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'For a mere cough, men must just chew Conjex, gain strength, and continue working': the provider construction and tuberculosis care-seeking implications in Blantyre, Malawi

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dc.date.accessioned 2015-07-20 en
dc.date.accessioned 2021-02-09T15:23:45Z
dc.date.available 2021-02-09T15:23:45Z
dc.date.issued 2015-08-25 en
dc.identifier.uri http://hdl.handle.net/20.500.11910/1864
dc.description.abstract Delay by men in seeking healthcare results in their higher mortality while on HIV or tuberculosis (TB) treatment and contributes to ongoing community-level disease transmission before going on treatment. The objective is to understand masculinity's role in delay in healthcare seeking for men, with a focus on TB-suggestive symptoms. Data were collected between March 2011 and March 2012 in low-income suburbs in urban Blantyre using focus group discussions with community members (n = 8) and health workers (n = 2), in-depth interviews with 20 TB patients (female = 14) and 20 uninvestigated chronic coughers (female = 8), and a 3-day participatory workshop with 27 health stakeholder representatives. The research process drew to a large extent on grounded theory principles in the manner of Strauss and Corbin (1998) and also Charmaz (1995). Role descriptions by both men and women in the study universally assigned men as primary material providers for their immediate family, that is, the ones earning and bringing livelihood and additional material needs. In a context where collectivism was valued, men were also expected to lead the provision of support to wider kin. Successful role enactment was considered key to achieving recognition as an adequate man; at the same time, job scarcity and insecurity, and low earnings gravely impeded men. Pressures to generate continuing income then meant constantly looking for jobs, or working continuously to retain insecure jobs or to raise money through self-employment. All this led men to relegate their health considerations. Early engagement with formal healthcare is critical to dealing with TB and HIV. However, role constructions as portrayed for men in this study, along with the opportunity costs of acknowledging illness seem, in conditions of vulnerability, important barriers to care-seeking. There is a need to address hidden care-seeking costs and to consider more complex interventions, including reducing precarity, in efforts to improve men's engagement with their health. en
dc.format.medium Print en
dc.publisher Co-Action Publishing en
dc.subject TUBERCULOSIS en
dc.subject MALAWI en
dc.subject MASCULINITY en
dc.subject HEALTH en
dc.subject LOW INCOME POPULATION en
dc.title 'For a mere cough, men must just chew Conjex, gain strength, and continue working': the provider construction and tuberculosis care-seeking implications in Blantyre, Malawi en
dc.type Journal Article en
dc.description.version Y en
dc.ProjectNumber N/A en
dc.Volume 8 en
dc.BudgetYear 2015/16 en
dc.ResearchGroup HIV/AIDS, STIs and TB en
dc.SourceTitle Global Health Action en
dc.PlaceOfPublication Jarfalla, Sweden en
dc.ArchiveNumber 8733 en
dc.URL http://ktree.hsrc.ac.za/doc_read_all.php?docid=15643 en
dc.PageNumber Online en
dc.outputnumber 7479 en
dc.bibliographictitle Chikovore, J., Hart, G., Kumwenda, M., Chipungu, G.A. & Corbett, L. (2015) For a mere cough, men must just chew Conjex, gain strength, and continue working: the provider construction and tuberculosis care-seeking implications in Blantyre, Malawi. <i>Global Health Action</i>. 8:Online. http://hdl.handle.net/20.500.11910/1864 en
dc.publicationyear 2015 en
dc.contributor.author1 Chikovore, J. en
dc.contributor.author2 Hart, G. en
dc.contributor.author3 Kumwenda, M. en
dc.contributor.author4 Chipungu, G.A. en
dc.contributor.author5 Corbett, L. en


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