Exploring Tuberculosis Riskscapes in a Papua New Guinean ‘Hotspot’

Author:

Jops Paula1ORCID,Kupul Martha2ORCID,Trumb Richard Nake2,Cowan John2,Graham Stephen M.34ORCID,Bell Stephen5ORCID,Majumdar Suman4ORCID,Nindil Herolyn6,Pomat William12ORCID,Marais Ben7ORCID,Marks Guy89ORCID,Vallely Andrew J.12ORCID,Kaldor John1ORCID,Kelly-Hanku Angela12ORCID

Affiliation:

1. Kirby Institute, UNSW Sydney, Sydney, New South Wales, Australia

2. Papua New Guinea Institute of Medical Research, Goroka, Papua New Guinea

3. University of Melbourne, Parkville, Victoria, Australia

4. Burnet Institute, Melbourne, Australia

5. UQ Poche Institute for Indigenous Health, The University of Queensland, Brisbane, Queensland, Australia

6. National TB Program, National Department of Health, Port Moresby, Papua New Guinea

7. Sydney Infectious Diseases Institute, University of Sydney, Sydney Australia

8. Woolcock Institute of Medical Research, Sydney, New South Wales, Australia

9. Faculty of Medicine and Health, UNSW Sydney, Sydney, New South Wales, Australia

Abstract

This article explores socio-spatial dimensions of risk and how they can enhance understanding of a high burden tuberculosis (TB) context in the South Fly District of Papua New Guinea. We report on select findings from a qualitative study that included 128 semi-structured in-depth interviews and 10 focus group discussions with a wide range of South Fly District community members. Using the conceptual framework of ‘riskscapes’ to examine emic perspectives on risk, space and practice, we map key elements of TB riskscapes on Daru Island, South Fly District, along with solutions for navigating through these riskscapes. Overcrowding, lack of water, sanitation and hygiene, as well as food insecurity and undernutrition, were identified as common elements within participants’ riskscapes, that compounded upon each other to create the perception of an assemblage of risk favourable to TB transmission.

Funder

National Health and Medical Research Council (NHMRC) of Australia

Publisher

SAGE Publications

Subject

Public Health, Environmental and Occupational Health

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