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Peer reviewedOpen accessTuberculosis

Why Do Migrants Choose to Receive Months-Long Tuberculosis Treatment at a Sanatorium? A Qualitative Exploration of Migrant Care-Seeking for Tuberculosis Diagnosis and Treatment in Tak Province, Thailand

Wellcome Open Research·

Jindaporn Wirachonphaophong, Hai Ti Ti, Nay Kaw Htoo, Kanjana Winyoorat, Cha Ba, San Soe, Suphak Nosten, Htet Ko Ko Aung, Sein Sein Thi, Decha Tangseefa, Ahmar Hashmi, Francois Nosten

DOI
10.12688/wellcomeopenres.27420.1
PMID
PMCID
OpenAlex
W7203760370
Study type
Commentary
Publisher
F1000 Research Ltd
Article type
journal-article
Integrity
current

Why this research matters now

Sanatorium-based tuberculosis care was acceptable to mobile migrant populations because it addressed structural and social barriers through free, trusted, and supportive care combined with practical assistance, enabling completion of prolonged treatment regimens.

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Structured evidence summary

Research question

This study explored factors influencing decisions by migrants along the Thailand-Myanmar border to accept tuberculosis treatment at a sanatorium in Tak Province, Thailand.

Study design

A multi-perspective qualitative study conducted between March and November 2025, utilizing focus group discussions and in-depth interviews with patients and healthcare workers, analyzed thematically within a constructivist framework.

Population and setting

Migrant populations along the Thailand-Myanmar border in Tak Province, Thailand, facing barriers related to undocumented status, cost, transportation, and limited health literacy.

Main findings

Three themes emerged: strong desire for cure as relief, protection, and economic stability; barriers including direct/indirect costs, police fear, and limited awareness; and support from family, employers, and organizations including free treatment, transportation, food, and housing that facilitated care-seeking and treatment completion.

Public-health relevance

Sanatorium-based tuberculosis care was acceptable to mobile migrant populations because it addressed structural and social barriers through free, trusted, and supportive care combined with practical assistance, enabling completion of prolonged treatment regimens.

Important limitations

This summary is limited to the supplied single-article abstract and metadata; the original paper is required for decision-grade interpretation. The study type is classified as Commentary, and the publication date (2026) raises questions about data availability.

GIDS interpretation

This study provides qualitative context on tuberculosis care-seeking dynamics among migrant populations near the Thailand-Myanmar border. Findings describe structural barriers and support mechanisms relevant to understanding healthcare access patterns but do not establish epidemiological trends or connect to active surveillance signals.

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Related GIDS surveillance

Literature context does not validate, explain, or change a surveillance signal. Exact and contextual relationships are shown separately.

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Evidence relationships

This article has 7 auditable classifier relationships to diseases, places, topics, and study design.

about diseaseaddresses topicaddresses topicevaluates interventionstudied instudied population settinguses study design