Anti-tuberculosis treatment defaulting. An analysis of perceptions and interactions in Chiapas, Mexico

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2008

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Salud Pública de México



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Therapy

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Ivett Reyes et al., « Anti-tuberculosis treatment defaulting. An analysis of perceptions and interactions in Chiapas, Mexico », Salud Pública de México, ID : 10670/1.c0a204...


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Objective. To analyze the perceptions and interactions of the actors involved in anti-tuberculosis treatment, and to exploretheir influence in treatment defaulting in Los Altos region of Chiapas, Mexico. Material and Methods. From November2002 to August 2003, in-depth interviews were administered to patients with PTB, patients' family members, institutionalphysicians, community health coordinators, and traditional medicine practitioners. Results. We found different perceptionsabout PTB between patients and their families and among health personnel, as well as communication barriers between actors. Defaulting is considered to be mainly due to the treatment's adverse effects. Conclusions. It is necessary to conduct research and interventions in the studied area with the aim of changing perceptions, improving sensitization, quality and suitability of management of patients with PTB in a multicultural context, and promoting collaboration betweeninstitutional and traditional medicine.

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