Low Tuberculosis Knowledge among HIV-Infected Patients in a High HIV Prevalence Region within Southeast India

Arora, Nick; Vadrevu, Ravi; Chandrasekhar, Aditya; Gupta, Amita

doi:10.1177/1545109712461553

Cited by 5 publications

(12 citation statements)

References 11 publications

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“…This study and other studies have consistently shown that knowledge of HIV patients regarding tuberculosis was poor and recommended a specific and targeted education among this at-risk group [ 5 , 18 , and 19 ]. In this research, significantly higher mean knowledge scores seen in the intervention group compared to the control group revealed that there was an improvement in knowledge among respondents that received the intervention.…”

Section: Discussionsupporting

confidence: 57%

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

et al. 2018

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IntroductionThe risk of development of active TB in HIV-infected individuals is 20–37 times higher than those that are HIV negative. Poor knowledge of TB amongst people living with HIV has been associated with high transmission.ObjectivesTo determine the effectiveness of a new health education intervention module in improving knowledge, attitude, and practice (KAP) regarding tuberculosis among HIV patients in General Hospital Minna, Nigeria.MethodsA randomized control trial was carried out from July 2015 to June 2017. A random number generating program was used to allocate 226 respondents into 2 groups. The intervention group received health education regarding tuberculosis using the developed module. The control group received the normal services provided for HIV patients. Data were collected from December 2015 to September 2016 at baseline, immediate post intervention, three, six and nine months. The outcome measures were knowledge, attitude, and practice.ResultsThere was no significant difference with respect to socio-demographic characteristics, KAP of the respondents in the intervention and control group at baseline. However, there was significant improvement in knowledge in the intervention group compared to the control group, group main effect (F = (1,218) = 665.889, p = 0.001, partial ἠ2 = 0.753, d = 5.4); time (F = (3.605, 218) = 52.046, p = 0.001, partial ἠ2 = 0.193, d = 1.52) and interaction between group with time (F = (3.605, 218) = 34.028, p = 0.001, partial ἠ2 = 0.135, d = 1.23). Likewise, there was significant improvement in attitude, group main effect (p = 0.001, d = 1.26) and time (p = 0.001, p, d = 0.65). Similarly, there was improvement in practice, group main effect, time, and interaction of group with time (p < 0.05).ConclusionThe health education intervention program was effective in improving KAP regarding tuberculosis among HIV patients.

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Section: Discussionsupporting

confidence: 57%

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

et al. 2018

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“…Aspects related to the availability and length of treatment, as well as the importance of completing the entire treatment are being effectively communicated to the large majority of TB patients. Our estimates of Indian TB patient knowledge are higher than some others in the literature [ 7 – 12 ]; perhaps because this cohort represented urban TB patients whereas most available knowledge, attitude, and belief assessments regarding TB were conducted on non-TB populations in rural areas. Though rates of TB knowledge were higher than in other studies even at the beginning of DOTS, TB patients may have acquired additional TB knowledge as they progressed through the patient pathway before being enrolled in DOTS.…”

Section: Discussionmentioning

confidence: 67%

“…This is higher than in other studies of Indian people without TB where only 20%–56% could correctly identify the mode of transmission. [ 7 – 9 ] About two thirds knew that TB is communicable (67.2%, CI: 65.6%, 68.7%), a slightly lower share likely due to some confusion over the definition of a communicable disease. Knowledge about TB symptoms was more limited though.…”

Section: Resultsmentioning

confidence: 99%

“…Limited general knowledge about TB may be related to the stigmatized nature of TB in some Indian communities. Most studies focused on qualitative assessments, which, while informative, cover limited geographical areas, are restricted to small sample sizes that do not necessarily generalize to larger patient groups [ 6 ], and are not suitable for analyzing changes in TB knowledge over the course of treatment due to their cross-sectional nature [ 7 – 12 ]. Further, the literature has not yet explored how patients’ knowledge of infection mechanisms translates into preventive behavior, an important determinant of disease transmission.…”

Section: Introductionmentioning

confidence: 99%

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Knowledge about tuberculosis and infection prevention behavior: A nine city longitudinal study from India

Huddart¹,

Bossuroy

Pons

et al. 2018

PLoS ONE

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BackgroundImproving patients’ tuberculosis (TB) knowledge is a salient component of TB control strategies. Patient knowledge of TB may encourage infection prevention behaviors and improve treatment adherence. The purpose of this study is to examine how TB knowledge and infection prevention behaviors change over the course of treatment.MethodsA matched patient-health worker dataset (n = 6,031) of publicly treated TB patients with NGO-provided treatment support health workers was compiled in nine Indian cities from March 2013 to September 2014. At the beginning and end of TB treatment, patients were asked about their knowledge of TB symptoms, transmission, and treatment and infection prevention behaviors.ResultsPatients beginning TB treatment (n = 3,424) demonstrated moderate knowledge of TB; 52.5% (50.8%, 54.2%) knew that cough was a symptom of TB and 67.2% (65.6%, 68.7%) knew that TB was communicable. Overall patient knowledge was significantly associated with literacy, education, and income, and was higher at the end of treatment than at the beginning (3.7%, CI: 3.02%, 4.47%). Infection prevention behaviors like covering a cough (63.4%, CI: 61.2%, 65.0%) and sleeping separately (19.3%, CI: 18.0%, 20.7%) were less prevalent. The age difference between patient and health worker as well as a shared language significantly predicted patient knowledge and adherence to infection prevention behaviors.ConclusionsSocial proximity between health worker and patients predicted greater knowledge and adherence to infection prevention behaviors but the latter rate remains undesirably low.

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“…Also, stigma was found to be associated with TB and HIV and has been cited in many studies as a predictor of negative health-seeking behaviour. 5 , 6 , 7 , 8 , 9 …”

Section: Introductionmentioning

confidence: 99%

Needs assessment for adapting TB directly observed treatment intervention programme in Limpopo Province, South Africa: A community-based participatory research approach

Mabunda

Khoza

Borne³

et al. 2016

Afr. j. prim. health care fam. med.

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BackgroundLimpopo Province is one of the hardest hit by tuberculosis and human immune virus infections in the country. The province has been implementing a directly observed treatment strategy since 1996. However, the cure rate was 64% in 2015 and remains far from the set target by the World Health Organization of 85%. Poor health-care seeking and adherence behaviours were identified as major risk behaviours.AimTo apply a Community-Based Participatory Research (CBPR) approach in identifying barriers and facilitators to health-care seeking and adherence to treatment, and to determine strategies and messages in order to inform the design of an adapted intervention programme.SettingThis study was conducted in three districts in the Limpopo Province, Capricorn, Mopani and Sekhukhune districts.MethodsThe community participatory research approach was applied. Purposive sampling was used to sample participants. Focus group discussions were used to collect data. Participatory analysis was used comparing findings within and across all the participants.ResultsA total of 161 participated in the study. Participants included coordinators, professional nurses, supporters and patients. Major modifiable behavioural-related barriers were lack of knowledge about tuberculosis, misinformation and misperceptions cultural beliefs, stigma and refusal of treatment support. Environment-related barriers were attitudes of health workers, lack of support by family and community, lack of food and use of alcohol and drugs. Strategies and messages included persuasive and motivational messages to promote healthy behaviour.ConclusionJoint programmatic collaboration between the community and academic researchers is really needed for interventions to address the needs of the community.

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Low Tuberculosis Knowledge among HIV-Infected Patients in a High HIV Prevalence Region within Southeast India

Abstract: HIV-infected patients in southeast India have poor knowledge of TB and the methods by which it is spread. Scale-up of patient-directed educational programs is necessary to help control TB in India.

Cited by 5 publications

References 11 publications

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

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

Knowledge about tuberculosis and infection prevention behavior: A nine city longitudinal study from India

Needs assessment for adapting TB directly observed treatment intervention programme in Limpopo Province, South Africa: A community-based participatory research approach

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