Tuberculosis Control Learning Games

1993 ◽  
Vol 23 (3) ◽  
pp. 101-103 ◽  
Author(s):  
Ian Smith
Keyword(s):  
Health Workers ◽  
Tuberculosis Control ◽  
Learning Games ◽  
Tb Control ◽  
Control Learning

In teaching health workers about tuberculosis (TB) control we frequently concentrate on the technological aspects, such as diagnosis, treatment and recording. Health workers also need to understand the sociological aspects of TB control, particularly those that influence the likelihood of diagnosis and cure. Two games are presented that help health workers comprehend the reasons why TB patients often delay in presenting for diagnosis, and why they then frequently default from treatment.

scholarly journals Pelatihan Kader Kesehatan untuk Penemuan Penderita Suspek Tuberkulosis

2013 ◽  
Vol 8 (2) ◽  
pp. 85
Author(s):  
Chatarina Umbul Wahyuni ◽  
Kurnia Dwi Artanti
Keyword(s):  
Health Status ◽  
Quantitative Methods ◽  
Health Workers ◽  
Control Program ◽  
Control Group ◽  
Tuberculosis Control ◽  
Control Group Design ◽  
Tb Control ◽  
Suspected Tuberculosis ◽  
The City

Di Indonesia, kasus tuberkulosis (TB) yang dilaporkan pada tahun 2011 ter- deteksi lebih dari 70% dan cenderung terus meningkat. Di Kota Surabaya, cakupan penemuan penderita adalah sekitar 49,52% dengan jumlah suspek TB sebanyak 4.402 orang hingga tahun 2011. Keterlibatan masyarakat dalam penanggulangan TB tersebut sesuai dengan Kerangka Kerja Strategi Penanggulangan TB 2006-2010. Masyarakat berpeluang untuk berperan dalam penanggulangan TB, sumber daya di masyarakat dimanfaatkan untuk meningkatkan derajat kesehatan dan mengubah perilaku masyarakat. Penelitian ini bertujuan mengetahui pengaruh pelatihan terhadap pengetahuan kader kesehatan dalam penemuan suspek TB. Penelitian kuantitatif ini menggunakan rancangan studi kuasi eksperimental kelompok kontrol non-ekuivalen. Perlakuan pelatihan program pengendalian berupa penemuan suspek TB. Populasi penelitian adalah ibu rumah tangga di wilayah kerja Puskesmas Mojo di Kota Surabaya dengan jumlah sampel 90 ibu rumah tangga berumur rata-rata 48 tahun, tingkat pendidikan terbanyak adalah tamat SMA (58,9%). Setelah pelatihan, pengetahuan kader tentang penemuan suspek TB meningkat dari 67 (74,4%) menjadi 89 (98,9%). Perlu implementasi untuk melihat kemampuan kader menerapkan pengetahuan yang diperoleh dalam menemukan suspek penderita TB dengan pen- dampingan dan monitoring kader.Progress reports current situation of tuberculosis (TB) in Indonesia in 2011 showed Case Detection Rate (CDR) of over 70% and showed an increase from year to year. While the city of Surabaya figures coverage discovery Patients up to 2011 amounted to 49.52% with the number of 4,402 people suspected. Community involvement in TB control in accordance with the Tuberculosis Control Strategy Framework 2006-2010. The opportunities as well as public opportunities to participate in TB control to make the resources available in the community should be utilized to improve health status and change people’s behavior as a factor influencing health status. This study aimed to determine the effect of training on the knowledge of health cadres in the discovery of suspected tuberculosisThis study uses quantitative methods to the design of a Quasi Nonequivalent Experimental Control Group Design. Treatment will be given in the form of training on tuberculosis control program in the discovery suspected tuberculosis. The population in this study was a housewife in Puskesmas Mojo working in the city of Surabaya. Large sample taken as many as 90 respondents. Characteristics housewife with average age 48 years, female gender, and education all most 31.1%. Improvement occurred knowledge of 67 (74.4 %) health workers who have good knowledge before training to 89 (98.9 %). Based on the results of this study concluded increased knowledge of health workers after training in the discovery of suspected tuberculosis. Further implementation is needed to see the ability of the implementing cadres who have acquired knowledge in finding patients with suspected tuberculosis in the surrounding environment. In its application may be made to the guidance and monitoring of health cadres in the process of discovery with suspected tuberculosis.

scholarly journals Qualitative Assessment of Challenges in Tuberculosis Control in West Gojjam Zone, Northwest Ethiopia: Health Workers’ and Tuberculosis Control Program Coordinators’ Perspectives

2016 ◽  
Vol 2016 ◽  
pp. 1-8 ◽  
Author(s):  
Senedu B. Gebreegziabher ◽  
Solomon A. Yimer ◽  
Gunnar A. Bjune
Keyword(s):  
Health Workers ◽  
Control Program ◽  
Tuberculosis Control ◽  
Tb Control ◽  
Program Coordinators ◽  
West Gojjam ◽  
Study Zone ◽  
Health Institutions ◽  
West Gojjam Zone ◽  
Tb Control Program

Background.Weak health systems pose many barriers to effective tuberculosis (TB) control. This study aimed at exploring health worker’s and TB control program coordinator’s perspectives on health systems challenges facing TB control in West Gojjam Zone, Amhara Region, Ethiopia.Methods.This was a qualitative descriptive study. Eight in-depth interviews with TB control program coordinators and two focus group discussions among 16 health workers were conducted. Purposive sampling was used to recruit study participants. Thematic analysis was used to identify and analyse main themes.Results.We found that intermittent interruptions of laboratory reagents and anti-TB drugs supplies, absence of trained and motivated health workers, poor TB data documentation, lack of adherence to TB treatment guideline, and lack of access to TB diagnostic tools at peripheral health institutions were challenges facing the TB control program performance in the study zone.Conclusions.Ensuring uninterrupted supply of anti-TB drugs and laboratory reagents to all health institutions is essential. Continuous refresher training of health workers on standard TB care and data handling and developing and implementing a sound retention strategy to attract and motivate health professionals to work in rural areas are necessary interventions to improve the TB control program performance in the study zone.

scholarly journals Knowledge and perceptions of national and provincial tuberculosis control programme managers in Pakistan about the WHO Stop TB strategy: a qualitative study

JRSM Open ◽  
2016 ◽  
Vol 8 (1) ◽  
pp. 205427041667508 ◽  
Author(s):  
Wasiq Mehmood Khan ◽  
Helen Smith ◽  
Ejaz Qadeer ◽  
Sondus Hassounah
Keyword(s):  
Control Programme ◽  
Health Systems Strengthening ◽  
Hiv Care ◽  
Political Commitment ◽  
Tuberculosis Control ◽  
Tb Control ◽  
Provincial Level ◽  
Tuberculosis Control Programme ◽  
Tuberculosis Programme ◽  
Stop Tb Strategy

Objective To understand how national and provincial tuberculosis programme managers in Pakistan perceive and engage with the Stop TB strategy, its strengths, weaknesses and their experience in its implementation. National and provincial tuberculosis programme managers play an important role in effective implementation of the Stop TB strategy. Design A qualitative interview study was conducted with 10 national and provincial tuberculosis programme managers to understand how they perceive and engage with the Stop TB strategy, its strengths, weaknesses and their experience in its implementation. Managers were selected purposively; 10 managers were interviewed (six national staff and four from provincial level). Participants National and provincial tuberculosis programme managers in Pakistan. Managers were selected purposively; 10 managers were interviewed (six national staff and four from provincial level). Setting National and provincial tuberculosis programmes in Pakistan Main outcome measures 1. Knowledge and perceptions of national and provincial tuberculosis programme managers about the Stop TB strategy 2. Progress in implementing the strategy in Pakistan 3. Significant success factors 4. Significant implementation challenges 5. Lessons learnt to scale up successful implementation. Results The managers reported that most progress had been made in extending DOTS, health systems strengthening, public -private mixed interventions, MDR-TB care and TB/HIV care. The four factors that contributed significantly to progress were the availability of DOTS services, the public-private partnership approach, comprehensive guidance for TB control and government and donor commitment to TB control. Conclusion This study identified three main challenges as perceived by national and provincial tuberculosis programme managers in terms of implementing the Stop TB strategy: 1. Inadequate political commitment, 2. Issue pertaining to prioritisation of certain components in the TB strategy over others due to external influences and 3. Limitations in the overall health system. To improve the tuberculosis control programme in the country political commitment needs to be enhanced and public -private partnerships increased. This can be done through government prioritisation of TB control at both national and provincial levels; donor-funded components should not receive undue attention; and partnerships with the private health sector, health institutions not yet covered by DOTS services, non-governmental organisations and patient coalitions should be increased.

scholarly journals Current situation of tuberculosis and National Strategic Plan for Tuberculosis Control in Korea

2021 ◽  
Vol 64 (4) ◽  
pp. 316-323
Author(s):  
Eunjeong Son ◽  
Doosoo Jeon
Keyword(s):  
Insurance Coverage ◽  
Public Health Problem ◽  
Strategic Plan ◽  
Multidrug Resistant ◽  
High Rate ◽  
Foreign Born ◽  
Tuberculosis Control ◽  
Notification Rate ◽  
Tb Control ◽  
National Strategic Plan

Tuberculosis (TB) remains a serious public health problem in Korea. Korea has the highest incidence rate (59 per 100,000 population) and the second-highest TB mortality rate (four per 100,000 population) among Organisation for Economic Cooperation and Development member countries. However, some progress has been made in TB control over the past decade. The notification rate of new TB cases has been gradually decreasing since reaching its highest rate in 2011 (78.9 per 100,000 population). In 2019, the notification rate of new TB cases was 46.4 per 100,000 population, with a reduction of 9.9% from the 2018 rate. Additionally, the number of multidrug-resistant TB cases decreased from 618 in 2018 to 580 in 2019. This progress is thought the result of various TB control programs including a TB public–private mix model, insurance coverage for TB management, and a contact investigation program. Despite the progress made, new challenges have also emerged. The predominant challenges lie in the relatively increasing burden of TB in the vulnerable population (aging, socio-economically vulnerable, and foreign-born population), the implementation of latent TB infection management, and the high rate of multidrug-resistant TB. Since 2019, the Korean government has been implementing the “Midterm strategies to strengthen TB prevention and management” based on the 2nd National Strategic Plan for Tuberculosis Control (2018-2022). This program will be a turning point of TB control in Korea. The results produced in 2023 is expected to be favorable.

scholarly journals Involvement of Community Health Workers in Tuberculosis Control in Bangladesh.

1999 ◽  
Vol 27 (2) ◽  
pp. 167-173
Author(s):  
MOHAMMAD AKRAMUL ISLAM ◽  
YASUHIDE NAKAMURA ◽  
SOM-ARCH WONGKHOMTHONG ◽  
SADIA A. CHOWDHURY ◽  
NOBUKATSU ISHIKAWA
Keyword(s):  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
Tuberculosis Control

scholarly journals Beyond DOTS (Directly Observed Treatment Short-Course) in tuberculosis' control: interfacing and sharing needs

2009 ◽  
Vol 17 (5) ◽  
pp. 689-694 ◽  
Author(s):  
Alba Idaly Muñoz Sanchez ◽  
Maria Rita Bertolozzi
Keyword(s):  
Treatment Adherence ◽  
Health Workers ◽  
Disease Process ◽  
Structured Interview ◽  
Ethics Committee ◽  
Health Needs ◽  
Tuberculosis Control ◽  
Short Course ◽  
Directly Observed Treatment ◽  
The City

This study analyzes meanings that health workers attribute to DOTS and points out alternatives that contribute to its performance. After the Research Ethics Committee approved the project, a semi-structured interview was applied to 15 health workers from the central region of the city of São Paulo, SP, Brazil between August and December 2004. This study used hermeneutic-dialectic reference and the theory of social determinants of the health-disease process. DOTS contributes to treatment adherence and promotes interfacing in encounters and conversations between workers and users at the institutional and territorial levels, which permits identifying health needs and implementing appropriate interventions. One of the main challenges to its implementation is to become a space that enables grasping, decoding and reconstructing meanings in relation to the health-disease process including the treatment and life projects of patients with tuberculosis.

Training Effectiveness in Change Knowledge and Attitude of Social Health Workers (Cadres) on Tuberculosis Disease

2019 ◽  
Vol 2 (3) ◽  
pp. 99
Author(s):  
Diah Prasetyorini ◽  
Hari Kusnanto ◽  
Mora Claramita
Keyword(s):  
Health Workers ◽  
Public Health Problem ◽  
Tuberculosis Control ◽  
Experiment Research ◽  
The World ◽  
Level Of Knowledge ◽  
Effectiveness Of Training ◽  
Knowledge And Attitude ◽  
The Given ◽  
Tuberculosis Disease

Background: Tuberculosis is a contagious disease that is still a public health problem. Indonesia is the country with the second most frequent tuberculosis cases in the world. One of the element that play a role in tuberculosis control is qualified human resources, including health cadres.Objectives: To determine the effectiveness of training to increase knowledge and change the attitude of the health cadres against tuberculosis in Gunungkidul.Methods: This study uses the Quasy Experiment research design, with a pretest-posttest design. Before the given intervention is given a pretest, then intervention in the form of training, after that do the posttest. After that analysis and test significance.Results: There were 70 health cadres, 35 were given intervention (training) and 35 as controls. There was a significant increase in knowledge in training cadres (p < 0.05) and there was a difference in the level of knowledge between trained and untrained (p < 0.05), there was a change in attitude on the trained and untrained cadres (p < 0.05).Conclusions: With the training, it can be improve knowledge and influence the attitude of health cadres against tuberculosis.

Diminishing returns in bovine tuberculosis control

2013 ◽  
Vol 141 (7) ◽  
pp. 1382-1389 ◽  
Author(s):  
J. HONE
Keyword(s):  
New Zealand ◽  
Bovine Tuberculosis ◽  
Linear Models ◽  
Brushtail Possum ◽  
Regression Analyses ◽  
Tuberculosis Control ◽  
Tb Control ◽  
Diminishing Returns ◽  
Best Fitting ◽  
Strength Of Association

SUMMARYMycobacterium bovis causes bovine tuberculosis (bTB) in many mammals including cattle, deer and brushtail possum. The aim of this study was to estimate the strength of association, using model selection (AICc) regression analyses, between the proportion of cattle and farmed deer herds with bTB in New Zealand and annual costs of TB control, namely disease control in livestock, in wildlife or in a combination of the two. There was more support for curved (concave up) than linear models which related the proportion of cattle and farmed deer herds with bTB to the annual control costs. The curved, concave-up, best-fitting relationships showed diminishing returns with no positive asymptote and implied TB eradication is feasible in New Zealand.

scholarly journals Tuberculosis control in Europe needs expanded DOTS, linked HIV/TB control, and improved surveillance

2002 ◽  
Vol 6 (25) ◽  
Author(s):  
A Infuso ◽  
J Veen
Keyword(s):  
Soviet Union ◽  
The Netherlands ◽  
Former Soviet Union ◽  
Tuberculosis Control ◽  
Tuberculosis Incidence ◽  
Tb Control ◽  
Short Course ◽  
Directly Observed Treatment ◽  
Epidemiological Changes

The eighth Wolfheze Workshop, in the Netherlands from 7-12 June 2002, has concluded that tuberculosis (TB) control in Europe needs expanded directly observed treatment-short course (DOTS), linked HIV and TB control, and improved surveillance. The workshop consisted of three consecutive modules attended by a total of 92 delegates from 45 countries. The first Wolfheze workshop on tuberculosis control in Europe was held in 1990 as a policy platform for low tuberculosis incidence countries. It became a platform for TB control in all of Europe after the epidemiological changes observed in the former Soviet Union.

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