Development of Prevention and Control System on Tuberculosis among Household of TB Contacts in Selaphum Health Public Network, Roi-Et Province

Abstract

Purposes : To study problem situations, develop a system, and evaluate results of  tuberculosis control and prevention system for new pulmonary tuberculosis and theirs household contacts in Selaphum district health network, Roi-Et Province.

Study Design :  Action research study

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, 2023 and August, 2023. Data were collected using tests, questionnaires, patient registers and questions for group discussions. Data were analyzed using frequency, percentage, mean, and standard deviation.   

Main findings : Analysis of the situation found that target groups, practices, and community leaders were lack of knowledge, participate, planning, coordination, and continuous follow-up of home visits, and  appropriate of tuberculosis control. The TB control and prevention system consisted of situation analysis of caring for TB patients; developing a self-care model for new pulmonary TB patients and their household contacts and conducting self-care system of new pulmonary tuberculosis  and theirs household contacts to use and reflect on the results of practice and; 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 accounted for 85.7%  and self-care activity performance scores, overall, score to 78.6% and the household contacts had self-care knowledge scores, overall score to 76.3% and the overall self-care activity practice score accounted to 78.9%.

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