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Browsing Protocols by Author "Rambiki, Ethel"
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- ItemRestrictedAssessment of prevalence of pulmonary Tuberculosis among diabetic patients and Exploring Health Seeking Behaviors To Improve Early TB Diagnosis at Queen Elizabeth Central Hospital, Blantyre and Bwaila Hospital Lilongwe(Kamuzu university of Health Sciences, 2020-11-11) Rambiki, EthelThe study will aim to assess the relationship between prevalence of pulmonary tuberculosis and social determinants of health among Diabetic patients attending clinics at Queen Elizabeth Central Hospital and Bwaila Hospital. Globally, TB has been recognized as socially stratified disease that preys mostly on the disadvantaged countries, communities and sub populations. Unequal distribution of wealth, education, living and working conditions, nutrition has left some population more vulnerable to transitioning to active TB infection than others [12]. These factors, in addition to some disease states like diabetes as shown in other settings through studies has increased the risk greatly and increased the burden of disease. With Diabetes being regarded as a disease of the middle class, there is need for further research to establish the role that social determinants of health play in the event of diabetes to increase the risk of pulmonary tuberculosis and currently no such studies have been done in Malawi and diabetic and TB services are offered in parallel within our hospitals [6]. The study will therefore, bring out important issues on relationship between these key programmatic areas and explore some health seeking behaviors of patients that are have such co-morbidities. Study design The study will follow mixed methods designs where retrospective analytical observational study design will be used for secondary data and qualitative approach through in-depth interviews with key informants including diabetic patients. Study setting The study will be conducted in diabetic clinics at Queen Elizabeth Central Hospital in Blantyre and Bwaila Hospital in Lilongwe Study Participants 15 diabetic patients will be interviewed and secondary data of 685 diabetic patients screened for pulmonary TB will be extracted from facility TB registers. Sample size for in-depth interviews will be increased accordingly in case on theoretical non-saturation. Data collection A data extraction tool and an in-depth interview guide will be used to collect secondary and qualitative data respectively. Major variables to be collected include age, sex, type of diabetes, duration and type of treatment, HIV status, diagnostic test done, Test results, other comorbidities, previous TB infection, presence of TB in the family, history of smoking and alcohol intake, place of residence, average monthly income and occupation. 11-Nov