TB transmission prevention behaviors among women living with HIV and TB in Malawi: A hygiene-geo-temporal approach
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Date
2022-02-08
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Kamuzu University of Health Sciences
Abstract
HIV-related TB has emerged as the dominant health challenge in sub-Saharan Africa,
including Malawi, and is the size of a pandemic calling for a rapid response. Malawi has the
highest rate of HIV infection in the world, and more than 75% of cases of TB are HIVassociated,
accounting for approximately 86% of all deaths from HIV- associated TB. The need
for a coordinated approach for preventing and controlling TB among the HIV population and a
public health education program addressing the prevention of TB transmission is essential at the
highest level.
However, there is limited information about this population’s health behaviors, and the
social and cultural aspects of TB and HIV and its prevention in Malawians have been largely
unexplored. Therefore, this proposed study seeks to describe HIV-positive women’s TB
transmission prevention behaviors and to identify the multi-level factors influencing TB
transmission prevention behaviors in order to develop a situation-specific, evidence-based health
education and health policy that will effectively address the problem.
The broad objective for the study is:
To examine TB transmission prevention behaviors of women living with HIV/TB.
The specific aims for the study include:
To assess TB transmission prevention behaviors among women living with HIV/TB,
with the focus on those women’s behaviors to prevent the spread of TB to other
healthy people
To identify factors influencing TB transmission prevention behaviors among women
living with HIV/TB at the individual, relational, and societal levels. Findings from this study will provide scientifically and culturally relevant data on
Malawians. It will help healthcare providers and stakeholders to understand the multi-level
determinants of TB transmission prevention behaviors among Malawian women with HIV/TB
and dynamic interaction of determinants and will provide the key to developing a culturally
grounded and theory-based health program to prevent TB transmission among Malawians with
HIV/TB.
Description
A cross-sectional mixed-methods design using survey and nonparticipant
direct observation.