EXPLORING THE DRIVERS OF HEALTH-SEEKING BEHAVIOR AMONG TUBERCULOSIS PATIENTS IN NORTHEAST NIGERIA’S DISPLACEMENT CAMPS
Authors: Emmanuel Jacques Mbala
Published: September 2025
Abstract
<p><em>Background: Over 3.3 million displaced people in Northeast Nigeria face increased TB risks due to overcrowding, malnutrition, and limited healthcare. Despite global efforts, little is known about IDPs' health-seeking behaviors in this crisis context. </em></p> <p><em>Objectives: To explore TB patients' care pathways, decision-making, and systemic barriers within IDP camps. </em></p> <p><em>Methods: Qualitative interviews with 150 TB patients across Adamawa, Gombe, and Yobe, analyzed thematically for financial, accessibility, and gender-related themes. </em></p> <p><em>Results: Most (73%) first sought care from chemists due to financial constraints. Patriarchal decisions dominated (68%), though women often led when men were absent. Systemic issues included medication shortages (81%), transportation costs (₦50–₦500), and long waits (2–5 hours). Despite valuing free services (89%), 22% used traditional medicine. </em></p> <p><em>Conclusion: Financial hardship, gender norms, and systemic gaps hinder TB care access among IDPs. Addressing drug shortages, transportation costs, and gender dynamics is critical to improving outcomes in displacement settings</em></p>
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