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Table 1 Analytical framework used in this study for factors influencing access to care†

From: Illness costs to households are a key barrier to access diagnostic and treatment services for tuberculosis in Tajikistan

Main categories

Affordability

Acceptability

Accessibility*

Adequacy*

Sub-categories (and examples)

▪ Missed opportunities (lost income due to inability to work)

▪ Side effects of treatment

▪ Distance to facility (effort to cover distance, time needed)

▪ Organisational appropriateness of services

 

▪ Medical costs (costs for diagnostic tests, drugs, etc.)

▪ Perceived quality of care (technical specialisation of providers)

 

▪ Physical state and cleanliness of facilities

 

▪ Non-medical costs (transportation costs, expenditure for disease-related diets, etc.)

▪ Attitude of providers (friendliness of doctors)

 

▪ Convenient opening hours

  

▪ Lack of confidentiality (other community members find out about TB patient)

  
  

▪ Health beliefs (lack of belief in curability)

  
  1. †Adapted from reference 20.
  2. *In the participatory approach, factors relating to accessibility and adequacy were not regarded as important (no chickpeas allocated) and the results are presented without these factors.