The Intervention Strategies To Reduce Tuberculosis Stigma In Community: A Systematic Review

Abstract

A B S T R A C T The stigma attached to tuberculosis (TB) patients leads to discrimination and social isolation, affecting the management of TB treatment. This literature review aims at exploring intervention strategy among communities to reduce tuberculosis (TB) stigma. The design employed was a systematic review. The data was obtained from Wiley Online Library database, Science Direct, PubMed, Research Gate, Springer Link, Scopus, Google Scholars, and national journals ranging from 2008-2018. Articles collected in this systematic review used "Tuberculosis" and "Stigma," "reducing stigma," "Intervention in TB Stigma," "dealing with TB stigma," "strategies for TB stigma" as the keywords. The title and abstract were explored and chosen based on inclusion criteria and additional articles selected by screening the list of references in citations from this literature. The result of the analysis is shown in the PRISMA flowchart. There were four intervention strategies found to reduce TB stigma, namely: (1) Health education, such as increasing TB socialization and campaign, (2) Home visit, (3) TB patients support, such as community support, family support, TB social club support, and finance support, (4) Improving medical workers quality. Therefor, some intervention strategies are required to reduce TB stigma. Low stigma has a positive impact on controlling and eliminating TB. The most common interventions are supports for TB patients and health education. Keywords: TBC; TB stigma; reducing stigma; patient supports; health education