'Something so hard': a mixed-methods study of home sputum collection for tuberculosis contact investigation in Uganda.

ABSTRACT:

Background

Home sputum collection could facilitate prompt evaluation and diagnosis of tuberculosis (TB) among contacts of patients with active TB. We analyzed barriers to home-based collection as part of an enhanced intervention for household TB contact investigation in Kampala, Uganda.

Design

We conducted a convergent mixed-methods study to describe the outcomes of home sputum collection in 91 contacts and examine their context through 19 nested contact interviews and two focus group discussions with lay health workers (LHWs).

Results

LHWs collected sputum from 35 (39%) contacts. Contacts reporting cough were more likely to provide sputum than those with other symptoms or risk factors (53% vs. 15%, RR 3.6, 95%CI 1.5-2.8, P < 0.001). Males were more likely than female

SUBMITTER: Armstrong-Hough M 

PROVIDER: S-EPMC6496950 | biostudies-literature | 2018 Oct

REPOSITORIES: biostudies-literature