Original Research

Multidrug-resistant tuberculosis in KwaZulu-Natal, South Africa: An overview of patients’ reported knowledge and attitudes

Jayneetha Maharaj, Andrew Ross, Niren R. Maharaj, Laura Campbell
African Journal of Primary Health Care & Family Medicine | Vol 8, No 1 | a1089 | DOI: https://doi.org/10.4102/phcfm.v8i1.1089 | © 2016 Jayneetha Maharaj, Andrew Ross, Niren R. Maharaj, Laura Campbell | This work is licensed under CC Attribution 4.0
Submitted: 13 November 2015 | Published: 17 June 2016

About the author(s)

Jayneetha Maharaj, Medical officer in MDR TB unit at King Dinuzulu Hospital, South Africa
Andrew Ross, Discipline of Family medicine, University of KwaZulu-Natal,, South Africa
Niren R. Maharaj, Obstetrics and Gynaecology, Prince Mshiyeni Memorial Hospital, South Africa
Laura Campbell, Discipline of Family medicine, University of KwaZulu-Natal, South Africa


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Abstract

Background: The incidence and prevalence of multidrug–resistant tuberculosis (MDR TB) in the province of KwaZulu-Natal, South Africa, are amongst the highest in the world. Previously, interventions have been largely biomedical based; however, there is growing opinion that interventions must include social aspects such as patient education and attitudes.

Methods: This observational study assessed the knowledge and attitudes of 380 patients diagnosed with MDR TB at a centralised MDR TB unit in Durban. Data were collected using a questionnaire that was distributed to every third patient attending the outpatient MDR TB clinic. Data were collected over an 8-week period and analysed descriptively.

Results: Just under half of the respondents had primary MDR TB. Most respondents were young, female unemployed and did not receive a social grant. Knowledge around diagnosis of MDR TB was generally adequate. There were important misconceptions about spread of the disease and duration of treatment. Most respondents received knowledge of MDR TB from healthcare workers. Some respondents received knowledge from friends, family and Sangomas and believed that the disease was caused by bewitchment or as a form of punishment.

Discussion: The need for strengthening the role of primary care physicians in promoting education and providing support is highlighted. Further study is needed to investigate the high rate of primary MDR TB and to identify the unique challenges faced by women who have MDR TB. Future research could include the possibility of involving traditional healers in a contextually sensitive MDR TB education, training and support programme.


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