A Qualitative Evaluation of the Information, Education, and Communication Component of the Tuberculosis Control Program in Delhi, India

2009 ◽  
Vol 21 (3) ◽  
pp. 321-332 ◽  
Author(s):  
Nandini Sharma ◽  
Anita Nath ◽  
Davender Kumar Taneja ◽  
Gopal Krishnan Ingle

Tuberculosis control programs have recognized and addressed those system components in which knowledge and behavior of the patient and the general population are key issues because they have a profound influence on the treatment-seeking behavior and completion of course of treatment. As a part of the Revised National Tuberculosis Control Program, the ongoing information, education, and communication (IEC) efforts in Delhi were further intensified in the form of a multipronged media campaign. The objectives of this study are to evaluate ( a) the impact of the campaign on awareness generation among the target audiences, ( b) their opinion for making the campaign more effective and suited to their needs, and ( c) perceptions of health personnel regarding the campaign. The study follows a descriptive cross-sectional design. The following qualitative methods were used: ( a) focus group discussions of patients and the general population, ( b) 3 key informant interviews of the health care personnel and a defaulter patient, and ( c) in-depth interviews of 20 DOTS (directly observed treatment, short course) providers. The study observed that ( a) different sociocultural segments of the population varied in terms of their observations of IEC messages, ( b) stigma associated with tuberculosis is widely prevalent despite having a campaign, and ( c) television was voted as the most effective IEC medium. IEC strategies should be tailor-made and suited to the needs of a particular subpopulation.

2021 ◽  
Vol 6 (2) ◽  
Author(s):  
Elok Alfiyah ◽  
Yunita Yunita

Work environment is the most important part in improving the performance of employees in an organization. a good work environment is closely related to effective performance. Objective:   Analyze the work environment on the performance of the tuberculosis control program Methods:   This type of research is a study that uses an observational approach with a cross-sectional research design and a sampling technique using probability sampling. The respondents used were the executors of the tuberculosis control program at the Surabaya City Health Center as many as 28 teams. Results:  The results of this study provide information that there is an influence between the work environment and the performance of the tuberculosis control program. Based on the results of this study, it can be explained that the work environment also has an important role to be able to help the tuberculosis control program management team to achieve better performance targets. Conclusion:  The work environment affects the performance of tuberculosis control program officers at the Surabaya City Health Center.


Author(s):  
Khairunnisa B ◽  
Azizah Nasution

Objectives: to assess the pharmacists' perception about their roles in tuberculosis (TB) control program in Medan, Indonesia. Methods: A cross-sectional study was conducted to assess the pharmacists' perception about their roles in TB control program in Medan, Indonesia using a validated questionnaire. The pharmacists involved in this study (n=117) were asked to choose answering yes, no or do not know for their perception on their roles in TB control program. The collected data consisted of demographics (gender, age, place of practice, and working experience) and the pharmacists’ perception on their roles in TB control program were organized and analyzed by applying descriptive and Chi-square analyses using Statistical Package for the Social Sciences (SPSS, version 19, Chicago, IL, USA) (p value <0.05 was considered significant). Results: Mean age of the participants was 38.6 (standard deviation=11.7) years. Most of them (76.1%) were female. Distribution of the participants by place of practice:  pharmacy, 78.6%; hospital, 20.5%. Most of them (63.2%) have heard about directly observed treatment short-course (DOTS) program. More than 90% of them realized that they could play their roles as providers, managers of anti-TB drugs, drug informans, ensurers for adherence to the TB treatment, educators for patients and publics on TB and its treatment. Only 26.5% of them knew that they could also play their role as inventors of early suspected TB in the community.Conclusion: The study proved that the pharmacists’ roles could be utilized and enhanced to optimize TB control programs in Indonesia.Keywords: Pharmacists’ role, Tuberculosis, DOTS Program


Author(s):  
R. Niranjjan ◽  
Swaroop Kumar Sahu ◽  
Gautam Roy ◽  
S. Arul Vijaya Vani

Background: Re-treatment TB cases are still a big challenge to National TB control programme. The objectives of the study were among retreatment TB cases, to study the source of previous anti-TB treatment, to find the time delays in initiating re-treatment and to find the risk factors for initiating retreatment under Revised National Tuberculosis Control Program (RNTCP) in Pondicherry.Methods: It was a cross sectional study. Source, date of completion or interruption of recent previous anti-TB treatment, missed doses, DM status; smoking and alcohol intake in the past TB treatment were collected using pretested structured questionnaire and available records. Data was entered in EpiData software version 3.1 and analysed using SPSS v20.Results: Of 241 re-treatment TB patients, the proportion of relapse, TAD, failure and others were 52%, 24%, 12.4% and 11.6 respectively. About 90% [95% CI (85.6-93.2)] had received their recent previous anti-TB treatment from RNTCP sources. In multivariate analysis, Age >24 years, below secondary level of education and relapse cases have independently associated with RNTCP source of previous TB treatment. The median time interval of re-registration for relapse, TAD, failure and others were 334, 211, 140 and 53 days respectively. This difference between groups are statistically significant (p<0.0001). Almost one out of four retreatment TB patient was known diabetic. More than half of retreatment TB patients had consumed alcohol during their recent previous TB treatment.Conclusions: The public-private partnership is better in Pondicherry as only 10% of re-treatment TB cases were previously treated from Non-RNTCP sources. There is a scope for reducing the time between declaration of failure and initiation of re-treatment TB regimen. Screening and appropriate counselling of all registered TB patients for smoking and alcohol intake may be necessary.


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