Knowledge and attitude of key community members towards tuberculosis: mixed method study from BRAC TB control areas in Bangladesh
Knowledge and attitude of key community members towards tuberculosis: mixed method study from BRAC TB control areas in Bangladesh
复制标题
DOI：
10.1186/s12889-015-1390-5
复制
发表时间：
2015-01-31
影响因子：
4.5
通讯作者：
Sarker, Malabika
中科院分区：
文献类型：
--
作者：
Paul, Sukanta;Akter, Rahima;Sarker, Malabika
背景：孟加拉国国家结核病控制规划采取了一些战略，以促进结核病的诊断和治疗。“宣传、交流和社会动员”（ACSM）是孟加拉国农村发展委员会（一个非政府发展组织）结核病控制计划实施的关键战略之一。本研究的目的是评估的知识和态度的关键社区成员（KCMs）参加了ACSM在BRAC TB controls.Methods：本研究结合定量和定性方法，采用混合方法的方法。结核病病例检出率低的三个地区的KCM是评估ACSM计划的目标。采用多阶段随机抽样策略对432名参与者进行了定量调查。定性研究包括48名受访者的子样本的深入访谈（IDIs）。对于定量分析，描述性统计报告频率，百分比，卡方检验，而主题分析用于定性part.Results：大多数（99%）的参与者听说过结核病，几乎所有的人都知道，结核病是一种传染性但可治愈的疾病。超过一半（53%）的KCM对结核病有很好的了解，但BRAC工作人员被发现比其他KCM更有知识。然而，在BRAC社区卫生工作者中观察到相当大的知识差距。定性结果显示，大多数KCM都知道结核病的体征、症状和传播途径，并认为吸烟和成瘾是结核病传播的主要原因。即使在BRAC卫生工作者中，对儿童结核病的认识也很差。与结核病相关的耻辱感并不罕见。几乎所有的受访者表示，年轻的女孩被诊断为tube.Conclusions：这项研究发现揭示了不同程度的知识和混合的态度之间的结核病的KCMs。它还提供了关于儿童结核病知识贫乏的见解，并指出，尽管结核病规划取得了重大成功，但社区中的耻辱感仍然普遍存在。ACSM未来的活动应使社区成员反对污名化，并促进儿童结核病相关信息，以进一步改善BRAC结核病控制计划。
Background: Bangladesh National Tuberculosis (TB) Control Programme adopted a number of strategies to facilitate TB diagnosis and treatment. 'Advocacy, Communication and Social Mobilization' (ACSM) was one of the key strategies implemented by BRAC (Bangladesh Rural Advancement Committee, a non-governmental development organization) TB control program. The purpose of this study is to assess the knowledge and attitudes of the key community members (KCMs) participated in ACSM in BRAC TB control areas.Methods: This study combined quantitative and qualitative methods using a mixed method approach. KCMs in three districts with low TB case detection rates were targeted to assess the ACSM program. The quantitative survey using a multi-stage random-sampling strategy was conducted among 432 participants. The qualitative study included in-depth interviews (IDIs) of a sub sample of 48 respondents. For quantitative analysis, descriptive statistics were reported using frequencies, percentages, and Chi square tests, while thematic analysis was used for qualitative part.Results: Most (99%) of the participants had heard about TB, and almost all knew that TB is a contagious yet curable disease. More than half (53%) of the KCMs had good knowledge regarding TB, but BRAC workers were found to be more knowledgeable compared to other KCMs. However, considerable knowledge gaps were observed among BRAC community health workers. Qualitative results revealed that the majority of the KCMs were aware about the signs, symptoms and transmission pathways of TB and believed that smoking and addiction were the prime causes of transmission of TB. The knowledge about child TB was poor even among BRAC health workers. Stigma associated with TB was not uncommon. Almost all respondents expressed that young girls diagnosed with TB.Conclusions: This study finding has revealed varying levels of knowledge and mixed attitudes about TB among the KCMs. It also provides insight on the poor knowledge regarding child TB and indicate that despite the significant success of the TB program stigma is yet prevalent in the community. Future ACSM activities should engage community members against stigma and promote child TB related information for further improvement of BRAC TB Control Programme.