People with Tuberculosis in Thailand: Impacts of Stigma and Directly Observed Treatment Practice Guidelines
Keywords:
TB, DOT, Stigma, Directly Observed Treatment, Tuberculosis, AdherenceAbstract
Tuberculosis (TB) has been received heavy attention in the last decade. However, it remains a major health problems worldwide, including in Thailand.The aim of this descriptive paper was to precise content and scope of the concept of effect on stigma and, therefor to provide directly observed treatment practice (DOT) guidelines for people with TB in Thailand. TB is considered a shameful disease, which may lead people to hide their disease and change their social interaction after being diagnosed. The fear of stigma among TB patients was found to be the main barrier to the practice of DOT. Since TB patients would conceal their illness and struggle for social belonging, not only the individuals but also the whole family may suffer from social stigma and its negative consequences. The fear of stigma is a universal concept and applied in a similar way in Thai like any other cultural perspective. The DOT observers, as facilitators, need to support and provide encouragement to the TB patients in order to help them to achieve adherence to treatment. They need strong interpersonal and communication skills and must be able to earn trust and respect of the TB patients.
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