Development a Model for Tuberculosis Prevention and Control on New Pulmonary Tuberculosis Patients and House Contacts in Nong Phok District Health Network, Roi-Et

Abstract

Purposes : To study problem situations, develop a model, and evaluate results of  tuberculosis prevention and control a model for new pulmonary tuberculosis patients and their household contacts in Nong Phok district health network, Roi-Et.

Study Design : Mutual collaborative action research.

Materials and Methods : Multidisciplinary teams new tuberculosis patients registered in tuberculosis clinics, those responsible for tuberculosis control and prevention work were key informants. We were conducted between January - September, 2022.Data were collected using tests, questionnaires, patient registers and questions for group discussions. Data were analyzed using frequency, percentage, mean, and standard deviation. and compare the proportions before and after development by using percentage difference.

Main findings : The TB prevention and control a model consisted of 4 steps: 1) situation analysis of caring for TB patients; 2) developing a self-care model for new pulmonary TB patients and their household contacts and 3) conducting Self-care model of new pulmonary tuberculosis patients and their household contacts to use and reflect on the results of practice and; 4) supervision, monitoring and evaluation of outcomes. and evaluate the results and after the development, it were found that new cases of pulmonary tuberculosis had scores for self-care knowledge, overall increase accounted for 20.5% and self-care activity performance scores, overall, score increased to 98.1% and the household contacts had self-care knowledge scores, overall score increased to 37.2% and the overall self-care activity practice score accounted for 95.3%.

Conclusion and recommendations : A resulted of this research in knowledge and self-care activities of tuberculosis patients and household contacts were increased.