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Health SA Gesondheid (Print) ; 13(3): 54-68, 2008.
Article in English | AIM | ID: biblio-1262426

ABSTRACT

Tuberculosis (TB) is a resurgent disease in many regions of the world; including Namibia; fuelled by poor TB control programmes; human immunodeficiency virus (HIV) and poverty. The purpose of this survey was to identify nurses' perceived challenges in implementing a community-based TB programme in the Omaheke region of Namibia. Structu- red interviews were conducted with 40 nurses involved in providing TB treatment and care in the Omaheke region. Patient-related challenges which hampered TB treatment included alcohol and drug abuse; poverty and stigma. Lack of transport for nurses to do community-based TB work; centralised TB services and patients' lack of transport were access-related challenges. Knowledge-related challenges involved a lack of TB knowledge by both nurses and community members. The HIV pandemic has increased the number of TB patients and increased nurses' workloads; aggravating the burden of TB as a resurgent disease in this region. Decentralisation of TB care to community and family levels would be necessary to reduce the number of people with active TB in the community; and to enhance the TB cure rates; in the Omaheke region of Namibia. In order to implement a successful communitybased TB programme; the patient-related; access-related and knowledge-related challenges; perceived by the nurses; need to be addressed effectively


Subject(s)
Delivery of Health Care , Namibia , Preventive Health Services , Tuberculosis/prevention & control
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