Effectiveness of health education intervention in improving knowledge, attitude, and practices regarding Tuberculosis among HIV patients in General Hospital Minna, Nigeria – A randomized control trial

Bisallah, Chindo Ibrahim; Rampal, Lekhraj Rampal Gyanchand; Lye, Munn Sann; Sidik, Sherina Mohd; Ibrahim, Normala; Iliyasu, Zubairu; Onyilo, Michael Ochigbo

doi:10.1371/journal.pone.0192276

Cited by 54 publications

(55 citation statements)

References 19 publications

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“…The gaps identified could then be used to develop health education programs and interventions about TB. Studies have shown that health education programs and dissemination of TB information are effective in improving TB knowledge and awareness [168], enabling care-seeking and increasing identification of TB cases [169]. Furthermore, understanding of the knowledge and practices of health professionals could be done in parallel to improve care and facilitate early identification of TB [170].…”

Section: Patient Delaymentioning

confidence: 99%

Determinants of delayed diagnosis and treatment of tuberculosis in high-burden countries: a mixed-methods systematic review and meta-analysis

Teo¹,

Singh

Prem

et al. 2020

Preprint

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Background: Globally, 30 countries with the highest tuberculosis (TB) burden bears 87% of the world’s TB cases. Delayed diagnosis and treatment are detrimental to TB prognosis and sustain TB transmission in the community, making TB elimination a great challenge, especially in these countries. Our objective was to elucidate the determinants and duration of delayed diagnosis and treatment of pulmonary TB in high TB burden countries. Methods: We conducted a systematic review and meta-analysis of quantitative and qualitative studies by searching four databases for literature published between 2008 and 2018 following PRISMA guidelines. For quantitative studies, we performed narrative synthesis of the covariates that were significantly associated with patient, health system, treatment, and total delays. The pooled median duration of delay and effect sizes of covariates were estimated using random-effects meta-analyses. We identified key qualitative themes using thematic analysis. Results: We included 124 articles from 14 low-and lower-middle-income countries (LIC and LMIC) and five upper-middle-income countries (UMIC) in this review. The pooled median duration of patient, health system, and treatment delay were 28 days (95%CI 20–30), 11.5 days (95%CI 3.9–24.7), and six days (95%CI 1–28.4), respectively. We found that the duration of delays was consistently shorter among UMIC compared to LIC and LMIC. There was consistent evidence that being female and rural residence was associated with longer patient delay. Furthermore, patient delay was also associated with other individual, interpersonal, and community risk factors such as poor TB knowledge, long chains of care-seeking through private/multiple providers, perceived stigma, financial insecurities, and poor access to healthcare. Health system and treatment delay were mediated by organizational and policy factors. These factors included the lack of resources and complex administrative procedures and systems at the health facilities. We identified data gaps in 11 high burden countries. Conclusions: This review detailed the determinants of delayed TB diagnosis and treatment in high burden countries. The gaps identified at different socio-ecological levels could be addressed through tailored approaches, education, and at a higher level, through health system strengthening and provision of universal health coverage to reduce delays and improve access to TB diagnosis and care.

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Section: Patient Delaymentioning

confidence: 99%

Determinants of delayed diagnosis and treatment of tuberculosis in high-burden countries: a mixed-methods systematic review and meta-analysis

Teo¹,

Singh

Prem

et al. 2020

Preprint

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“…Moreover, Burroway & Hargrove (2018) goes ahead to recommend education as the effective antidote to health issues. Similarly, Bisallah, Rampal, Lye, Sidik, Ibrahim, Iliyasu & Onyilo (2018) suggest education-improving mechanisms of knowledge, attitude and practice (KAP) in dealing with HIV and tuberculosis via a randomised control trial from 2015 to 2017 by dividing 226 respondents into 2 groups. Descriptive and empirical findings reveal increased demand for health amenities depends on educational levels (Sunkanmi & Olufunsho, 2013).…”

Section: The Relationship Between Educational Attainment and Healthcamentioning

confidence: 99%

Educational Attainment and Health Outcomes in Nigeria: A Survey from NDHS (2008 & 2013)

Oluwabukola¹,

Oluranti²

2019

theijhss

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1. Introduction No specific definition of education is generally accepted due to globally different perspectives. Education is a deliberate endeavor to enable people to defend their lifestyle and culture, increase long term ability to survive and sustain development from generation to generation (National education system law no. 2, 1989. The National Education Law no. 20 of 2003 defines education as an intentional attempt to establish an atmosphere to learn as well as its procedure such that learners thoroughly improve the irreligious, spiritual, self-discipline, personage, intelligence and skills potentials in society. Therefore, education helps us reconcile our great intentions with reality by thinking clearly and accurately in achieving our goals such that mistakes that would cost not only us but the world at large are avoided. The teaching methods in schools these days encourage cramming and a wrong teacher-student relationship exists where the students are scared of the teacher and the teachers want back exactly what was taught in examinations (Schools of Conscience, 2014). According to Parankimalil (2012), education is a lifelong process and is needed in every aspect of life as it is a process that involves learning from infancy to maturity. Education is a dynamic and systematic process which involves systematic institutions and regulations. It is the development of individual and the society for balanced economic growth. It is also the modification of behaviour and past experiences. Education has a purpose and direction and involves training of desirable activities and skill that are socially constructive. Education is a bipolar process, that is, education is a conscious and deliberate process which involves personal acting on another to modify the development of the other person. Finally, education is a three-dimensional process consisting of the teacher, the child and the society. On the other hand, the definition of health in 1948 by World Health Organization (WHO) was as a state of absolute physical, mental and social wellness rather than just mere lack of ailment or sickness. However, an article in the Lancet critiques WHO's definition of health that it is not relevant in this era of knowledge and advanced science and technology (The Lancet, 2009). Nordqvist (2015) classified health into two: physical and mental health. In his article, physical health refers to a healthy body requiring adequate exercise, rest and nutrition. Physical health is further divided into two by some people: structural and chemical health. Structural health refers to the bones, organs, muscles, height, weight, and so on while chemical health refers to the tissues and chemicals in the body. Mental health, on the other hand refers to emotional and cognitive wellbeing which generally refers to the absence of mental illness. However, health is also applied in nonmedical contexts, e.g. a healthy economy simply means a sustained and growing economy (Nordqvist, 2015). The Mickinley Health Center (2013) defined wellness as a conditio...

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“…Modeling of tuberculosis was first carried out by Frost [2]. Since then, several researchers have continuously researched on how tuberculosis can be reduced using mathematical models by incorporating interventions such as treatment of tuberculosis-infected persons by using of drug chemotherapy [3], treatment of actively and latently infected persons [4], health education (see [5], [6], [7]), therapy of tuberculosis transmission [8], early treatment for latent patients and treatment of infective [9] and so on. Based on the result of these studies, the researchers found that tuberculosis could be controlled.…”

Section: Introductionmentioning

confidence: 99%

A Mathematical Modeling of Tuberculosis Dynamics with Hygiene Consciousness as a Control Strategy

Mawira

Malonza

2020

JAMCS

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Tuberculosis, an airborne infectious disease, remains a major threat to public health in Kenya. In this study, we derived a system of non-linear ordinary differential equations from the SLICR mathematical model of TB to study the effects of hygiene consciousness as a control strategy against TB in Kenya. The effective basic reproduction number (R0) of the model was determined by the next generation matrix approach. We established and analyzed the equilibrium points. Using the Routh-Hurwitz criterion for local stability analysis and comparison theorem for global stability analysis, the disease-free equilibrium (DFE) was found to be locally asymptotically stable given that R0 < 1. Also by using the Routh-Hurwitz criterion for local stability analysis and Lyapunov function and LaSalle’s invariance principle for global stability analysis, the endemic equilibrium (EE) point was found to be locally asymptotically stable given that R0 > 1. Using MATLAB ode45 solver, we simulated the model numerically and the results suggest that hygiene consciousness can helpin controlling TB disease if incorporated effectively.

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Effectiveness of health education intervention in improving knowledge, attitude, and practices regarding Tuberculosis among HIV patients in General Hospital Minna, Nigeria – A randomized control trial

Cited by 54 publications

References 19 publications

Determinants of delayed diagnosis and treatment of tuberculosis in high-burden countries: a mixed-methods systematic review and meta-analysis

Determinants of delayed diagnosis and treatment of tuberculosis in high-burden countries: a mixed-methods systematic review and meta-analysis

Educational Attainment and Health Outcomes in Nigeria: A Survey from NDHS (2008 & 2013)

A Mathematical Modeling of Tuberculosis Dynamics with Hygiene Consciousness as a Control Strategy

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