Ann Mary Joyce, (2020) Knowledge, Attitude and Practices regarding Tuberculosis among people diagnosed with Tuberculosis and their immediate household contacts in an Urban Health Care Centre in Vellore, Tamil Nadu. Masters thesis, Christian Medical College, Vellore.
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Abstract
INTRODUCTION: Twenty-five years ago, in 1993, the World Health Organization had declared tuberculosis (TB), a global health emergency due to its severity and consequences. An age-old disease, TB still remains a major public health problem reaching epidemic proportions in many developing countries, with a third of the world’s population being infected. TB has become one of the top 10 causes of death and is currently the leading cause of death from a single infectious agent ranking above HIV/AIDS. On a global scale, it is estimated that 10.0 million people (range: 9.0–11.1 million) developed TB disease in 2017 with 90% being individual more than 15 years and two thirds of affected were in eight countries: India (27%), China (9%), Indonesia (8%), the Philippines (6%), Pakistan (5%), Nigeria (4%), Bangladesh (4%) and South Africa (3%). India contributes to one fourth of total tuberculosis burden in the world. In year 2017, out of the estimated annual global incidence of 10 million cases, approximately 2.8 million new cases were estimated to have occurred in India. OBJECTIVES: 1. To assess the knowledge, attitude and practices regarding tuberculosis among people diagnosed with tuberculosis and registered for care in Low Cost-Effective Care Unit (LCECU), an urban health care center of the department of Family Medicine of Christian Medical College Hospital Vellore, Tamil Nadu. 2. To assess the knowledge, attitude and practices regarding tuberculosis among the immediate household contacts of the people diagnosed with tuberculosis in LCECU. METHODS: The present study is a cross-sectional study. We administered a standardized structured questionnaire via face to face interview to assess the knowledge, attitude and practice regarding tuberculosis (TB) in all adults diagnosed with TB and registered for care in LCECU over a time period of two years. The immediate household contacts were also interviewed using a separate questionnaire. The data collected through the questionnaire under demography and the variables of knowledge, attitude and practices of the study participants. Data entry was done using Epi data version 3.1. Data analysis was done using IBM SPSS Statistics software. RESULTS: We included 172 subjects in the study from the population catered to by LCECU, among whom 86 patients were diagnosed with TB and 86 were immediate household contacts of these patients, to assess the knowledge, attitude and practices regarding tuberculosis. Knowledge regarding TB was assessed among both TB patients and contacts separately with questions on general aspects of TB and the median knowledge score was calculated for patients and contacts, which was used as a cutoff to categorize subjects into those having good and poor knowledge. The prevalence of good knowledge of TB was higher among the patients 51% (44) versus the contacts 35% (30). About 65% (56) of contacts had poor knowledge regarding TB compared to 40% (42) of TB patients though age, gender and education did not have any significant association with the knowledge scores obtained by TB patients as well as contacts. Majority, 59% (51) of TB patients were found to have an unfavorable attitude towards TB while majority of contacts, 57% (49) were found to have a favorable attitude towards TB with no significant association with compared sociodemographic variables. A larger proportion of contacts, 79% (68) had better health seeking behavior compared to TB patients, of which only 30% (26) had good practice. Majority of those patients who had poor practices regarding TB, were those above 40 years of age and of male gender which was statistically significant. CONCLUSION: This study along with other similar studies revealed that good knowledge may not always result in good practices. For any health education program to be effective in controlling TB, it must be tailormade for each community or region after an initial understanding of that population’s knowledge, attitude and practice.
| Item Type: | Thesis (Masters) |
|---|---|
| Additional Information: | 124189 |
| Uncontrolled Keywords: | Tuberculosis, knowledge, attitude and practice, urban. |
| Subjects: | MEDICAL > Paediatric Medicine |
| Depositing User: | Subramani R |
| Date Deposited: | 06 Feb 2021 04:53 |
| Last Modified: | 01 Oct 2021 14:52 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/13924 |
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