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Doris Burtscher – Medical Anthropologist/MSF OCG International Aids Conference 2010 Vienna

“TB is a disease that is flying to the air”. traditional concepts and perceptions of tuberculosis and drug-resistant tuberculosis and the potential for home-based care. Doris Burtscher – Medical Anthropologist/MSF OCG International Aids Conference 2010 Vienna. PERSONAL BACKGROUND.

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Doris Burtscher – Medical Anthropologist/MSF OCG International Aids Conference 2010 Vienna

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  1. “TB is a disease that is flying to the air” traditional concepts and perceptions of tuberculosis and drug-resistant tuberculosis and the potential for home-based care Doris Burtscher – Medical Anthropologist/MSF OCG International Aids Conference 2010 Vienna

  2. PERSONAL BACKGROUND individual interview Swaziland, 2008 Study of Social and Medical Anthropology in Vienna, Austria Specialisation in Ethnomedicine and Medical Anthropology in West Africa Ethnomedical Research with traditional healer in Senegal for Master and PhD MSF Field Experience: Mauritania, Kenya, Sierra Leone, Zimbabwe, Liberia, Niger, Swaziland and Lebanon Other NGO: Albania

  3. OBJECTIVES • Determine practicability and acceptability of home-based care • Describe traditional habitat • Explain traditional concepts of disease transmission in general and tuberculosis transmission in particular • Study perception and behaviour towards tuberculosis patients • Assess basic hygiene traditional homesteads in Nhlangano health zone

  4. MSF in SWAZILAND Decentralised integrated care for HIV/AIDS and tuberculosis to health clinics • Hospitals have limited capacity expert client giving a health talk • Difficult access to health care for patients – “one stop” strategy • Co-infection TB/HIV • drug-resistant tuberculosis is an emergency

  5. SWAZILAND Matsanjeni

  6. Heath Facilities in Shiselweni Region Hlatikulu Nhlangano Matsanjeni

  7. METHODS – target groups home-based care providers, tuberculosis patients, expert clients people living with HIV/AIDS, health staff, traditional healers, chiefs headmen, community elders household members etc. refill at New Haven Clinic, Hlatikulu health zone

  8. METHODS group interview with home-based care providers • QUALITATIVE METHODS • Individual Interviews (narrative and semi-structured) • Group Interviews (natural, focus, and narrative)

  9. RESULTS • Traditional concepts of disease transmission “sifu semoya” • Traditional ideas about tuberculosis “sidliso” and drug resistant tuberculosis “thayizeze/legwamile” and its transmission traditional healers/sangomas

  10. RESULTS sangoma and expert client advocating together for HIV testing and counselling • Traditional habitat and the potential of home-based care • Perception and behaviour towards tuberculosis patients • Traditional habitat and the potential of home-based care - “kagogo” house • Perception and behaviour towards tuberculosis patients

  11. RECOMMENDATIONS • community mobilisation • home-based care • treatment supporter • health promotion HIV positive person under ARV treatment with MSF

  12. CONCLUSION • knowledge and understanding of population and their culture • appropriate answer to meet the needs • overcoming ethnocentric attitudes HIV testing and counselling

  13. Grandmother with orphans doris.burtscher@vienna.msf.org Thank you very much for your attention!

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