Next Article in Journal
First Aid and Pre-Hospital Management of Venomous Snakebites
Next Article in Special Issue
‘Know Your Epidemic’: Are Prisons a Potential Barrier to TB Elimination in an Australian Context?
Previous Article in Journal
A Comparative Assessment of Epidemiologically Different Cutaneous Leishmaniasis Outbreaks in Madrid, Spain and Tolima, Colombia: An Estimation of the Reproduction Number via a Mathematical Model
Article Menu

Export Article

Open AccessArticle
Trop. Med. Infect. Dis. 2018, 3(2), 44; https://doi.org/10.3390/tropicalmed3020044

Towards TB Elimination in Aotearoa/New Zealand: Key Informant Insights on the Determinants of TB among African Migrants

1
Department of Public Health, Auckland University of Technology (AUT), 90 Akoranga Drive, Northcote 0627, New Zealand
2
Department of Interprofessional Health Studies, Auckland University of Technology (AUT), 90 Akoranga Drive, Northcote 0627, New Zealand
3
Department of Psychology, Auckland University of Technology (AUT), 90 Akoranga Drive, Northcote 0627, New Zealand
*
Author to whom correspondence should be addressed.
Received: 10 March 2018 / Revised: 16 April 2018 / Accepted: 17 April 2018 / Published: 22 April 2018
(This article belongs to the Special Issue Tuberculosis Elimination in the Asia-Pacific)
Full-Text   |   PDF [231 KB, uploaded 3 May 2018]

Abstract

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. View Full-Text
Keywords: tuberculosis; African; migrant; determinants; elimination tuberculosis; African; migrant; determinants; elimination
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).
SciFeed

Share & Cite This Article

MDPI and ACS Style

Badu, E.; Mpofu, C.; Farvid, P. Towards TB Elimination in Aotearoa/New Zealand: Key Informant Insights on the Determinants of TB among African Migrants. Trop. Med. Infect. Dis. 2018, 3, 44.

Show more citation formats Show less citations formats

Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Metrics

Article Access Statistics

1

Comments

[Return to top]
Trop. Med. Infect. Dis. EISSN 2414-6366 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
Back to Top