'I'm fed up': Experiences of prior anti-tuberculosis treatment in patients with drug-resistant tuberculosis and HIV
Reid, A. J.
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Furin, J., Isaakidis, P., Reid, A. & Kielmann, K. (2014) 'I'm fed up': Experiences of prior anti-tuberculosis treatment in patients with drug-resistant tuberculosis and HIV. The International Journal of Tuberculosis and Lung Disease, 18 (12), pp. 1479-1484(6).
OBJECTIVES: To understand the impact of past experiences of anti-tuberculosis treatment among patients co-infected with the human immunodeficiency virus and multidrug-resistant tuberculosis (MDR-TB) on perceptions and attitudes towards treatment. METHODS: Qualitative study using in-depth interviews with 12 HIV-MDR-TB co-infected patients in Mumbai, India. RESULTS: Patients reported unnecessarily long pathways to care and fatigue with diagnostic and treatment procedures. In particular, they expressed concerns over the lack of efficacy of their current treatment regimen based on their experiences with anti-tuberculosis treatment regimens in the past. CONCLUSION: Patients reported negative experiences with previous HIV and anti-tuberculosis treatment. Access to early diagnosis and rapid initiation of integrated care for HIV-MDR-TB co-infected patients, with a strong, patient-centered support system, could help to combat the low morale and lack of faith in treatment described in this group of patients.Imagine: There's a boy called Billie who really wants to be a girl. But he's not allowed to show it. And there's a god called Jehovah who's got a wardrobe full of frocks. A closet he's afraid to show anyone. A closet he's locked and thrown away the key. Additional Information: It's begun to strike me, reading the book of GENESIS, that God's hiding something. He's not being straight with us. He's got something hidden in his closet, and tonight we're going to find out what it is... We'll find out through an experiment. An experiment with form. Traditional ideas of what manhood means are bringing war to every continent and endangering all of our lives. It's urgent that we explore different understandings of what it means to be a man; and to do so we need to explore different forms. So myself, the director Lorenzo Mele and the composer Robert Burlin, decided to collaborate to see how far we could get making words work with music, and music work with words. I t's an experiment in another sense too. I've written about 60 plays and seen them through into production. But I've never performed in one of my own. I'm curious to see what happens when I try