Towards TB Elimination in Aotearoa/New Zealand: Key Informant Insights on the Determinants of TB among African Migrants
Migrants living in low incidence countries, including New Zealand (NZ), are disproportionately affected by tuberculosis (TB). This foreign-born group poses important challenges to achieving the national TB elimination targets. Thus, the aim of this study was to contribute to the understandingof fact...
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MDPI AG
2018-04-01
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Series: | Tropical Medicine and Infectious Disease |
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Online Access: | http://www.mdpi.com/2414-6366/3/2/44 |
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author | Emmanuel Badu Charles Mpofu Panteá Farvid |
author_facet | Emmanuel Badu Charles Mpofu Panteá Farvid |
author_sort | Emmanuel Badu |
collection | DOAJ |
description | Migrants living in low incidence countries, including New Zealand (NZ), are disproportionately affected by tuberculosis (TB). This foreign-born group poses important challenges to achieving the national TB elimination targets. Thus, the aim of this study was to contribute to the understandingof factors that influence the incidence of TB among African migrants living in NZ. We employed a semi-structured interview approach to explore the perceptions of NZ-based African community leaders, health professionals and a non-governmental TB support organisation about the wider determinants of TB. The findings, though not completely generalizable, suggest that many NZ-based Africans endure a difficult process of integration, perceive themselves as least susceptible to TB and have low awareness about available health services. Furthermore, the cost of general practitioner (GP) services, mistrust of health professionals, TB stigma and the NZ immigration policy were indicated as important barriers to TB services. Strategies to address TB among migrants must therefore be more holistic and not be centred on a fragmented approach that overemphasises the biomedical approaches, as the incidence of TB is more likely the outcome of a complex interplay of several underlying factors. |
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format | Article |
id | doaj.art-2c5f1e409c334840a08e5fa81e4471d7 |
institution | Directory Open Access Journal |
issn | 2414-6366 |
language | English |
last_indexed | 2024-04-14T04:46:19Z |
publishDate | 2018-04-01 |
publisher | MDPI AG |
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series | Tropical Medicine and Infectious Disease |
spelling | doaj.art-2c5f1e409c334840a08e5fa81e4471d72022-12-22T02:11:26ZengMDPI AGTropical Medicine and Infectious Disease2414-63662018-04-01324410.3390/tropicalmed3020044tropicalmed3020044Towards TB Elimination in Aotearoa/New Zealand: Key Informant Insights on the Determinants of TB among African MigrantsEmmanuel Badu0Charles Mpofu1Panteá Farvid2Department of Public Health, Auckland University of Technology (AUT), 90 Akoranga Drive, Northcote 0627, New ZealandDepartment of Interprofessional Health Studies, Auckland University of Technology (AUT), 90 Akoranga Drive, Northcote 0627, New ZealandDepartment of Psychology, Auckland University of Technology (AUT), 90 Akoranga Drive, Northcote 0627, New ZealandMigrants living in low incidence countries, including New Zealand (NZ), are disproportionately affected by tuberculosis (TB). This foreign-born group poses important challenges to achieving the national TB elimination targets. Thus, the aim of this study was to contribute to the understandingof factors that influence the incidence of TB among African migrants living in NZ. We employed a semi-structured interview approach to explore the perceptions of NZ-based African community leaders, health professionals and a non-governmental TB support organisation about the wider determinants of TB. The findings, though not completely generalizable, suggest that many NZ-based Africans endure a difficult process of integration, perceive themselves as least susceptible to TB and have low awareness about available health services. Furthermore, the cost of general practitioner (GP) services, mistrust of health professionals, TB stigma and the NZ immigration policy were indicated as important barriers to TB services. Strategies to address TB among migrants must therefore be more holistic and not be centred on a fragmented approach that overemphasises the biomedical approaches, as the incidence of TB is more likely the outcome of a complex interplay of several underlying factors.http://www.mdpi.com/2414-6366/3/2/44tuberculosisAfricanmigrantdeterminantselimination |
spellingShingle | Emmanuel Badu Charles Mpofu Panteá Farvid Towards TB Elimination in Aotearoa/New Zealand: Key Informant Insights on the Determinants of TB among African Migrants Tropical Medicine and Infectious Disease tuberculosis African migrant determinants elimination |
title | Towards TB Elimination in Aotearoa/New Zealand: Key Informant Insights on the Determinants of TB among African Migrants |
title_full | Towards TB Elimination in Aotearoa/New Zealand: Key Informant Insights on the Determinants of TB among African Migrants |
title_fullStr | Towards TB Elimination in Aotearoa/New Zealand: Key Informant Insights on the Determinants of TB among African Migrants |
title_full_unstemmed | Towards TB Elimination in Aotearoa/New Zealand: Key Informant Insights on the Determinants of TB among African Migrants |
title_short | Towards TB Elimination in Aotearoa/New Zealand: Key Informant Insights on the Determinants of TB among African Migrants |
title_sort | towards tb elimination in aotearoa new zealand key informant insights on the determinants of tb among african migrants |
topic | tuberculosis African migrant determinants elimination |
url | http://www.mdpi.com/2414-6366/3/2/44 |
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