Knowledge and health seeking behaviour of tuberculosis patients in Kerala, India

Paramasivam, Selvam; Bina, Thomas; Thayyil, Jayakrishnan; Rahim, Asma; Thavody, Jayakrishnan; Lilabi, M P; Jayadev, V K

doi:10.18203/2394-6040.ijcmph20163055

Cited by 11 publications

(10 citation statements)

References 15 publications

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“…While discussing the rout of transmission of TB, 55.6% of the respondents in the current study declared that TB is transmitted by droplets, these findings are consistent with earlier studies reported in literature. [17][18][19][20][21][22] However, contrary to our findings, respondents from other studies [23][24][25][26][27] reported poor knowledge about the transmission of TB. When the study participants were asked about eating together with family, 60% of respondents have a positive response; these findings were not in agreement with Malaysian study [23] where only 40% of respondents have positive response.…”

Section: Discussioncontrasting

confidence: 99%

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Knowledge of Tuberculosis and Influencing Factors among New Pulmonary Tuberculosis Patients in Yemen

Anaam¹,

Alsahali²,

Alfadly³

et al. 2018

JPPCM

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Background: Tuberculosis (TB) remains a serious cause of illness in Yemen. Knowledge is believed to be associated with patients' willingness to seek treatment and adherence to treatment. Objectives: To assess patients' knowledge of TB and identify possible influencing factors. Methods: A cross-sectional study was conducted for a period of three months (October to December, 2013) to assess knowledge of TB among new TB patients in five Yemini regions. Descriptive results were presented as frequencies and percentage. Kolmogorov-Smirnov test (K-S test) was used for normality test. Chi-square (Χ 2) testing and Kruskal-Wallis H test were used to describe differences between groups. Multiple linear regression was performed to identify factors influencing the knowledge. Multicollinearity was considered before performing multiple linear regression. SPSS version 18 (Chicago, IL) was used for data analysis. Results: A total of 450 patients with a mean age (±SD) of 32.7 (±13.6) years (range 15-80 years) were interviewed; 59.3% of respondents were males, 64.4% of respondents reported receiving TB information from the health staff. Slightly more than half (55.6%) of the patients' were aware about the method of TB transmission. The majority (82.2%) of the respondents knew that TB is a curable disease. About two thirds (71.8%) of the tuberculosis patients were found to be aware about duration of treatment. About 271 (60.2%) of the respondents were categorized as having a good level of knowledge about TB. The median knowledge score was 4.0. Kruskal-Wallis H test showed significant differences in the medians between groups with regard to gender, age, education status, marital status, living status, stigma and receiving health education. However, multiple linear regression analysis showed that age, education status, stigma and receiving health education at health centers were the only factors that significantly influencing the knowledge. About 44% of the patients expressed fear of being known as tuberculosis patients in the community. Conclusion: The knowledge of TB and its treatment was generally moderate with a median score of 4. Majority of the patients knew that TB is a curable disease with regular treatment and recommended duration. This will psychologically encourage them to adhere to treatment instructions.

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Section: Discussioncontrasting

confidence: 99%

“…This finding was supported by other studies. [17,19,[20][21]23] However, these finding were not in line with other studies reported in literature. [24,27,28] Our study findings showed a significant difference in median scores for gender, age, education, marital, living status, stigma and health education.…”

Section: Discussionmentioning

confidence: 62%

Knowledge of Tuberculosis and Influencing Factors among New Pulmonary Tuberculosis Patients in Yemen

Anaam¹,

Alsahali²,

Alfadly³

et al. 2018

JPPCM

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“…A study conducted by Paramasivam et al in Kerala 94.7% has consulted allopathic doctor and 58.6% consulted private doctor. 8 In the present study 49% who do not seek any treatment got cough more than 4 weeks. A systematic review conducted by Sreerama Reddy et al the median delay for seeking treatment was 55.3 days.…”

Section: Sputum Positivity Among Tb Suspectssupporting

confidence: 41%

Prevalence of TB suspects, sputum positive TB cases and health seeking behaviour of TB suspects in a coastal ward Thiruvananthapuram corporation, Kerala

Mini¹,

Anuja²,

Rajkafoor³

2017

Int J Community Med Public Health

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INTRODUCTIONIndia still remains as a highest TB burden country in the world. According to WHO global Tuberculosis report 2013 India accounts for nearly a quarter of global burden of cases with approximately 2.8 million prevalent cases and 2.2 million incident cases.1 RNTCP is being implemented in our country from 1997 in a phased manner and by 2006 whole country is being covered by RNTCP. The revised national tuberculosis control programme has been quite successful in achieving high case detection and treatment rates in India.Data from isolated centres suggest a reduction of TB prevalence of up to 50% or more with implementation of RNTCP. 2According to the RNTCP programme the most common symptom to clinically suspect pulmonary TB is persistant cough more than 2 weeks. Sputum smear examination of the TB suspects is the back born of RNTCP to diagnose patients with pulmonary TB and in the country there were about 13000 DMCs under the programme. 3 The reliability cheapness and ease of direct microscopic ABSTRACT Background: The present study was conducted to estimate the prevalence of TB suspects and prevalence of sputum positive TB cases and health seeking behaviour of TB suspects in a coastal ward. Methods: The study was done as a cross sectional house to house survey. The study population was initially screened by a case definition and TB suspects were identified and details about their health seeking behaviour was collected using a structured questionnaire and two sputum samples (one spot and one early morning sample) also were collected for sputum microscopy. Results: The population screened using the case definition was 5466 (86% of total population above 15 years of age) and among this 131 (2.39%) was identified as TB suspects. Among the TB suspects 46.6% were males, 19.8% were diabetic, and 60.3% were having coughed more than 4 weeks. Prevalence of sputum positivity among the TB suspects was 13.1% and in the total study population was0.183%. About the health seeking behaviour only 65.65% have consulted a doctor. Among those consulted doctor, 46.5% were males, 93% have consulted an allopathic doctor and 46.52 have completed the prescribed treatment. Conclusions: The prevalence of TB suspects and sputum positive TB cases is high in this coastal ward and health seeking behaviour of Tb suspects is also very poor. This emphasizes the need for further improvement in case detection and IEC activities about Tuberculosis.

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“…A similar study carried out in Indonesia demonstrates that most of the TB patients initially visited a nonformal health service providers (HSP) to seek the solution for their symptoms [9], but the majority of the TB patients from Gabon used combined treatment at the hospital with (herbal) self-medication and traditional/spiritual healing [10]. The study carried out in Kerala, India, highlighted the illiterate and people living in below the poverty line preferred to visit a public health facility to receive the diagnosis and treatment services [11]. The study done in Myanmar showed that the general practitioners were the first point of contact to address all kinds of tuberculosis issues [12].…”

Section: Discussionmentioning

confidence: 99%

Health Seeking Behaviour among Past and Current Tuberculosis Patients in a Low-Income Country

Mishra¹

2021

TIJPH

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In Nepal, the estimated incident cases are 0.07 million, of them, 0.03 million people are diagnosed and enrolled in the treatment annually, and numbers of undiagnosed people living with tuberculosis (TB) might be a threat to achieving END TB strategy targets. Understanding health-seeking behaviour and care pathways is crucial to reducing missed cases and decreasing TB transmission. The objective of the study was to identify the health-seeking behavior of TB patients and understand the reasons behind TB diagnostic and treatment delays in Nepal. This was a cross-sectional, population-based survey carried out in 99 clusters of 55 districts (total of 77) of Nepal. Primary Sampling Units were Village Development Committees or Municipalities and wards selected using systematic proportional to population size method. Of the total 54,200 people who attended in the survey, 1,825 had a history of TB and asked their health-seeking practice. 62% and 72% of the TB patients utilised the government health facilities for diagnosis and treatment. 18% of the TB patients said that they received diagnosis services, and 16% of patients took their treatment from outside of the country, especially India, due to fear of stigma and easy access to the services. The majority of the TB patients utilised government health facilities to receive diagnosis and treatment services. Some of the participants sought TB services from private health care providers, and a significant proportion of participants received them from India due to difficulty in accessing local services and fear of stigma and discrimination. Keywords: Community Based Directly Observed Treatment, Health Seeking Behaviour, Prevalence Survey, Tuberculosis.

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Knowledge and health seeking behaviour of tuberculosis patients in Kerala, India

Cited by 11 publications

References 15 publications

Knowledge of Tuberculosis and Influencing Factors among New Pulmonary Tuberculosis Patients in Yemen

Knowledge of Tuberculosis and Influencing Factors among New Pulmonary Tuberculosis Patients in Yemen

Prevalence of TB suspects, sputum positive TB cases and health seeking behaviour of TB suspects in a coastal ward Thiruvananthapuram corporation, Kerala

Health Seeking Behaviour among Past and Current Tuberculosis Patients in a Low-Income Country

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