOR: 0.22,95% CI:0.09-0.53, P<0.0001). CONCLUSION: Majority of the THs and TBAs were willing to collaborate with NTBLCP in the identification and referral of Presumptive TB patients. We suggest that NTBLCP empowers the TBAs and THs to help with an early referral of TB patients.
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spelling pubmed-100999582023-04-14 Tuberculosis management and referral practices among traditional medicine practitioners in Lagos, Nigeria Adepoju, Victor Abiola Oladimeji, Olanrewaju Sibiya, Maureen Nokuthula Inegbeboh, Jude Egesemba, Ginika J Public Health Afr Article INTRODUCTION: Despite the potential role of Traditional Birth Attendants (TBAs) and Traditional Healers (THs), little is known about their knowledge of tuberculosis (TB) management and referral practices in Nigeria. OBJECTIVE: To determine knowledge and self-reported practices of traditional birth attendants and traditional healers in managing TB in Lagos, Nigeria. METHODS: A cross-sectional study of 120 THs and TBAs in three high TB burden Local Government Areas (LGAs) in Lagos, Nigeria. Data were collected between April 2018 to September 2018 through interviewer-administered questionnaires. We used Statistical Package for Social Sciences software for data analyses. Independent predictors of being TBA or TH were determined using logistic regression at the statistical significance of P<0.05 and 95% confidence interval. RESULTS: TB knowledge increased from 52.7% pre-test to 61.7% post-test and did not differ between TBAs and THs. Of the 120 Traditional Medical Practitioners studied, 70% (84) never treated TB; 57.3 % (69) ever referred chronic cough patients to a health facility; 90% (108) were willing to collaborate with National Tuberculosis, Leprosy and Buruli Ulcer Control Programme (NTBLCP), 85% (102) attached monetary and token incentive as a condition for the collaboration. THs had decreased odds of ever referring TB patient to the hospital (AOR: 0.3, 95% CI:0.14-0.64, P=0.002); currently referring TB patients (AOR: 0.06, 95% CI:0.02-0.17, P<0.0001) and consulting <40 patients in a year (AOR: 0.22,95% CI:0.09-0.53, P<0.0001). CONCLUSION: Majority of the THs and TBAs were willing to collaborate with NTBLCP in the identification and referral of Presumptive TB patients. We suggest that NTBLCP empowers the TBAs and THs to help with an early referral of TB patients. PAGEPress Publications, Pavia, Italy 2023-03-01 /pmc/articles/PMC10099958/ /pubmed/37065812 http://dx.doi.org/10.4081/jphia.2023.1480 Text en ©Copyright: the Author(s) https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution Noncommercial License (by-nc 4.0) which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.
spellingShingle Article
Adepoju, Victor Abiola
Oladimeji, Olanrewaju
Sibiya, Maureen Nokuthula
Inegbeboh, Jude
Egesemba, Ginika
Tuberculosis management and referral practices among traditional medicine practitioners in Lagos, Nigeria
title Tuberculosis management and referral practices among traditional medicine practitioners in Lagos, Nigeria
title_full Tuberculosis management and referral practices among traditional medicine practitioners in Lagos, Nigeria
title_fullStr Tuberculosis management and referral practices among traditional medicine practitioners in Lagos, Nigeria
title_full_unstemmed Tuberculosis management and referral practices among traditional medicine practitioners in Lagos, Nigeria
title_short Tuberculosis management and referral practices among traditional medicine practitioners in Lagos, Nigeria
title_sort tuberculosis management and referral practices among traditional medicine practitioners in lagos, nigeria
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10099958/
https://www.ncbi.nlm.nih.gov/pubmed/37065812
http://dx.doi.org/10.4081/jphia.2023.1480
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