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'Why should I start medication when I am not feeling sick?' A qualitative study of refusal, initiation, completion and discontinuation of tuberculosis preventive treatment among people living with HIV in sub-Saharan Africa.

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Title: 'Why should I start medication when I am not feeling sick?' A qualitative study of refusal, initiation, completion and discontinuation of tuberculosis preventive treatment among people living with HIV in sub-Saharan Africa.
Authors: Tsope L; Implementation Research Division, Aurum Institute, Johannesburg, South Africa., Chimoyi L; Implementation Research Division, Aurum Institute, Johannesburg, South Africa., Kennar A; Johns Hopkins University, Baltimore, Maryland, USA., Rabothata I; Implementation Research Division, Aurum Institute, Johannesburg, South Africa., Sisay S; KNCV Tuberculosis Foundation, Addis Ababa, Ethiopia., Sithole K; Clinton Health Access Initiative, Harare, Zimbabwe., Kawaza N; Clinton Health Access Initiative, Harare, Zimbabwe., Apollo T; National TB and Leprosy Program, Zimbabwe Ministry of Health and Child Care, Harare, Harare Province, Zimbabwe., Gwanzura C; National TB and Leprosy Program, Zimbabwe Ministry of Health and Child Care, Harare, Harare Province, Zimbabwe., Dressie S; National TB and Leprosy Program, Addis Ababa City Administration Health Bureau, Addis Ababa, Ethiopia., Bedru A; KNCV Tuberculosis Foundation, Addis Ababa, Ethiopia., Mulder C; Department of TB Elimination and Health System Innovations, KNCV Tuberculosis Foundation, The Hague, Netherlands., Chihota V; Global Science, Aurum Institute, Johannesburg, South Africa.; School of Public Health, University of Witwatersrand, Johannesburg, Gauteng, South Africa.; Department of Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee, USA., Hoffmann CJ; Department of Medicine, Johns Hopkins University, Baltimore, Massachusetts, USA., Owczarzak J; Johns Hopkins University, Baltimore, Maryland, USA.
Source: BMJ public health [BMJ Public Health] 2026 Jul 14; Vol. 4 (3), pp. e004163. Date of Electronic Publication: 2026 Jul 14 (Print Publication: 2026).
Publication Type: Journal Article
Journal Info: Publisher: BMJ Publishing Group Country of Publication: England NLM ID: 9918697578906676 Publication Model: eCollection Cited Medium: Internet ISSN: 2753-4294 (Electronic) Linking ISSN: 27534294 NLM ISO Abbreviation: BMJ Public Health Subsets: PubMed not MEDLINE
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  Data: 'Why should I start medication when I am not feeling sick?' A qualitative study of refusal, initiation, completion and discontinuation of tuberculosis preventive treatment among people living with HIV in sub-Saharan Africa.
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  Data: <searchLink fieldCode="AU" term="%22Tsope+L%22">Tsope L</searchLink>; Implementation Research Division, Aurum Institute, Johannesburg, South Africa.<br /><searchLink fieldCode="AU" term="%22Chimoyi+L%22">Chimoyi L</searchLink>; Implementation Research Division, Aurum Institute, Johannesburg, South Africa.<br /><searchLink fieldCode="AU" term="%22Kennar+A%22">Kennar A</searchLink>; Johns Hopkins University, Baltimore, Maryland, USA.<br /><searchLink fieldCode="AU" term="%22Rabothata+I%22">Rabothata I</searchLink>; Implementation Research Division, Aurum Institute, Johannesburg, South Africa.<br /><searchLink fieldCode="AU" term="%22Sisay+S%22">Sisay S</searchLink>; KNCV Tuberculosis Foundation, Addis Ababa, Ethiopia.<br /><searchLink fieldCode="AU" term="%22Sithole+K%22">Sithole K</searchLink>; Clinton Health Access Initiative, Harare, Zimbabwe.<br /><searchLink fieldCode="AU" term="%22Kawaza+N%22">Kawaza N</searchLink>; Clinton Health Access Initiative, Harare, Zimbabwe.<br /><searchLink fieldCode="AU" term="%22Apollo+T%22">Apollo T</searchLink>; National TB and Leprosy Program, Zimbabwe Ministry of Health and Child Care, Harare, Harare Province, Zimbabwe.<br /><searchLink fieldCode="AU" term="%22Gwanzura+C%22">Gwanzura C</searchLink>; National TB and Leprosy Program, Zimbabwe Ministry of Health and Child Care, Harare, Harare Province, Zimbabwe.<br /><searchLink fieldCode="AU" term="%22Dressie+S%22">Dressie S</searchLink>; National TB and Leprosy Program, Addis Ababa City Administration Health Bureau, Addis Ababa, Ethiopia.<br /><searchLink fieldCode="AU" term="%22Bedru+A%22">Bedru A</searchLink>; KNCV Tuberculosis Foundation, Addis Ababa, Ethiopia.<br /><searchLink fieldCode="AU" term="%22Mulder+C%22">Mulder C</searchLink>; Department of TB Elimination and Health System Innovations, KNCV Tuberculosis Foundation, The Hague, Netherlands.<br /><searchLink fieldCode="AU" term="%22Chihota+V%22">Chihota V</searchLink>; Global Science, Aurum Institute, Johannesburg, South Africa.; School of Public Health, University of Witwatersrand, Johannesburg, Gauteng, South Africa.; Department of Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee, USA.<br /><searchLink fieldCode="AU" term="%22Hoffmann+CJ%22">Hoffmann CJ</searchLink>; Department of Medicine, Johns Hopkins University, Baltimore, Massachusetts, USA.<br /><searchLink fieldCode="AU" term="%22Owczarzak+J%22">Owczarzak J</searchLink>; Johns Hopkins University, Baltimore, Maryland, USA.
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