Mapping the Sociocultural Implication on Tuberculosis Management and Control Programs: A Scoping Review

Sri Handayani(1), Zahroh Shaluhiyah(2), Bagus Widjanarko(3), Henry Setyawan Susanto(4), Farid Agushybana(5),

DOI: https://doi.org/10.15294/kemas.v19i3.46504


(1) Doctoral Program of Public Health, Diponegoro University
(2) Department of Health Promotion, Diponegoro University Semarang,
(3) Department of Health Promotion, Diponegoro University Semarang,
(4) Department of Epidemiology, Diponegoro University Semarang
(5) Department of Biostatistics and Population Study, Diponegoro University, Semarang, Indonesia

Abstract

The effectiveness of tuberculosis (TB) management and control programs is influenced by several factors, including sociocultural problems that affect delays in diagnosis and treatment and increased transmission risk in the community. How people viewed diseases and seeking behavior was socially constructed. The scoping review aims to understand the extent and type of evidence about the sociocultural implications of TB management and control programs. To address the research questions, a scoping review was conducted following PRISMA ScR as a guideline. Articles were searched in PubMed, Scopus, Science Direct, and Google Scholar databases. Searches were conducted in October 2022. The CASP checklist was used to measure the article's quality before being reviewed. A total of 15 articles were included, nine (9) studies conducted in Africa, two (2) studies in Papua New Guinea, one (1) study in India, one (1) study in Brazil, one (1) study in Yemen, and one (1) study in Nepal. Most studies were based on individual interviews (7), and three (3) studies included traditional/faith healer perspectives. Three main themes have been identified; sociocultural factors affected TB prevention, sociocultural factors affected TB-seeking behavior, and sociocultural factors affected treatment adherence. The review discovered that community practices, norms, and attitudes regarding perceived sickness impact TB care and control. To be effective and meaningful for the target population, the intervention must be attentive to cultural differences. 

Keywords

Sociocultural; TB management and control; health-seeking behavior; TB prevention; treatment adherence

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References

Acharya, D.R., Bell, J.S., Simkhada, P., van Teijlingen, E.R. and Regmi, P.R. 2010. Women’s autonomy in household decision-making: a demographic study in Nepal. Reproductive Health 7(1), p. 15. Available at: https://doi.org/10.1186/1742-4755-7-15.

Adebisi, Y.A. et al. 2019. Burden of Tuberculosis and Challenges Facing Its Eradication in West Africa. International Journal of Infection 6(3). doi: 10.5812/iji.92250.

Adu, P.A., Spiegel, J.M. and Yassi, A. 2021. Towards TB elimination: how are macro-level factors perceived and addressed in policy initiatives in a high burden country? Globalization and Health 17(1). doi: 10.1186/s12992-020-00657-1.

Anderson De Cuevas, R.M., Al-Sonboli, N., Al-Aghbari, N., Yassin, M.A., Cuevas, L.E. and Theobald, S.J. 2014. Barriers to completing TB diagnosis in Yemen: Services should respond to patients’ needs. PLoS ONE 9(9). doi: 10.1371/journal.pone.0105194.

Aromataris, E. and Munn, Z. 2020. JBI manual. JBI Manuals for Evidence Synthesis. Available at: https://wiki.jbi.global/display/MANUAL/11.1+Introduction+to+Scoping+reviews [Accessed: 9 October 2022].

Asemahagn, M.A., Alene, G.D. and Yimer, S.A. 2020. A qualitative insight into barriers to tuberculosis case detection in east gojjam zone, Ethiopia. American Journal of Tropical Medicine and Hygiene 103(4), pp. 1455–1465. doi: 10.4269/ajtmh.20-0050.

Bhargava, S., Jain, M. and Jain, M. 2019. In tuberculosis, ‘one size does not fit all’. Lung India 36(1), pp. 1–2. doi: 10.4103/lungindia.lungindia_489_18.

Centers for Disease Control and Prevention. 2023. Treatment for TB Disease. Available at: https://www.cdc.gov/tb/topic/treatment/tbdisease.htm# [Accessed: 30 April 2023].

Cerully, J.L., Acosta, J.D. and Sloan, J. 2018. Mental Health Stigma and Its Effects on Treatment-Related Outcomes: A Narrative Review. Military Medicine 183(11–12), pp. e427–e437. Available at: https://academic.oup.com/milmed/article/183/11-12/e427/4924884 [Accessed: 16 October 2022].

Chali, B.U., Hasho, A. and Koricha, N.B. 2021. Preference and Practice of Traditional Medicine and Associated Factors in Jimma Town, Southwest Ethiopia. Evidence-based Complementary and Alternative Medicine 2021. doi: 10.1155/2021/9962892.

Cheng, S. et al. 2013. Effect of Diagnostic and Treatment Delay on the Risk of Tuberculosis Transmission in Shenzhen, China: An Observational Cohort Study, 1993-2010. PLoS ONE 8(6). doi: 10.1371/journal.pone.0067516.

Chiang, C.Y., van Weezenbeek, C., Mori, T. and Enarson, D.A. 2013. Challenges to the global control of tuberculosis. Respirology 18(4), pp. 596–604. doi: 10.1111/resp.12067.

Corrigan, P.W., Druss, B.G. and Perlick, D.A. 2014. The Impact of Mental Illness Stigma on Seeking and Participating in Mental Health Care. https://doi.org/10.1177/1529100614531398 15(2), pp. 37–70. Available at: https://journals.sagepub.com/doi/10.1177/1529100614531398 [Accessed: 16 October 2022].

Cremers, A.L., Gerrets, R., Kapata, N., Kabika, A., Birnie, E., Klipstein-Grobusch, K. and Grobusch, M.P. 2016. Tuberculosis patients’ pre-hospital delay and non-compliance with a longstanding DOT programme: a mixed methods study in urban Zambia. BMC Public Health 16(1), pp. 1–11. doi: 10.1186/s12889-016-3771-9.

Cremers, A.L., Janssen, S., Huson, M.A.M., Bikene, G., Bélard, S., Gerrets, R.P.M. and Grobusch, M.P. 2013. Perceptions, health care seeking behaviour and implementation of a tuberculosis control programme in Lambaréné, Gabon. Public Health Action 3(4), pp. 328–332. doi: 10.5588/pha.13.0038.

Dantas, D.N.A., Enders, B.C., Oliveira, D.R.C. de, Vieira, C.E.N.K., Queiroz, A.A.R. de and Arcêncio, R.A. 2018. Factors associated with delay in seeking care by tuberculosis patients. Revista brasileira de enfermagem 71, pp. 646–651. doi: 10.1590/0034-7167-2016-0680.

Daudt, H.M.L., van Mossel, C. and Scott, S.J. 2013. Enhancing the scoping study methodology: A large, inter-professional team’s experience with Arksey and O’Malley’s framework. BMC Medical Research Methodology 13(1). doi: 10.1186/1471-2288-13-48.

Diefenbach-Elstob, T. et al. 2017. The social determinants of tuberculosis treatment adherence in a remote region of Papua New Guinea. BMC Public Health 17(1). doi: 10.1186/s12889-016-3935-7.

Gibson, N., Cave, A., Doering, D., Ortiz, L. and Harms, P. 2005. Socio-cultural factors influencing prevention and treatment of tuberculosis in immigrant and Aboriginal communities in Canada. Social Science and Medicine 61(5), pp. 931–942. doi: 10.1016/j.socscimed.2004.10.026.

Gugssa Boru, C., Shimels, T. and Bilal, A.I. 2017. Factors contributing to non-adherence with treatment among TB patients in Sodo Woreda, Gurage Zone, Southern Ethiopia: A qualitative study. Journal of Infection and Public Health 10(5), pp. 527–533. doi: 10.1016/j.jiph.2016.11.018.

Huff, R.M. 2020. Traditional Healing Practices and Healers. In: The Wiley Encyclopedia of Health Psychology. pp. 199–204. Available at: https://doi.org/10.1002/9781119057840.ch202.

Juhannis, H., Nildawati, Habibi, Satrianegara, M.F., Amansyah, M. and Syarifuddin, N. 2021. Community beliefs toward causes of illness: cross cultural studies in Tolotang and Ammatoa Ethnics in Indonesia. Gaceta Sanitaria 35, pp. S19–S22. doi: 10.1016/j.gaceta.2020.12.006.

Kahissay, M.H., Fenta, T.G. and Boon, H. 2017. Beliefs and perception of ill-health causation: A socio-cultural qualitative study in rural North-Eastern Ethiopia. BMC Public Health 17(1). doi: 10.1186/s12889-017-4052-y.

Kumar, G., Jha, N., Niraula, S., Yadav, D., Bhattarai, S. and Pokharel, P. 2014. Gender Based Barriers In Accessing Tuberculosis Treatment: A Qualitative Study From Eastern Nepal. SAARC Journal of Tuberculosis, Lung Diseases and HIV/AIDS 10(2), pp. 15–20. doi: 10.3126/saarctb.v10i2.9708.

Lal, A. 2021. Exclusivity of Cultural Practices Within Emerging Disease Outbreak Responses in Developing Nations Leads to Detrimental Outcomes. Frontiers in Public Health 9. doi: 10.3389/fpubh.2021.686540.

Latif, A.S. 2020. The importance of understanding social and cultural norms in delivering quality health care—a personal experience commentary. Tropical Medicine and Infectious Disease 5(1). doi: 10.3390/tropicalmed5010022.

Levesque, A. and Li, H.Z. 2014. The Relationship Between Culture, Health Conceptions, and Health Practices. http://dx.doi.org/10.1177/0022022113519855 45(4), pp. 628–645. Available at: https://journals.sagepub.com/doi/10.1177/0022022113519855 [Accessed: 16 October 2022].

Li, J., Chung, P.H., Leung, C.L.K., Nishikiori, N., Chan, E.Y.Y. and Yeoh, E.K. 2017. The strategic framework of tuberculosis control and prevention in the elderly: A scoping review towards End TB targets. Infectious Diseases of Poverty 6(1). doi: 10.1186/s40249-017-0284-4.

Lönnroth, K. 2013. Cured and starved: food for thought [Editorial]. Public Health Action 3(2), pp. 95–95. doi: 10.5588/pha.13.0030.

Marme, G.D. 2018. Barriers and facilitators to effective tuberculosis infection control practices in Madang Province, PNG - A qualitative study. Rural and Remote Health 18(3). doi: 10.22605/RRH4401.

Mason, P.H., Roy, A., Spillane, J. and Singh, P. 2015. Social, Historical and Cultural Dimensions of Tuberculosis. Journal of Biosocial Science 48(2), pp. 206–232. doi: 10.1017/S0021932015000115.

Matakanye, H., Tshitangano, T.G., Mabunda, J.T. and Maluleke, T.X. 2021. Knowledge, beliefs, and perceptions of tb and its treatment amongst tb patients in the limpopo province, South Africa. International Journal of Environmental Research and Public Health 18(19). doi: 10.3390/ijerph181910404.

Merk, H., Ködmön, C. and van der Werf, M.J. 2019. Will we reach the Sustainable Development Goals target for tuberculosis in the European Union/European Economic Area by 2030? Eurosurveillance 24(12). Available at: https://www.eurosurveillance.org/content/10.2807/1560-7917.ES.2019.24.12.1900153.

Mhalu, G. et al. 2019. Explaining patient delay in healthcare seeking and loss to diagnostic follow-up among patients with presumptive tuberculosis in Tanzania: a mixed-methods study. BMC Health Services Research 19(1). doi: 10.1186/s12913-019-4030-4.

Miller, C., Huston, J., Samu, L., Mfinanga, S., Hopewell, P. and Fair, E. 2017a. ‘It makes the patient’s spirit weaker’: Tuberculosis stigma and gender interaction in Dar es Salaam, Tanzania. International Journal of Tuberculosis and Lung Disease 21, pp. S42–S48. doi: 10.5588/ijtld.16.0914.

Miller, C., Huston, J., Samu, L., Mfinanga, S., Hopewell, P. and Fair, E. 2017b. ‘It makes the patient’s spirit weaker’: Tuberculosis stigma and gender interaction in Dar es Salaam, Tanzania. International Journal of Tuberculosis and Lung Disease 21, pp. S42–S48. doi: 10.5588/ijtld.16.0914.

Oshi, D.C., Oshi, S.N., Alobu, I.N. and Ukwaja, K.N. 2016. Gender-Related Factors Influencing Women’s Health Seeking for Tuberculosis Care in Ebonyi State, Nigeria. Journal of Biosocial Science 48(1), pp. 37–50. Available at: https://www.cambridge.org/core/article/genderrelated-factors-influencing-womens-health-seeking-for-tuberculosis-care-in-ebonyi-state-nigeria/71099B23917EF60B82936C2CCF571F3A.

Paramasivam, S., Thomas, B., Chandran, P., Thayyil, J., George, B. and Sivakumar, C. 2017. Diagnostic delay and associated factors among patients with pulmonary tuberculosis in Kerala. Journal of Family Medicine and Primary Care 6(3), p. 643. doi: 10.4103/2249-4863.222052.

de Paula, R., Lefevre, F., Lefevre, A.M.C., Galesi, V.M.N. and Schoeps, D. 2014. Why do tuberculosis patients look for urgency and emergency unities for diagnosis: A study on social representation. Revista Brasileira de Epidemiologia 17(3), pp. 600–614. Available at: www.smgebooks.com.

Petras, H., Israelashvili, M., Miller, B. and Org, H. 2021. Introduction to the Special Issue on ‘Promoting a Culture of Prevention: an International Perspective’. Prevention Science 22. Available at: https://doi.org/10.1007/s11121-020-01190-8.

Rabin, A.S., Kuchukhidze, G., Sanikidze, E., Kempker, R.R. and Blumberg, H.M. 2013. Prescribed and self-medication use increase delays in diagnosis of tuberculosis in the country of Georgia. International Journal of Tuberculosis and Lung Disease 17(2). doi: 10.5588/ijtld.12.0395.

Seid, A. and Ahmed, M. 2020. What are the determinants of misconception about HIV transmission among ever-married women in Ethiopia? HIV/AIDS - Research and Palliative Care 12, pp. 441–448. doi: 10.2147/HIV.S274650.

Shankar, R., Lavekar, G.S., Deb, S. and Sharma, B.K. 2012. Traditional healing practice and folk medicines used by Mishing community of North East India. Journal of Ayurveda and Integrative Medicine 3(3), pp. 124–129. doi: 10.4103/0975-9476.100171.

Shiotani, R. and Hennink, M. 2014. Socio-cultural influences on adherence to tuberculosis treatment in rural India. Global Public Health 9(10), pp. 1239–1251. doi: 10.1080/17441692.2014.953562.

Swift, J.K. and Wampold, B.E. 2018. Inclusion and exclusion strategies for conducting meta-analyses. Psychotherapy Research 28(3), pp. 356–366. doi: 10.1080/10503307.2017.1405169.

Taber, J.M., Leyva, B. and Persoskie, A. 2015. Why do People Avoid Medical Care? A Qualitative Study Using National Data. Journal of General Internal Medicine 30(3), pp. 290–297. doi: 10.1007/s11606-014-3089-1.

Tabong, P.T.-N., Akweongo, P. and Adongo, P.B. 2021. Community beliefs about tuberculosis in Ghana: Implications for the end tuberculosis global agenda. Cogent Medicine 8(1). doi: 10.1080/2331205x.2020.1870069.

Vanstone, M., Giacomini, M., Smith, A., Brundisini, F., Dejean, D. and Winsor, S. 2013. How Diet Modification Challenges Are Magnified in Vulnerable or Marginalized People With Diabetes and Heart Disease: A Systematic Review and Qualitative Meta-Synthesis. Available at: http://www.hqontario.ca/en/mas/mas_ohtas_mn.html.

Verhagen, L.M., Kapinga, R. and van Rosmalen-Nooijens, K.A.W.L. 2010. Factors underlying diagnostic delay in tuberculosis patients in a rural area in Tanzania: A qualitative approach. Infection 38(6), pp. 433–446. doi: 10.1007/s15010-010-0051-y.

World Health Organization. 2015. The End TB Strategy. Available at: https://www.who.int/teams/global-tuberculosis-programme/the-end-tb-strategy [Accessed: 22 August 2023].

World Health Organization. 2021. Global Tuberculosis Report 2021. Available at: http://apps.who.int/bookorders.

World Health Organization. 2022. Global Tuberculosis Report 2022. Available at: http://apps.who.int/bookorders.

Wynne, A., Richter, S., Banura, L. and Kipp, W. 2014. Challenges in tuberculosis care in Western Uganda: Health care worker and patient perspectives. International Journal of Africa Nursing Sciences 1, pp. 6–10. doi: 10.1016/j.ijans.2014.05.001

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