The developing prevention model of extensive drug resistance tuberculosis by using the process of community participation

Abstract

Extensive drug resistance tuberculosis (XDR-TB) still lacks of an appropriate and effective prevention model. This action research was applying the concept that proposed by Kemmis and McTaggart, comprising four steps: planning, acting, observing and reflecting (PAOR) to developing prevention model of XDR-TB by using of  the community participation process. There are 2 groups of samples consist of  1) 15 person were purposive sampling from public health personals, community leaders, public health volunteers, the local administrative organization personnel, and  the expertise  in TB and 2) 30 high risk persons in the experimental group were purposive sampling from the risk groups the area with XDR-TB case; Chumpolburi district, Surin province.  who received a developmental model for XDR-TB prevention. All of them were attending the workshop research process during October 2018 - September 2019. The quantitative data were collected from the questionnaires, knowledge examines, interview and TB screening form. Data were analyzed with descriptive statistics and paired T-test. The qualitative data were collected by interviews and observations. Qualitative data were analyzed with the content analysis method. The results found that there are 3 steps in the effective model for XDR-TB prevention in the community about the process of community participation. The 3 steps consisted of 1) improvement of knowledge about tuberculosis, XDR-TB and encouraging health promotion in a risk group of TB 2) encourage a high effectiveness of the active screening TB method among risk group of TB such as verbal screening, chest X-ray and GeneX-pert testing 3) improvement of intention following TB cases and continuing care guideline for TB patients in the community. The results of the trial out prevention XDR-TB model among TB risk groups found that;  after using developed prevention model, a post test mean difference score of  TB knowledge, perceptions of TB prevention and TB prevention behavior score are higher than pretest significant (p-value <0.005).   Therefore, a model of XDR-TB prevention in TB risk groups induces populations in the community involved in every stage of operation, and can be used for TB and XDR-TB prevention in the community and high performance. 

Keywords: XDR-TB, Prevention model, Community participation process