title: Access and adhering to tuberculosis treatment: barriers faced by patients and communities in Burkina Faso.
abstract: METHODS
  Three selected districts in Burkina Faso.
  
  
  OBJECTIVE
  1) To explore patients' and community members' perceptions and problems associated with accessing formal tuberculosis (TB) treatment; and 2) to identify patients' and community members' perceptions and problems associated with adhering to formal TB treatment.
  
  
  METHODS
  Twenty-eight focus group discussions and 68 in-depth interviews with TB patients, community representatives, members of the health centre management committee, traditional healers and health professionals.
  
  
  RESULTS
  Attending the health centre was the last resort for patients with symptoms indicative of TB. When on treatment, patients faced a number of barriers in adhering to care. These related to the centralised nature of direct observation and the problems faced whilst at the treatment unit.
  
  
  CONCLUSIONS
  Patients experience three sets of inextricably linked barriers to successfully treating TB: attending the health centre initially, attending the health centre repeatedly and experiences whilst at the health centre. These barriers are further complicated by geography, poverty and gender. The challenge ahead lies in moving beyond documenting barriers from patients' perspectives to addressing them in resource-poor contexts.
authors.affiliation: National Tuberculosis Control Programme, Ouagadougou, Burkina Faso.
authors.forename: A
authors.initials: A
authors.lastname: Sanou
authors.forename: M
authors.initials: M
authors.lastname: Dembele
authors.forename: S
authors.initials: S
authors.lastname: Theobald
authors.forename: J
authors.initials: J
authors.lastname: Macq
mesh_terms: D002050:Burkina Faso; D023801:Directly Observed Therapy; D006297:Health Services Accessibility; D006801:Humans; D010349:Patient Compliance; D014397:Tuberculosis, Pulmonary / Q000188:drug therapy*