Factors influencing the performance of tuberculosis control roles among village health volunteers in Takhli District, Nakhon Sawan Province

Abstract

This cross-sectional study aimed to examine factors influencing the performance of tuberculosis control roles among village health volunteers (VHVs) in Takhli District, Nakhon Sawan Province. Data were collected using questionnaires administered to 193 (VHVs) who were responsible for the care of tuberculosis patients in the study area. Data analysis was conducted using multiple linear regression with the Enter method. The results showed that village health volunteers had good performance in tuberculosis control roles, accounting for 48.7%. of VHVs having demonstrated a good level of role performance in tuberculosis control. Factors positively associated with their performance included primary education (Beta=0.334), lower secondary education (Beta=0.308), work motivation based on motivator factors (Beta=0.280), and social support (Beta=0.678). Together, these factors significantly explained 56.1% of the variance in tuberculosis control role performance (p<0.05). These findings suggest that public health authorities should continuously promote activities that enhance both motivation and social support for VHVs. Additionally, knowledge and skill development through training programs tailored specifically to volunteers’ educational levels should be implemented to improve the efficiency and sustainability of tuberculosis control efforts.