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Population Aging and Migrant Workers: Bottlenecks in Tuberculosis Control in Rural China

Author

Listed:
  • Sumedh Bele
  • Wei Jiang
  • Hui Lu
  • Hua You
  • Hong Fan
  • Lifang Huang
  • Qungang Wang
  • Hongbing Shen
  • Jianming Wang

Abstract

Background: Tuberculosis is a serious global health problem. Its paradigms are shifting through time, especially in rapidly developing countries such as China. Health providers in China are at the forefront of the battle against tuberculosis; however, there are few empirical studies on health providers' perspectives on the challenges they face in tuberculosis control at the county level in China. This study was conducted among health providers to explore their experiences with tuberculosis control in order to identify bottlenecks and emerging challenges in controlling tuberculosis in rural China. Methods: A qualitative approach was used. Semi-structured, in-depth interviews were conducted with 17 health providers working in various positions within the health system of one rural county (ZJG) of China. Data were analyzed based on thematic content analysis using MAXQDA 10 qualitative data analysis software. Results: Health providers reported several problems in tuberculosis control in ZJG county. Migrant workers and the elderly were repeatedly documented as the main obstacles in effective tuberculosis control in the county. At a personal level, doctors showed their frustration with the lack of new drugs for treating tuberculosis patients, and their opinions varied regarding incentives for referring patients. Conclusion: The results suggest that several problems still remain for controlling tuberculosis in rural China. Tuberculosis control efforts need to make reaching the most vulnerable populations a priority and encourage local health providers to adopt innovative practices in the local context based on national guidelines to achieve the best results. Considerable changes in China's National Tuberculosis Control Program are needed to tackle these emerging challenges faced by health workers at the county level.

Suggested Citation

  • Sumedh Bele & Wei Jiang & Hui Lu & Hua You & Hong Fan & Lifang Huang & Qungang Wang & Hongbing Shen & Jianming Wang, 2014. "Population Aging and Migrant Workers: Bottlenecks in Tuberculosis Control in Rural China," PLOS ONE, Public Library of Science, vol. 9(2), pages 1-7, February.
    • Handle: RePEc:plo:pone00:0088290
    DOI: 10.1371/journal.pone.0088290
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    References listed on IDEAS

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    1. Xu, B. & Fochsen, G. & Xiu, Y. & Thorson, A. & Kemp, J. R. & Jiang, Q. W., 2004. "Perceptions and experiences of health care seeking and access to TB care--a qualitative study in Rural Jiangsu Province, China," Health Policy, Elsevier, vol. 69(2), pages 139-149, August.
    2. Samia Laokri & Koiné Maxime Drabo & Olivier Weil & Benoît Kafando & Sary Mathurin Dembelé & Bruno Dujardin, 2013. "Patients are paying too much for tuberculosis: a direct cost-burden evaluation in Burkina Faso," ULB Institutional Repository 2013/153198, ULB -- Universite Libre de Bruxelles.
    3. Samia Laokri & Maxime Koiné Drabo & Olivier Weil & Benoît Kafando & Sary Mathurin Dembélé & Bruno Dujardin, 2013. "Patients Are Paying Too Much for Tuberculosis: A Direct Cost-Burden Evaluation in Burkina Faso," PLOS ONE, Public Library of Science, vol. 8(2), pages 1-6, February.
    4. Chen, Juan, 2011. "Internal migration and health: Re-examining the healthy migrant phenomenon in China," Social Science & Medicine, Elsevier, vol. 72(8), pages 1294-1301, April.
    5. Zhang, Tuohong & Liu, Xiaoyun & Bromley, Helen & Tang, Shenglan, 2007. "Perceptions of tuberculosis and health seeking behaviour in rural Inner Mongolia, China," Health Policy, Elsevier, vol. 81(2-3), pages 155-165, May.
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