Local concepts and behavior towards tuberculosis in Payatas, a slum community in the Philippines
In Metro Manila, Philippines, the prevalence of tuberculosis (TB) is estimated to be up to nine times higher in slum communities, like the barangay of Payatas, than in the general population. In the Philippines, the lack of knowledge of etiology, transmission and treatment of tuberculosis is associated with lower socioeconomic status and lower levels of education. Furthermore, ethnographic studies have shown that local concepts such as "pasma" and "weak lungs" as well as the stigmatization associated with TB influence health seeking behavior and treatment. This qualitative, formative research project will explore local terminology and knowledge of TB within Payatas. Local prevention and treatment behavior will also be investigated. Focus groups and one-on-one semi-structured in-depth interviews will be held with community members, health providers, and those with a history of TB. This research project will be conducted in collaboration with the Center for Community Transformation's (CCT) Community Based Health Program. CCT is a local faith based community organization focused on community development through various initiatives including microfinance, education and health programs. The results of the formative research will inform development of a TB outreach and education program which will implemented alongside a community based Directly Observed Treatment Short course (DOTS) program.