Socio-demographic Factors that Influence the Implementation of Tuberculosis Donor-Funded Health Services in Zanzibar Tanzania
Keywords:
Donor funding, Heath services, Socio-demographic factors, Tuberculosis & ZanzibarAbstract
Tuberculosis (TB) is one of the killer diseases that is affecting humanities despite the available treatment services. The paper is based on the study that was done in Zanzibar using the case of Mnazi Mmmoja Hospital in examining the influence of socio-demographic factors in facilitating the implementation of donor-funded TB services in the study area. The study employed a 100 sample size that comprised health workers and users of TB services who were selected by purposive and simple random sampling procedures. The study was a mixed approach because of the need to capture the experiences and extent of socio-demographic factors in influencing the use and practice of TB services provision in the study area. It was found that demographic factors including sex, age and education level have a significant level of influence in the use of TB services at (P=0.03, P=0.00, and P=0.00 respectively). The study found that the social factors that influence the use of TB services include users’ belief and support of TB services with 2.5 levels of influence indicating a moderate influence. Patients’ attendance on TB services with a 3.2 level of influence indicating a moderate level of influence. The use of traditional medicine by TB patients had 4.1 levels indicating a high level of influence. The stereotype on the use of TB services had 1.3 influences signifying a very low level of influence. The use of traditional TB services had a 1.3 level that indicated a very low level of influence on the use of traditional TB services relative to modern services in the study area. The paper concludes that socio-demographic factors variably influence the provision and use of TB services in the study area. It was recommended that more investment should be done to promote TB services based on age, sex, education and socio-factors inclusion in interventions to enhance best practices in TB services.
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