Barriers to Linkage to Care for Hepatitis B Virus Infection: A Qualitative Analysis in Burkina Faso, West Africa
| العنوان: | Barriers to Linkage to Care for Hepatitis B Virus Infection: A Qualitative Analysis in Burkina Faso, West Africa |
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| المؤلفون: | Tamara Giles-Vernick, Fabienne Hejoaka, Issiaka Bamba, Yusuke Shimakawa, Abdoulaye Traoré, Armande Sanou |
| المساهمون: | Epidémiologie des Maladies Emergentes - Emerging Diseases Epidemiology, Pasteur-Cnam Risques infectieux et émergents (PACRI), Institut Pasteur [Paris] (IP)-Conservatoire National des Arts et Métiers [CNAM] (CNAM), HESAM Université - Communauté d'universités et d'établissements Hautes écoles Sorbonne Arts et métiers université (HESAM)-HESAM Université - Communauté d'universités et d'établissements Hautes écoles Sorbonne Arts et métiers université (HESAM)-Institut Pasteur [Paris] (IP)-Conservatoire National des Arts et Métiers [CNAM] (CNAM), HESAM Université - Communauté d'universités et d'établissements Hautes écoles Sorbonne Arts et métiers université (HESAM)-HESAM Université - Communauté d'universités et d'établissements Hautes écoles Sorbonne Arts et métiers université (HESAM), Recherches Translationnelles sur le VIH et les maladies infectieuses endémiques er émergentes (TransVIHMI), Institut de Recherche pour le Développement (IRD)-Université de Yaoundé I-Université Cheikh Anta Diop [Dakar, Sénégal] (UCAD)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Montpellier (UM), Centre de Recherche sur les Médiations (Crem), Université de Lorraine (UL), Groupe de recherche action en santé (GRAS), Centre Muraz [Bobo-Dioulasso, Burkina Faso], We thank Achille Soulama for his assistance in conducting interviews. We are grateful to Sodiomon B. Sirima, Roger Sombié, Boubacar Nacro, Justine Yara, F. Traoré, and the personnel of Ouagadougou and Bobo-Dioulasso hospitals and blood centers for their essential contributions to this study. Most of all, we sincerely thank the many participants in this study, who generously shared their experiences and knowledge with us., Shimakawa, Yusuke, Recherches Translationnelles sur le VIH et les maladies infectieuses endémiques et émergentes (TransVIHMI), Institut Pasteur [Paris]-Conservatoire National des Arts et Métiers [CNAM] (CNAM)-Institut Pasteur [Paris]-Conservatoire National des Arts et Métiers [CNAM] (CNAM), Université Montpellier 1 (UM1)-Institut de Recherche pour le Développement (IRD)-Université de Yaoundé I-Université Cheikh Anta Diop [Dakar, Sénégal] (UCAD)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Montpellier (UM), Institut Pasteur [Paris]-Conservatoire National des Arts et Métiers [CNAM] (CNAM), HESAM Université (HESAM)-HESAM Université (HESAM)-Institut Pasteur [Paris]-Conservatoire National des Arts et Métiers [CNAM] (CNAM), HESAM Université (HESAM)-HESAM Université (HESAM) |
| المصدر: | American Journal of Tropical Medicine and Hygiene American Journal of Tropical Medicine and Hygiene, 2016, 95, pp.1368-1375. ⟨10.4269/ajtmh.16-0398⟩ American Journal of Tropical Medicine and Hygiene, American Society of Tropical Medicine and Hygiene, 2016, 95, pp.1368-1375. ⟨10.4269/ajtmh.16-0398⟩ |
| بيانات النشر: | American Society of Tropical Medicine and Hygiene, 2016. |
| سنة النشر: | 2016 |
| مصطلحات موضوعية: | Male, MESH: Poverty, medicine.disease_cause, Health Services Accessibility, Grounded theory, 0302 clinical medicine, [SDV.MHEP.MI]Life Sciences [q-bio]/Human health and pathology/Infectious diseases, Global health, 030212 general & internal medicine, MESH: Developing Countries, MESH: Burkina Faso/epidemiology, MESH: Health Services Accessibility, 1. No poverty, Blood Screening, Articles, Hepatitis B, 3. Good health, Infectious Diseases, MESH: Young Adult, [SDV.MHEP.MI] Life Sciences [q-bio]/Human health and pathology/Infectious diseases, Viral hepatitis, Adult, medicine.medical_specialty, 030231 tropical medicine, Participant observation, Young Adult, 03 medical and health sciences, Virology, Burkina Faso, medicine, Humans, Developing Countries, Poverty, Hepatitis, Hepatitis B virus, [SHS.ANTHRO-SE] Humanities and Social Sciences/Social Anthropology and ethnology, MESH: Humans, MESH: Hepatitis B, business.industry, MESH: Adult, [SHS.ANTHRO-SE]Humanities and Social Sciences/Social Anthropology and ethnology, medicine.disease, MESH: Male, [SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie, Family medicine, Immunology, [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie, Parasitology, business, Qualitative research |
| الوصف: | International audience; Hepatitis B virus (HBV) infection is a critical global health problem. The World Health Organization (WHO) has recently developed a global elimination strategy for HBV infection. Increasing access to screening, liver assessment, and antiviral treatment are crucial steps in achieving this goal. Little is known, however, about obstacles to linkage to care in low-and middle-income countries. Using a grounded theory approach, this qualitative study sought to characterize the diagnostic itineraries of people with chronic HBV infection in Burkina Faso, a west African country with high HBV prevalence, to identify barriers to linkage from screening to specialist care with hepatic assessment (alanine transaminase and hepatitis B e antigen or HBV DNA). We conducted 80 semistructured interviews with chronically infected people, their families, medical personnel, and traditional practitioners, and participant observation of HBV diagnostic announcements and consultations. Of 30 individuals diagnosed with chronic viral hepatitis, 18 inadvertently discovered their status through blood screening and 12 actively sought diagnosis for their symptoms. Only a quarter (8/30) were linked to care. Barriers included: 1) patients' ability to pay for testing and treatment; 2) a formal health system lacking trained personnel, diagnostic infrastructures, and other resources; 3) patients' familial and social networks that discouraged access to testing and HBV knowledge; 4) a well-developed demand for and provisioning of traditional medicine for hepatitis; and 5) a weak global politics around HBV. More training for medical personnel would improve linkage to care in sub-Saharan Africa. Developing effective communications between medical workers and patients should be a major priority in this elimination strategy. |
| وصف الملف: | application/pdf |
| تدمد: | 1476-1645 0002-9637 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::39976e404b9844bf14553d1ed94dc408Test https://doi.org/10.4269/ajtmh.16-0398Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....39976e404b9844bf14553d1ed94dc408 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14761645 00029637 |
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