Tuberculosis management and referral practices among traditional medicine practitioners in Lagos, Nigeria

Victor Abiola Adepoju; Olanrewaju Oladimeji; Maureen Nokuthula Sibiya; Jude Inegbeboh; Ginika Egesemba

doi:10.4081/jphia.2023.1480

Authors

Victor Abiola Adepoju Department of HIV and Infectious Diseases, Jhpiego Nigeria, an affiliate of John Hopkins University, Abuja, Nigeria. https://orcid.org/0000-0001-8379-1001
Olanrewaju Oladimeji
ooladimeji@wsu.ac.za
Department of Public Health, Walter Sisulu University, Eastern Cape; Faculty of Health Sciences, Durban University of Technology, Durban, South Africa.
Maureen Nokuthula Sibiya Faculty of Health Sciences, Durban University of Technology, Durban, South Africa. https://orcid.org/0000-0003-1220-1478
Jude Inegbeboh European Union Maternal, Newborn, and Child Health and Nutrition, UNICEF, Kebbi State, Nigeria.
Ginika Egesemba International Center for AIDS Care and Treatment Program (ICAP) at Columbia University, Sierra Leone Teaching Hospital, Ikeja, Lagos State, Nigeria. https://orcid.org/0000-0003-3366-7840

Introduction: Despite the potential role of Traditional Birth Attendants (TBAs) and Traditional Healers (THs), little is known about their knowledge of tuberculosis (TB) management and refer- ral practices in Nigeria.

Objective: To determine knowledge and self-reported prac- tices of traditional birth attendants and traditional healers in man- aging TB in Lagos, Nigeria.

Methods: A cross-sectional study of 120 THs and TBAs in three high TB burden Local Government Areas (LGAs) in Lagos, Nigeria. Data were collected between April 2018 to September 2018 through interviewer-administered questionnaires. We used Statistical Package for Social Sciences software for data analyses. Independent predictors of being TBA or TH were determined using logistic regression at the statistical significance of P<0.05 and 95% confidence interval.

Results: TB knowledge increased from 52.7% pre-test to 61.7% post-test and did not differ between TBAs and THs. Of the 120 Traditional Medical Practitioners studied, 70% (84) never treated TB; 57.3 % (69) ever referred chronic cough patients to a health facility; 90% (108) were willing to collaborate with National Tuberculosis, Leprosy and Buruli Ulcer Control Programme (NTBLCP), 85% (102) attached monetary and token incentive as a condition for the collaboration. THs had decreased odds of ever referring TB patient to the hospital (AOR: 0.3, 95% CI:0.14-0.64, P=0.002); currently referring TB patients (AOR: 0.06, 95% CI:0.02-0.17, P<0.0001) and consulting <40 patients in a year (AOR: 0.22,95% CI:0.09-0.53, P<0.0001).

Conclusion: Majority of the THs and TBAs were willing to collaborate with NTBLCP in the identification and referral of Presumptive TB patients. We suggest that NTBLCP empowers the TBAs and THs to help with an early referral of TB patients.

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Adepoju, V. A., Oladimeji, O., Sibiya, M. N., Inegbeboh, J., & Egesemba, G. (2023). Tuberculosis management and referral practices among traditional medicine practitioners in Lagos, Nigeria. Journal of Public Health in Africa, 14(2). https://doi.org/10.4081/jphia.2023.1480