Development of Tuberculosis prevention and control model for Pulmonary Tuberculosis new patients and household contacts in health network of Nong Phok District, Roi-Et Province

Development of Prevention and Control Tuberculosis Model On New Pulmonary Tuberculosis Patients and Their Household Contaces in Health Network of Nong Phok District, Roi-Et Province

Abstract

Prevention and control of the transmission of newly detected pulmonary tuberculosis patients are critical to the TB control and prevention program. This study aims to determine the problems, develop a model and evaluate outcomes of tuberculosis (TB) control and prevention model for new pulmonary patients (PTB) and household contacts in Nong Phok District Health Network. The research was divided into 3 phases: 1) Study the situation of TB prevention and control, multidisciplinary team 2) The development of TB prevention and control model, and 3) Evaluated of prevention and control model. The samples used in the qualitative survey were 30 participants and 117 participants for the quantitative survey. Data were collected by questionnaires and group discussion. Statistics analysis used frequency, percentage, standard deviation, paired t-test, and content analysis. The result revealed that new PTB and household contacts had low overall scores on knowledge and activities on TB prevention and control. After implement of training and intervention, the samples had a statistically significant increase in knowledge score of TB prevention and control compared to before development (p <0.001), with a score of 7.04 (Mean diff = 7.04). 95% CI; 5.97-8.11) and 4.37 (Mean diff = 4.37 95% CI; 3.48-5.26), respectively. A practice about TB prevention and control activities had a statistically significant increase in mean scores compared to pre-development (p <0.001), with an increased score of 6.88 (Mean diff = 6.88 95% CI; 4.84-8.92) in new PTB and a 17.51 ​​increase in scores (Mean diff = 17.51 ​​95% CI; 16.44-18.57) in household contacts. As a result of this study, new PTB and their household contacts have increased knowledge and practice of TB prevention and control activities. Therefore, the relevant departments should apply this pattern to other areas.