A QUALITATIVE STUDY ON THE PSYCHOSOCIAL CHALLENGES FACED BY MRD TB PATIENTS

Type of artical: Original Research Article

Section: family MDR-TB psychosocial factors Psychosocial support

Background & objectives: In light of the challenges posed by MDR-TB, the ‘DOTS Plus’ guidelines for a comprehensive strategy to the treatment of this disease. This study aimed to investigate the psychosocial factors that adversely affect medication adherence in MDR-TB patients diagnosed and registered for treatment.

Methods: This qualitative study employed focus group discussions and interviews involving 72 participants, comprising 57 MDR-TB patients and 14 healthcare workers, who were diagnosed with MDR-TB. All FGD sessions were audio recorded, and the recorded information was transcribed verbatim in Hindi and subsequently translated into English.

Results: The majority of the individuals involved in the study chose not to reveal their tuberculosis status, even to those in their own families. Most patients were unaware of their diagnosis of MDR-TB and the extended treatment duration. The majority of patients have encountered stigma from their families, communities, and health providers. Patients and their families expressed concerns about the potential loss of economic stability, which was already fragile due to the illness.

Conclusion: This qualitative study has identified a variety of problems faced by patients with MDR-TB and their family. Psychosocial support is essential to alleviate stigma and address the related psychological pressures.