Stigma Drives MDR-TB 

Uzbekistan has some of the highest multidrug-resistant tuberculosis (MDR-TB) rates in the world with resistance found in 23% of new and 62% of retreatment cases. Why?
 
One significant reason: Pharmacies selling anti-TB drugs over the counter and a common stigma-driven urge to self-medicate, according to a qualitative study by Médecins Sans Frontières (MSF) and the health ministry. People who self-medicate often rely on incorrect treatment advice from friends and family.
 
In a commentary, Bev Stringer of MSF’s Operational Centre Amsterdam urgesearly case finding, community education to reduce stigma, better practitioner-patient trust and drug regulation and pharmacy audits.
Source: PLoS Speaking of Medicine Blog

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