Acceptability of masking and patient separation to control nosocomial Tuberculosis in Uganda: a qualitative study
Identifieur interne : 001F38 ( Main/Exploration ); précédent : 001F37; suivant : 001F39Acceptability of masking and patient separation to control nosocomial Tuberculosis in Uganda: a qualitative study
Auteurs : Esther Buregyeya [Ouganda, Belgique] ; Ellen M. H. Mitchell [Pays-Bas] ; Elizeus Rutebemberwa [Ouganda] ; Robert Colebunders [Belgique] ; Bart Criel [Belgique] ; Juliet Kiguli [Ouganda] ; Fred Nuwaha [Ouganda]Source :
- Journal of Public Health [ 0943-1853 ] ; 2012-12-01.
Descripteurs français
- Wicri :
- geographic : Ouganda.
English descriptors
- KwdEn :
Abstract
Abstract: Objectives: This study explored the acceptability of cough etiquette, wearing masks and separation by tuberculosis (TB) suspects and TB patients in two districts in Uganda. Design: The study was conducted in Mukono and Wakiso districts in central Uganda. Eighteen in-depth interviews with patients and eight focus group discussions with health workers were conducted. Patients were asked for their opinions on cough etiquette, patient separation and wearing of masks. Results: Patients and health workers felt that physical separation was ideal, yet separation and masking were regarded as embarrassing to patients, emphasizing their potential infectiousness. Patients reported greater willingness to cover their mouth with a handkerchief than to wear a mask. Good counseling and health education were suggested to improve patients’ adoption of separation and masking. However patients expressed concerns about equity, coercive and stigmatizing approaches. Universal precautions were more acceptable than targeted ones, with the exception of separating TB patients. Lack of community awareness about airborne transmission of TB was identified as a barrier to accepting and adopting TB infection control measures. Conclusion: Scaling up effective TB infection control norms and behaviors requires a patient-centered, rights-based, and evidence-based approach. Socially acceptable measures like covering the mouth and nose with a handkerchief should be promoted. We recommend that further studies are needed to explore how community advocacy impacts on acceptability of masking. Furthermore, the efficacy of covering the mouth using a handkerchief or piece of cloth compared to wearing a mask in TB prevention needs to be evaluated.
Url:
DOI: 10.1007/s10389-012-0503-1
Affiliations:
Links toward previous steps (curation, corpus...)
- to stream Istex, to step Corpus: 001E02
- to stream Istex, to step Curation: 001E02
- to stream Istex, to step Checkpoint: 000649
- to stream Main, to step Merge: 001F62
- to stream Main, to step Curation: 001F38
Le document en format XML
<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">Acceptability of masking and patient separation to control nosocomial Tuberculosis in Uganda: a qualitative study</title><author><name sortKey="Buregyeya, Esther" sort="Buregyeya, Esther" uniqKey="Buregyeya E" first="Esther" last="Buregyeya">Esther Buregyeya</name></author><author><name sortKey="Mitchell, Ellen M H" sort="Mitchell, Ellen M H" uniqKey="Mitchell E" first="Ellen M. H." last="Mitchell">Ellen M. H. Mitchell</name></author><author><name sortKey="Rutebemberwa, Elizeus" sort="Rutebemberwa, Elizeus" uniqKey="Rutebemberwa E" first="Elizeus" last="Rutebemberwa">Elizeus Rutebemberwa</name></author><author><name sortKey="Colebunders, Robert" sort="Colebunders, Robert" uniqKey="Colebunders R" first="Robert" last="Colebunders">Robert Colebunders</name></author><author><name sortKey="Criel, Bart" sort="Criel, Bart" uniqKey="Criel B" first="Bart" last="Criel">Bart Criel</name></author><author><name sortKey="Kiguli, Juliet" sort="Kiguli, Juliet" uniqKey="Kiguli J" first="Juliet" last="Kiguli">Juliet Kiguli</name></author><author><name sortKey="Nuwaha, Fred" sort="Nuwaha, Fred" uniqKey="Nuwaha F" first="Fred" last="Nuwaha">Fred Nuwaha</name></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:2A47348067ACE2A62CC33F2EF790BD34F3BB3D24</idno><date when="2012" year="2012">2012</date><idno type="doi">10.1007/s10389-012-0503-1</idno><idno type="url">https://api.istex.fr/ark:/67375/VQC-MTKMZPTJ-8/fulltext.pdf</idno><idno type="wicri:Area/Istex/Corpus">001E02</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">001E02</idno><idno type="wicri:Area/Istex/Curation">001E02</idno><idno type="wicri:Area/Istex/Checkpoint">000649</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Checkpoint">000649</idno><idno type="wicri:doubleKey">0943-1853:2012:Buregyeya E:acceptability:of:masking</idno><idno type="wicri:Area/Main/Merge">001F62</idno><idno type="wicri:Area/Main/Curation">001F38</idno><idno type="wicri:Area/Main/Exploration">001F38</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Acceptability of masking and patient separation to control nosocomial Tuberculosis in Uganda: a qualitative study</title><author><name sortKey="Buregyeya, Esther" sort="Buregyeya, Esther" uniqKey="Buregyeya E" first="Esther" last="Buregyeya">Esther Buregyeya</name><affiliation wicri:level="1"><country xml:lang="fr">Ouganda</country><wicri:regionArea>Makerere University School of Public Health, P.O. Box 7062, Kampala</wicri:regionArea><wicri:noRegion>Kampala</wicri:noRegion></affiliation><affiliation wicri:level="4"><country xml:lang="fr">Belgique</country><wicri:regionArea>University of Antwerp, Prinsstraat 13, 2000, Antwerp</wicri:regionArea><orgName type="university">Université d'Anvers</orgName><placeName><settlement type="city">Anvers</settlement><region>Région flamande</region><region type="district" nuts="2">Province d'Anvers</region></placeName></affiliation><affiliation wicri:level="1"><country wicri:rule="url">Ouganda</country></affiliation></author><author><name sortKey="Mitchell, Ellen M H" sort="Mitchell, Ellen M H" uniqKey="Mitchell E" first="Ellen M. H." last="Mitchell">Ellen M. H. Mitchell</name><affiliation wicri:level="1"><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>KNCV Tuberculosis Foundation, Parkstraat 17, 2514, The Hague</wicri:regionArea><wicri:noRegion>The Hague</wicri:noRegion></affiliation></author><author><name sortKey="Rutebemberwa, Elizeus" sort="Rutebemberwa, Elizeus" uniqKey="Rutebemberwa E" first="Elizeus" last="Rutebemberwa">Elizeus Rutebemberwa</name><affiliation wicri:level="1"><country xml:lang="fr">Ouganda</country><wicri:regionArea>Makerere University School of Public Health, P.O. Box 7062, Kampala</wicri:regionArea><wicri:noRegion>Kampala</wicri:noRegion></affiliation></author><author><name sortKey="Colebunders, Robert" sort="Colebunders, Robert" uniqKey="Colebunders R" first="Robert" last="Colebunders">Robert Colebunders</name><affiliation wicri:level="1"><country xml:lang="fr">Belgique</country><wicri:regionArea>Institute of Tropical Medicine, Nationalestraat 155, 2000, Antwerp</wicri:regionArea><wicri:noRegion>Antwerp</wicri:noRegion></affiliation><affiliation wicri:level="4"><country xml:lang="fr">Belgique</country><wicri:regionArea>University of Antwerp, Prinsstraat 13, 2000, Antwerp</wicri:regionArea><orgName type="university">Université d'Anvers</orgName><placeName><settlement type="city">Anvers</settlement><region>Région flamande</region><region type="district" nuts="2">Province d'Anvers</region></placeName></affiliation></author><author><name sortKey="Criel, Bart" sort="Criel, Bart" uniqKey="Criel B" first="Bart" last="Criel">Bart Criel</name><affiliation wicri:level="1"><country xml:lang="fr">Belgique</country><wicri:regionArea>Institute of Tropical Medicine, Nationalestraat 155, 2000, Antwerp</wicri:regionArea><wicri:noRegion>Antwerp</wicri:noRegion></affiliation></author><author><name sortKey="Kiguli, Juliet" sort="Kiguli, Juliet" uniqKey="Kiguli J" first="Juliet" last="Kiguli">Juliet Kiguli</name><affiliation wicri:level="1"><country xml:lang="fr">Ouganda</country><wicri:regionArea>Makerere University School of Public Health, P.O. Box 7062, Kampala</wicri:regionArea><wicri:noRegion>Kampala</wicri:noRegion></affiliation></author><author><name sortKey="Nuwaha, Fred" sort="Nuwaha, Fred" uniqKey="Nuwaha F" first="Fred" last="Nuwaha">Fred Nuwaha</name><affiliation wicri:level="1"><country xml:lang="fr">Ouganda</country><wicri:regionArea>Makerere University School of Public Health, P.O. Box 7062, Kampala</wicri:regionArea><wicri:noRegion>Kampala</wicri:noRegion></affiliation></author></analytic><monogr></monogr><series><title level="j">Journal of Public Health</title><title level="j" type="sub">Zeitschrift für Gesundheitswissenschaften</title><title level="j" type="abbrev">J Public Health</title><idno type="ISSN">0943-1853</idno><idno type="eISSN">1613-2238</idno><imprint><publisher>Springer-Verlag</publisher><pubPlace>Berlin/Heidelberg</pubPlace><date type="published" when="2012-12-01">2012-12-01</date><biblScope unit="volume">20</biblScope><biblScope unit="issue">6</biblScope><biblScope unit="page" from="599">599</biblScope><biblScope unit="page" to="606">606</biblScope></imprint><idno type="ISSN">0943-1853</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0943-1853</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Attitudes</term><term>Stigma</term><term>Surgical masks</term><term>Tuberculosis prevention</term><term>Uganda</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Ouganda</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Abstract: Objectives: This study explored the acceptability of cough etiquette, wearing masks and separation by tuberculosis (TB) suspects and TB patients in two districts in Uganda. Design: The study was conducted in Mukono and Wakiso districts in central Uganda. Eighteen in-depth interviews with patients and eight focus group discussions with health workers were conducted. Patients were asked for their opinions on cough etiquette, patient separation and wearing of masks. Results: Patients and health workers felt that physical separation was ideal, yet separation and masking were regarded as embarrassing to patients, emphasizing their potential infectiousness. Patients reported greater willingness to cover their mouth with a handkerchief than to wear a mask. Good counseling and health education were suggested to improve patients’ adoption of separation and masking. However patients expressed concerns about equity, coercive and stigmatizing approaches. Universal precautions were more acceptable than targeted ones, with the exception of separating TB patients. Lack of community awareness about airborne transmission of TB was identified as a barrier to accepting and adopting TB infection control measures. Conclusion: Scaling up effective TB infection control norms and behaviors requires a patient-centered, rights-based, and evidence-based approach. Socially acceptable measures like covering the mouth and nose with a handkerchief should be promoted. We recommend that further studies are needed to explore how community advocacy impacts on acceptability of masking. Furthermore, the efficacy of covering the mouth using a handkerchief or piece of cloth compared to wearing a mask in TB prevention needs to be evaluated.</div></front></TEI><affiliations><list><country><li>Belgique</li><li>Ouganda</li><li>Pays-Bas</li></country><region><li>Province d'Anvers</li><li>Région flamande</li></region><settlement><li>Anvers</li></settlement><orgName><li>Université d'Anvers</li></orgName></list><tree><country name="Ouganda"><noRegion><name sortKey="Buregyeya, Esther" sort="Buregyeya, Esther" uniqKey="Buregyeya E" first="Esther" last="Buregyeya">Esther Buregyeya</name></noRegion><name sortKey="Buregyeya, Esther" sort="Buregyeya, Esther" uniqKey="Buregyeya E" first="Esther" last="Buregyeya">Esther Buregyeya</name><name sortKey="Kiguli, Juliet" sort="Kiguli, Juliet" uniqKey="Kiguli J" first="Juliet" last="Kiguli">Juliet Kiguli</name><name sortKey="Nuwaha, Fred" sort="Nuwaha, Fred" uniqKey="Nuwaha F" first="Fred" last="Nuwaha">Fred Nuwaha</name><name sortKey="Rutebemberwa, Elizeus" sort="Rutebemberwa, Elizeus" uniqKey="Rutebemberwa E" first="Elizeus" last="Rutebemberwa">Elizeus Rutebemberwa</name></country><country name="Belgique"><region name="Région flamande"><name sortKey="Buregyeya, Esther" sort="Buregyeya, Esther" uniqKey="Buregyeya E" first="Esther" last="Buregyeya">Esther Buregyeya</name></region><name sortKey="Colebunders, Robert" sort="Colebunders, Robert" uniqKey="Colebunders R" first="Robert" last="Colebunders">Robert Colebunders</name><name sortKey="Colebunders, Robert" sort="Colebunders, Robert" uniqKey="Colebunders R" first="Robert" last="Colebunders">Robert Colebunders</name><name sortKey="Criel, Bart" sort="Criel, Bart" uniqKey="Criel B" first="Bart" last="Criel">Bart Criel</name></country><country name="Pays-Bas"><noRegion><name sortKey="Mitchell, Ellen M H" sort="Mitchell, Ellen M H" uniqKey="Mitchell E" first="Ellen M. H." last="Mitchell">Ellen M. H. Mitchell</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Sante/explor/SrasV1/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 001F38 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 001F38 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Sante
|area= SrasV1
|flux= Main
|étape= Exploration
|type= RBID
|clé= ISTEX:2A47348067ACE2A62CC33F2EF790BD34F3BB3D24
|texte= Acceptability of masking and patient separation to control nosocomial Tuberculosis in Uganda: a qualitative study
}}
| This area was generated with Dilib version V0.6.33. |  |