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"If we have to die, we just die": challenges and opportunities for tuberculosis and HIV/AIDS prevention and care in northern Thailand.

Journal article
Authors Jintana Ngamvithayapong-Yanai
Anna Winkvist
Sarmwai Luangjina
Vinod Diwan
Published in Qualitative health research
Volume 15
Issue 9
Pages 1164-79
ISSN 1049-7323
Publication year 2005
Published at Institute of Internal Medicine, Dept of Clinical Nutrition
Pages 1164-79
Language en
Links dx.doi.org/10.1177/1049732305281616
Keywords Adolescent, Adult, Female, HIV Infections, prevention & control, transmission, Humans, Interviews, Male, Middle Aged, Risk Assessment, Social Control, Informal, Thailand, Tuberculosis, prevention & control, transmission
Subject categories Health Care Service and Management, Health Policy and Services and Health Economy, Public Health, Global Health, Social Medicine and Epidemiology

Abstract

In this study, the authors identify opportunities for and challenges in reducing the risks of tuberculosi (TB) and HIV/AIDS transmission in Thailand. They carried out more than six repeated in-depth interviews with each of 13 participants who have been newly diagnosed with TB, 7 of whom were HIV positive, and their caregivers, until the patient recovered from TB or died. They performed extensive observations during relevant private and public activities and analyzed the data using grounded theory, focusing on behaviors affecting risk of transmission. Out of strong virtue, many caregivers felt a responsibility to care for their ill loved ones, thus putting themselves at risk of transmission. For the older generation, this was unimportant, as they had already completed their life cycle ("let it be"). However, strong human bonds encouraged the patients to complete TB treatment until cured or deceased. The authors discuss strategies to build on appropriate behaviors.

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