Assessment of Patient Delay in Healthcare Seeking Behavior and Associated Factors among Women with Tuberculosis in Governmental Health in Stitution, Mekelle City, Tigray, Ethiopia, 2012

Hiwot A. Hiluf; Ashenafi D. Ayele; Gereziher B. Abera; Hailemariam B. Kahisay; Kalayou K. Berhe

doi:doi:10.11648/j.ajns.20140305.12

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Assessment of Patient Delay in Healthcare Seeking Behavior and Associated Factors among Women with Tuberculosis in Governmental Health in Stitution, Mekelle City, Tigray, Ethiopia, 2012

Hiwot A. Hiluf, Ashenafi D. Ayele, Gereziher B. Abera, Hailemariam B. Kahisay, Kalayou K. Berhe

Published in American Journal of Nursing Science (Volume 3, Issue 5)

Received: 30 August 2014 Accepted: 29 September 2014 Published: 30 October 2014

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Abstract

Objectives: was to assess patient delay in health care seeking behavior and associated factors among women with Tuberculosis in Mekelle City Governmental health facilities, Ethiopia 2012.Methods: The study design was Cross-sectional study and systematic random sampling technique was used to select participants from all governmental health facilities in Mekelle City. The study periods were from May 2012 to December, 2012.Data collection procedure was by using interviewer administered questionnaire. After completing data collection, data was coded and entered into SPSS version 20 software for analysis. univariate, Bivariate and multivariate logistic regression was computed and data was presented in texts, tables and figure. Result: A total of 257 participants were interviewed using standardized structured questionnaire and included in the analysis. Of those 15 respondents were excluded from the analysis for gross incompleteness and inconsistency of responses, made a response rate of 94.16 %. The mean age of respondents was30.59+12.61 years ranging from 16-75 years old. Being in age group >55 (AOR: 0.23, 95% CI 0.006, 0.03) was at risk for delay. Marital status 79(75.2%)was also found to be significantly associated with patient delay to seeking care and was found to be at great risk delay in seeking care (AOR: 0.002, 95% CI 0.001, 0.32) than that of other (divorce& widowed). Educational status was also found to be significantly associated with patient delay, illiterate 63(98.4%) by adjacently (AOR: 27, 95% CI 1.30, 60.45) was at risk for patient delay. Conclusion and Recommendation In conclusion the finding of this result showed that from the total respondents the reason of patient delay for seeking care for more than two third of the respondents were lack of money, illiteracy and being married was significantly associated with patient delay Therefore, Delay in care seeking behavior among women with TB more specific and effective education and income improvement needs work on self-esteem development on care seeking behavior among women’s with TB.

Published in	American Journal of Nursing Science (Volume 3, Issue 5)
DOI	10.11648/j.ajns.20140305.12
Page(s)	66-72
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2014. Published by Science Publishing Group

Keywords

Patient Delay, Health Care Seeking, Associated Factors

References

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[3]	Ministry of Health Uganda: Guidelines for National demonstration and Training Districts implementing DOTS, Ministry of Health NTLP Working draft Kampala World Health Organization. Global tuberculosis control: WHO Report (2003).
[4]	Gender difference in treatment seeking behaviors’ of tuberculosis cases in rural communities of Bangladesh Southeast Asian Journal of Tropical Medicine and Public Health 35, 126-135.
[5]	Bulla A. [Global review of tuberculosis morbidity and mortality in the world (1961-1971)]. World Health Stat Rep1977; 30(1):2-38.
[6]	Okanurak, K., etalDeterminants of patient delay in seeking treatment among pulmonary tuberculosis cases in a government specialist hospital in Ibadan, Nigeria (2004)
[7]	MESIFN M, etal. Delay and care seeking behavioral among Tuberculosis patient in Tigray of northern Ethiopia J health .DEV (.2005).
[8]	Factors influencing care seeking behavior of chest symptomatic: a community based survey involving rural and urban population in Tamil Nadu, South India. Tropical Medicine and International Health 2003, 8 (4):336-341.
[9]	J.C., Onyeneho, N.G, etal. Where do tuberculosis patients go for treatment before reporting to DOTS clinics southern Nigeria. Tanzania Health Research Bulletin 9, 94-101. . (2007).
[10]	Elizabeth l Corbett, Barbara Marston, Gavin J Churchyard, Kevin M De Cock. Tuberculosis in sub- Saharan Africa: opportunities, challenges, and change in the eraof antiretroviral treatment. Lancet 2006; 367:926-958.
[11]	G. Chenget al. Factors affecting delays in tuberculosis diagnosis in rural China 2004
[12]	Carolyn M. Fordet al factors Associated with Delayed Tuberculosis Test-seeking Behavior in the Peruvian Amazon 2008
[13]	Onyeneho, N.G, et al. Where do tuberculosis patients go for treatment before reporting toDOTS clinics southern Nigeria. Tanzania Health Research Bulletin 9, 94-101. . (2007).
[14]	Pronyk RM et al Assessing health seeking behavior among tuberculosis patients in rural South Africa 2003
[15]	Assessing health seeking behaviour among tuberculosis patients in rural South Africa.Pronyk RM, Makhubele MB,Hargreaves JR,Tollman SM, Hausler HP. Department of Community Health, University of the Wiltwatersrand, Medical School, Parktown, Johannesburg, South Africa. pronyk@soft.co.za
[16]	Factors Associated with Delayed Tuberculosis Test-seeking Behavior in the Peruvian Amazon Carolyn M. Ford , † Angela M. Bayer , † Robert H. Gilman , DamiOnifade , Colleen Acosta , Lilia Cabrera ,Carlos Vidal , and Carlton A. Evans
[17]	Community knowledge, attitudes and practices towards tuberculosis and its treatment in Mpwapwa District, central Tanzania. Tanzania Health Research Bulletin 9, 38-43.Okeibunor Lorenz, N .at .el Health in the Urban Environment: Experience from Dar salaam, Tanzania. Annals of the New York Academy of Sciences 1023, 159–163. (2004)
[18]	Mengiste M et al Delayed consultation among pulmonary tuberculosis patients: a cross sectional study of 10 DOTS districts of Ethiopia (2006).
[19]	Mengiste M Mesfin et al Delays and care seeking behavior among tuberculosis patients in Tigray of northern Ethiopia (2002).
[20]	Regional health bureau population census of housing, Mekelle, Tigray, Ethiopia.(2011).
[21]	Patient delay in pure sat province Cambodia. (2009).
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APA Style

Hiwot A. Hiluf, Ashenafi D. Ayele, Gereziher B. Abera, Hailemariam B. Kahisay, Kalayou K. Berhe. (2014). Assessment of Patient Delay in Healthcare Seeking Behavior and Associated Factors among Women with Tuberculosis in Governmental Health in Stitution, Mekelle City, Tigray, Ethiopia, 2012. American Journal of Nursing Science, 3(5), 66-72. https://doi.org/10.11648/j.ajns.20140305.12

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ACS Style

Hiwot A. Hiluf; Ashenafi D. Ayele; Gereziher B. Abera; Hailemariam B. Kahisay; Kalayou K. Berhe. Assessment of Patient Delay in Healthcare Seeking Behavior and Associated Factors among Women with Tuberculosis in Governmental Health in Stitution, Mekelle City, Tigray, Ethiopia, 2012. Am. J. Nurs. Sci. 2014, 3(5), 66-72. doi: 10.11648/j.ajns.20140305.12

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AMA Style

Hiwot A. Hiluf, Ashenafi D. Ayele, Gereziher B. Abera, Hailemariam B. Kahisay, Kalayou K. Berhe. Assessment of Patient Delay in Healthcare Seeking Behavior and Associated Factors among Women with Tuberculosis in Governmental Health in Stitution, Mekelle City, Tigray, Ethiopia, 2012. Am J Nurs Sci. 2014;3(5):66-72. doi: 10.11648/j.ajns.20140305.12

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@article{10.11648/j.ajns.20140305.12,
  author = {Hiwot A. Hiluf and Ashenafi D. Ayele and Gereziher B. Abera and Hailemariam B. Kahisay and Kalayou K. Berhe},
  title = {Assessment of Patient Delay in Healthcare Seeking Behavior and Associated Factors among Women with Tuberculosis in Governmental Health in Stitution, Mekelle City, Tigray, Ethiopia, 2012},
  journal = {American Journal of Nursing Science},
  volume = {3},
  number = {5},
  pages = {66-72},
  doi = {10.11648/j.ajns.20140305.12},
  url = {https://doi.org/10.11648/j.ajns.20140305.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20140305.12},
  abstract = {Objectives: was to assess patient delay in health care seeking behavior and associated factors among women with Tuberculosis in Mekelle City Governmental health facilities, Ethiopia 2012.Methods: The study design was Cross-sectional study and systematic random sampling technique was used to select participants from all governmental health facilities in Mekelle City. The study periods were from May 2012 to December, 2012.Data collection procedure was by using interviewer administered questionnaire. After completing data collection, data was coded and entered into SPSS version 20 software for analysis. univariate, Bivariate and multivariate logistic regression was computed and data was presented in texts, tables and figure. Result: A total of 257 participants were interviewed using standardized structured questionnaire and included in the analysis. Of those 15 respondents were excluded from the analysis for gross incompleteness and inconsistency of responses, made a response rate of 94.16 %. The mean age of respondents was30.59+12.61 years ranging from 16-75 years old. Being in age group >55 (AOR: 0.23, 95% CI 0.006, 0.03) was at risk for delay. Marital status 79(75.2%)was also found to be significantly associated with patient delay to seeking care and was found to be at great risk delay in seeking care (AOR: 0.002, 95% CI 0.001, 0.32) than that of other (divorce& widowed). Educational status was also found to be significantly associated with patient delay, illiterate 63(98.4%) by adjacently (AOR: 27, 95% CI 1.30, 60.45) was at risk for patient delay. Conclusion and Recommendation In conclusion the finding of this result showed that from the total respondents the reason of patient delay for seeking care for more than two third of the respondents were lack of money, illiteracy and being married was significantly associated with patient delay Therefore, Delay in care seeking behavior among women with TB more specific and effective education and income improvement needs work on self-esteem development on care seeking behavior among women’s with TB.},
 year = {2014}
}

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TY - JOUR
T1 - Assessment of Patient Delay in Healthcare Seeking Behavior and Associated Factors among Women with Tuberculosis in Governmental Health in Stitution, Mekelle City, Tigray, Ethiopia, 2012
AU - Hiwot A. Hiluf
AU - Ashenafi D. Ayele
AU - Gereziher B. Abera
AU - Hailemariam B. Kahisay
AU - Kalayou K. Berhe
Y1 - 2014/10/30
PY - 2014
N1 - https://doi.org/10.11648/j.ajns.20140305.12
DO - 10.11648/j.ajns.20140305.12
T2 - American Journal of Nursing Science
JF - American Journal of Nursing Science
JO - American Journal of Nursing Science
SP - 66
EP - 72
PB - Science Publishing Group
SN - 2328-5753
UR - https://doi.org/10.11648/j.ajns.20140305.12
AB - Objectives: was to assess patient delay in health care seeking behavior and associated factors among women with Tuberculosis in Mekelle City Governmental health facilities, Ethiopia 2012.Methods: The study design was Cross-sectional study and systematic random sampling technique was used to select participants from all governmental health facilities in Mekelle City. The study periods were from May 2012 to December, 2012.Data collection procedure was by using interviewer administered questionnaire. After completing data collection, data was coded and entered into SPSS version 20 software for analysis. univariate, Bivariate and multivariate logistic regression was computed and data was presented in texts, tables and figure. Result: A total of 257 participants were interviewed using standardized structured questionnaire and included in the analysis. Of those 15 respondents were excluded from the analysis for gross incompleteness and inconsistency of responses, made a response rate of 94.16 %. The mean age of respondents was30.59+12.61 years ranging from 16-75 years old. Being in age group >55 (AOR: 0.23, 95% CI 0.006, 0.03) was at risk for delay. Marital status 79(75.2%)was also found to be significantly associated with patient delay to seeking care and was found to be at great risk delay in seeking care (AOR: 0.002, 95% CI 0.001, 0.32) than that of other (divorce& widowed). Educational status was also found to be significantly associated with patient delay, illiterate 63(98.4%) by adjacently (AOR: 27, 95% CI 1.30, 60.45) was at risk for patient delay. Conclusion and Recommendation In conclusion the finding of this result showed that from the total respondents the reason of patient delay for seeking care for more than two third of the respondents were lack of money, illiteracy and being married was significantly associated with patient delay Therefore, Delay in care seeking behavior among women with TB more specific and effective education and income improvement needs work on self-esteem development on care seeking behavior among women’s with TB.
VL - 3
IS - 5
ER -

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Author Information

Hiwot A. Hiluf

Mekelle Hamlin Fistula Hospital Mekelle City, Tigray, North Ethiopia
Ashenafi D. Ayele

Department of Nursing, College of Health sciences, Mekelle University, Tigray, North Ethiopia
Gereziher B. Abera

Department of Nursing, College of Health sciences, Mekelle University, Tigray, North Ethiopia
Hailemariam B. Kahisay

Department of Nursing, College of Health sciences, Mekelle University, Tigray, North Ethiopia
Kalayou K. Berhe

Department of Nursing, College of Health sciences, Mekelle University, Tigray, North Ethiopia

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APA Style

Hiwot A. Hiluf, Ashenafi D. Ayele, Gereziher B. Abera, Hailemariam B. Kahisay, Kalayou K. Berhe. (2014). Assessment of Patient Delay in Healthcare Seeking Behavior and Associated Factors among Women with Tuberculosis in Governmental Health in Stitution, Mekelle City, Tigray, Ethiopia, 2012. American Journal of Nursing Science, 3(5), 66-72. https://doi.org/10.11648/j.ajns.20140305.12

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ACS Style

Hiwot A. Hiluf; Ashenafi D. Ayele; Gereziher B. Abera; Hailemariam B. Kahisay; Kalayou K. Berhe. Assessment of Patient Delay in Healthcare Seeking Behavior and Associated Factors among Women with Tuberculosis in Governmental Health in Stitution, Mekelle City, Tigray, Ethiopia, 2012. Am. J. Nurs. Sci. 2014, 3(5), 66-72. doi: 10.11648/j.ajns.20140305.12

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AMA Style

Hiwot A. Hiluf, Ashenafi D. Ayele, Gereziher B. Abera, Hailemariam B. Kahisay, Kalayou K. Berhe. Assessment of Patient Delay in Healthcare Seeking Behavior and Associated Factors among Women with Tuberculosis in Governmental Health in Stitution, Mekelle City, Tigray, Ethiopia, 2012. Am J Nurs Sci. 2014;3(5):66-72. doi: 10.11648/j.ajns.20140305.12

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@article{10.11648/j.ajns.20140305.12,
  author = {Hiwot A. Hiluf and Ashenafi D. Ayele and Gereziher B. Abera and Hailemariam B. Kahisay and Kalayou K. Berhe},
  title = {Assessment of Patient Delay in Healthcare Seeking Behavior and Associated Factors among Women with Tuberculosis in Governmental Health in Stitution, Mekelle City, Tigray, Ethiopia, 2012},
  journal = {American Journal of Nursing Science},
  volume = {3},
  number = {5},
  pages = {66-72},
  doi = {10.11648/j.ajns.20140305.12},
  url = {https://doi.org/10.11648/j.ajns.20140305.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20140305.12},
  abstract = {Objectives: was to assess patient delay in health care seeking behavior and associated factors among women with Tuberculosis in Mekelle City Governmental health facilities, Ethiopia 2012.Methods: The study design was Cross-sectional study and systematic random sampling technique was used to select participants from all governmental health facilities in Mekelle City. The study periods were from May 2012 to December, 2012.Data collection procedure was by using interviewer administered questionnaire. After completing data collection, data was coded and entered into SPSS version 20 software for analysis. univariate, Bivariate and multivariate logistic regression was computed and data was presented in texts, tables and figure. Result: A total of 257 participants were interviewed using standardized structured questionnaire and included in the analysis. Of those 15 respondents were excluded from the analysis for gross incompleteness and inconsistency of responses, made a response rate of 94.16 %. The mean age of respondents was30.59+12.61 years ranging from 16-75 years old. Being in age group >55 (AOR: 0.23, 95% CI 0.006, 0.03) was at risk for delay. Marital status 79(75.2%)was also found to be significantly associated with patient delay to seeking care and was found to be at great risk delay in seeking care (AOR: 0.002, 95% CI 0.001, 0.32) than that of other (divorce& widowed). Educational status was also found to be significantly associated with patient delay, illiterate 63(98.4%) by adjacently (AOR: 27, 95% CI 1.30, 60.45) was at risk for patient delay. Conclusion and Recommendation In conclusion the finding of this result showed that from the total respondents the reason of patient delay for seeking care for more than two third of the respondents were lack of money, illiteracy and being married was significantly associated with patient delay Therefore, Delay in care seeking behavior among women with TB more specific and effective education and income improvement needs work on self-esteem development on care seeking behavior among women’s with TB.},
 year = {2014}
}

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