Lived experiences of diagnosis and treatment of tuberculosis patients receiving directly observed treatment short course at the University of Uyo Teaching Hospital, Akwa Ibom State, Nigeria

Abudu OO; Wennie JS; Nwozichi C; Anokwuru RA

doi:10.61386/imj.v19i3.1181

Authors

Abudu OO Department of Adult Health/Medical Surgical Nursing, Babcock University, Ilishan - Remo, Ogun State, Nigeria
Wennie JS Department of Adult Health/Medical Surgical Nursing, Babcock University, Ilishan - Remo, Ogun State, Nigeria
Nwozichi C Department of Adult Health/Medical Surgical Nursing, Babcock University, Ilishan - Remo, Ogun State, Nigeria
Anokwuru RA Department of Maternal and Child Health, Babcock University, Ilishan - Remo, Ogun State, Nigeria

DOI:

https://doi.org/10.61386/imj.v19i3.1181

Keywords:

Tuberculosis, Lived Experience, DOTS, Diagnosis, Treatment Adherence

Abstract

Context: Tuberculosis remains a major public health concern in Nigeria, yet limited attention has been given to the lived experiences of patients undergoing the Directly Observed Treatment Short Course (DOTS), particularly in Akwa Ibom State.

Objectives: This study explored the lived experiences of diagnostic journeys and treatment challenges among TB patients receiving DOTS at the University of Uyo Teaching Hospital.

Materials and Methods: The study used a phenomenological design enabled in-depth interviews with 20 purposively selected participants who had been on treatment for three to six months. Rigour was ensured through credibility, dependability, transferability, and confirmability. Data were analysed using Tesch’s open-coding method and results presented in tables.

Results: Themes that highlighted delayed diagnosis, misinterpreted symptoms, emotional distress, and systemic barriers to healthcare access were documented. Participants described shock, fear, stigma, and financial constraints that prolonged help-seeking. Treatment experiences were marked by severe medication side effects, high pill burden, and difficulties maintaining adherence, often leading to temporary discontinuation. Despite these challenges, support from family and healthcare workers played a crucial role in sustaining treatment.

Conclusion: The findings underscore the need for improved diagnostic access, enhanced patient support systems, and strengthened counselling to promote adherence and improve treatment outcomes.