TB Research

Level, Experiences and Manifestations of Community TB-Related Stigma in Tanzania

Wilbard Deogratius Muhandiki, Ndakibae Gabriel Mabega, Lucas E. Matemba, Gerald Phares Mwing’a, Oscar Leonard Kaswaga, Hamimu Omary Kigumi, Emmanuel Matechi, Onay Godson Lwanzali, et al. (11 authors)

European Journal of Preventive Medicine · 2023-07

Abstract

<i>Background:</i> Tuberculosis (TB) is an infectious disease of public importance worldwide including Tanzania. There is increasing recognition that TB-related stigma is a barrier to TB control and prevention. However, there is a paucity of information about community TB-related stigma in our settings. This study was objected to assess the level, experiences, and manifestations of community TB-related stigma.<i> Methods</i>: Between September 2021 and February 2022, a cross-sectional study was conducted to collect quantitative and qualitative information about community TB-related stigma in five regions of Tanzania. Face-to-face interviews were used to collect data among community members using a modified questionnaire to assess community TB stigma created by the Stop TB Partnership. Descriptive statistics and thematic analysis were used to summarize and present findings of this study. <i>Results</i>: One hundred seventy-one (171) community members were recruited. The overall level of community TB-related stigma was 71.5%. The TB stigma was mainly characterized by supporting behaviours and attitudes that limit contact with TB patients. Sixty-three percent (63%) of the community members experienced community members being stigmatized because of their TB status. The common manifestations of community TB-related stigma were isolation, mistreatment, being denied supports, and refusing to share housing, eating and drinking utensils. <i>Conclusion</i>: This study showed a relatively high level of community TB-related stigma in Tanzania, suggesting the need to include TB stigma reduction interventions in national TB control and prevention response strategies.

MeSH terms

  • Stigma (botany)
  • Tanzania
  • Medicine
  • Thematic analysis
  • Tuberculosis
  • Psychological intervention
  • Environmental health
  • Chinese community
  • Social stigma
  • Qualitative research
  • Family medicine