The Development of Control Prevention and Surveillance System on New Pulmonary Tuberculosis Patients and House Contacts in Pho Chai Hospital and Health Network

Abstract

Purposes : To study problem situations, develop systems, and evaluate results a control prevention and surveillance system on new pulmonary tuberculosis patients and house contacts.

Study design : Mutual collaborative action research.

Materials and Methods : Research participants were new tuberculosis patient, Household contacts and related service providers. The research was conducted from January - August 2023. The research were divided into 3 phases: situation analysis; develop systems and evaluate results. Data were collected using tests, questionnaires, practices for disease surveillance, prevention and control, and guidelines for group discussion. Data were analyzed using frequencies, percentages, means, standard deviations, percentage differences, and content analysis.

Main findings : The situation analysis problems phase were found in both process and results, such as in area of tuberculosis patients, environmental aspects, contact areas and public health services. 2-cycle had system development phase a development process: 1) educating new pulmonary tuberculosis patients and household contacts 2) finding for new TB patients in community from various risk groups 3) continuing treatment 4) controlling sources and destroying waste in  community 5) coordinating information forwarding both in service facilities and in community for surveillance disease prevention and control, and 6) reflect on work performance and learn to work together in network, and development results found that new pulmonary tuberculosis patients and household contacts had increased knowledge and practice scores.

Conclusion and recommendations : The results of this research result in target group having increased knowledge and behavior. Therefore, such a system should be implemented in the relevant agencies.