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Healthcare-seeking behaviour, barriers to care and predictors of symptom improvement among patients with cardiovascular disease in northern Tanzania.

Publication ,  Journal Article
Hertz, JT; Sakita, FM; Kweka, GL; Loring, Z; Thielman, NM; Temu, G; Bartlett, JA
Published in: Int Health
July 1, 2022

BACKGROUND: Little is known about healthcare-seeking behaviour and barriers to care for cardiovascular disease (CVD) in sub-Saharan Africa. METHODS: Emergency department patients in Tanzania with acute CVD were prospectively enrolled. Questionnaires were administered at enrollment and 30 d later. RESULTS: Of 241 patients, 186 (77.2%) had visited another facility for the same illness episode (median symptom duration prior to presentation was 7 d) and 82 (34.0%) reported that they were initially unaware of the potential seriousness of their symptoms. Of the 208 (86.3%) patients completing follow-up, 16 (7.7%) had died, 38 (18.3%) had visited another facility for persistent symptoms, 99 (47.6%) felt they understood their diagnosis, 87 (41.8%) felt they understood their treatment and 11 (7.8%) could identify any of their medications. Predictors of 30 d survival with symptom improvement included medication compliance (p<0.001), understanding the diagnosis (p=0.007), understanding the treatment (p<0.001) and greater CVD knowledge (p=0.008). CONCLUSIONS: Patients with CVD in Tanzania usually visit multiple facilities for the same illness episode, typically after prolonged delays. Only a minority understand their diagnosis and treatment, and such understanding is correlated with survival with symptom improvement. Patient-centred interventions are needed to improve the quality of cardiovascular care in Tanzania.

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Published In

Int Health

DOI

EISSN

1876-3405

Publication Date

July 1, 2022

Volume

14

Issue

4

Start / End Page

373 / 380

Location

England

Related Subject Headings

  • Tanzania
  • Surveys and Questionnaires
  • Patient Acceptance of Health Care
  • Humans
  • Health Services Accessibility
  • Cardiovascular Diseases
  • 42 Health sciences
  • 32 Biomedical and clinical sciences
  • 11 Medical and Health Sciences
 

Citation

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Hertz, J. T., Sakita, F. M., Kweka, G. L., Loring, Z., Thielman, N. M., Temu, G., & Bartlett, J. A. (2022). Healthcare-seeking behaviour, barriers to care and predictors of symptom improvement among patients with cardiovascular disease in northern Tanzania. Int Health, 14(4), 373–380. https://doi.org/10.1093/inthealth/ihz095
Hertz, Julian T., Francis M. Sakita, Godfrey L. Kweka, Zak Loring, Nathan M. Thielman, Gloria Temu, and John A. Bartlett. “Healthcare-seeking behaviour, barriers to care and predictors of symptom improvement among patients with cardiovascular disease in northern Tanzania.Int Health 14, no. 4 (July 1, 2022): 373–80. https://doi.org/10.1093/inthealth/ihz095.
Hertz JT, Sakita FM, Kweka GL, Loring Z, Thielman NM, Temu G, et al. Healthcare-seeking behaviour, barriers to care and predictors of symptom improvement among patients with cardiovascular disease in northern Tanzania. Int Health. 2022 Jul 1;14(4):373–80.
Hertz, Julian T., et al. “Healthcare-seeking behaviour, barriers to care and predictors of symptom improvement among patients with cardiovascular disease in northern Tanzania.Int Health, vol. 14, no. 4, July 2022, pp. 373–80. Pubmed, doi:10.1093/inthealth/ihz095.
Hertz JT, Sakita FM, Kweka GL, Loring Z, Thielman NM, Temu G, Bartlett JA. Healthcare-seeking behaviour, barriers to care and predictors of symptom improvement among patients with cardiovascular disease in northern Tanzania. Int Health. 2022 Jul 1;14(4):373–380.
Journal cover image

Published In

Int Health

DOI

EISSN

1876-3405

Publication Date

July 1, 2022

Volume

14

Issue

4

Start / End Page

373 / 380

Location

England

Related Subject Headings

  • Tanzania
  • Surveys and Questionnaires
  • Patient Acceptance of Health Care
  • Humans
  • Health Services Accessibility
  • Cardiovascular Diseases
  • 42 Health sciences
  • 32 Biomedical and clinical sciences
  • 11 Medical and Health Sciences