Barriers for the detection of childhood tuberculosis in the department of Cauca, Colombia
DOI:
https://doi.org/10.17533/udea.rfnsp.e354827Keywords:
tuberculosis diagnosis, health management, health system, childhood tuberculosisAbstract
Objective: Identify barriers to the diagnosis of childhood tuberculosis in the department of Cauca, during the year 2022.
Methodology: Research with a qualitative approach developed in 11 municipalities of the department of Cauca, during the year 2022. Semi-structured interviews were conducted with key actors for the detection and control of tuberculosis in children, including clinical, administrative and primary caregiver staff.
Results: The identified barriers were classified into three groups: first, those related to health personnel, such as lack of knowledge of guides, limitation in operational capabilities, poor study of contacts, low active search for cases, persistence of archetypes of person with tuberculosis and imaginaries around the disease and its diagnostic methods. The second group of barriers were those related to health management, where ineffective information and education strategies, lack of administrative management, centralization of services, lack of support and consulting, and high staff turnover were identified. Finally, barriers related to health system structure included out-of-pocket costs and market dynamics.
Conclusion: Barriers were identified mostly related to health personnel, followed by those related to health management and the structure of the health system. These must be addressed from comprehensive health planning by the different actors of the system, to seek to overcome them in a way that improves early detection of the disease.
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