The impact of mass media interventions on tuberculosis awareness, health-seeking behaviour and health service utilisation: a systematic review protocol

Nglazi, Mweete D; Bekker, Linda‐Gail; Wood, Robin; Shey, Muki; Uthman, Olalekan A.; Wiysonge, Charles Shey

doi:10.1136/bmjopen-2013-004302

Cited by 14 publications

(12 citation statements)

References 17 publications

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“…Shea 2009 has noted that it may be difficult to randomise mass media interventions. However, ITS designs could be used to assess the effects of these mass immunisation campaigns on immunisation coverage (Nglazi 2014 ).…”

Section: Discussionmentioning

confidence: 99%

Interventions for improving coverage of childhood immunisation in low- and middle-income countries

Oyo‐Ita

Wiysonge

Oringanje³

et al. 2016

Cochrane Database of Systematic Reviews

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Background Immunisation is a powerful public health strategy for improving child survival, not only by directly combating key diseases that kill children but also by providing a platform for other health services. However, each year millions of children worldwide, mostly from low- and middle-income countries (LMICs), do not receive the full series of vaccines on their national routine immunisation schedule. This is an update of the Cochrane review published in 2011 and focuses on interventions for improving childhood immunisation coverage in LMICs. Objectives To evaluate the effectiveness of intervention strategies to boost and sustain high childhood immunisation coverage in LMICs. Search methods We searched the Cochrane Central Register of Controlled Trials (CENTRAL) 2016, Issue 4, part of The Cochrane Library . www.cochranelibrary.com, including the Cochrane Effective Practice and Organisation of Care (EPOC) Group Specialised Register (searched 12 May 2016); MEDLINE In-Process and Other Non-Indexed Citations, MEDLINE Daily and MEDLINE 1946 to Present, OvidSP (searched 12 May 2016); CINAHL 1981 to present, EbscoHost (searched 12 May 2016); Embase 1980 to 2014 Week 34, OvidSP (searched 2 September 2014); LILACS, VHL (searched 2 September 2014); Sociological Abstracts 1952 - current, ProQuest (searched 2 September 2014). We did a citation search for all included studies in Science Citation Index and Social Sciences Citation Index, 1975 to present; Emerging Sources Citation Index 2015 to present, ISI Web of Science (searched 2 July 2016). We also searched the two Trials Registries: ICTRP and ClinicalTrials.gov (searched 5 July 2016) Selection criteria Eligible studies were randomised controlled trials (RCT), non-RCTs, controlled before-after studies, and interrupted time series conducted in LMICs involving children aged from birth to four years, caregivers, and healthcare providers. Data collection and analysis We independently screened the search output, reviewed full texts of potentially eligible articles, assessed risk of bias, and extracted data in duplicate; resolving discrepancies by consensus. We then conducted random-effects meta-analyses and used GRADE to assess the certainty of evidence. Main results Fourteen studies (10 cluster RCTs and four individual RCTs) met our inclusion criteria. These were conducted in Georgia (one study), Ghana (one study), Honduras (one study), India (two studies), Mali (one study), Mexico (one study), Nicaragua (one study), Nepal (one study), Pakistan (four studies), and Zimbabwe (one study). One study had an unclear risk of bias, and 13 had high risk of bias. The interventions evaluated in the studies included community-based health education (three studies), facility-based health education (three studies), household incentives (three studies), regular immunisation outreach sessions (one stud...

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Section: Discussionmentioning

confidence: 99%

Interventions for improving coverage of childhood immunisation in low- and middle-income countries

Oyo‐Ita

Wiysonge

Oringanje³

et al. 2016

Cochrane Database of Systematic Reviews

Self Cite

205

190

View full text Add to dashboard Cite

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“…Media programs have the potential to disseminate accurate information about the disease (e.g. symptoms and treatment) as well as promote treatment-seeking behaviour and adherence to treatment [ 28 ]. In Pakistan, for example, Turk et al [ 29 ] evaluated the Advocacy, Communication and Social Mobilization (ACSM) national TB campaign across 57 districts.…”

Section: Discussionmentioning

confidence: 99%

Predictors of knowledge about tuberculosis: results from SANHANES I, a national, cross-sectional household survey in South Africa

et al. 2016

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BackgroundSouth Africa is one of the 22 high tuberculosis burden countries that contribute 80 % of the global tuberculosis cases. Tuberculosis is infectious and due to its rapid and easy transmission route poses a threat to population health. Considering the importance of social and psychological factors in influencing health outcomes, appraising knowledge and awareness of tuberculosis, remain vital for effective tuberculosis control. The main aim of this study was to investigate the factors that predict knowledge about tuberculosis among 18–64 year old adults in South Africa.MethodsA cross-sectional survey method was used. Multi-stage disproportionate, stratified cluster sampling was used to select households within enumeration areas stratified by province and locality type. Based on the Human Sciences Research Council 2007 master sample, 500 Enumerator Areas representative of the socio-demographic profile of South Africa were identified and a random sample of 20 households was randomly selected from each Enumerator Area, yielding an overall sample of 10 000 households. The tuberculosis module contained in the South African National Health And Nutrition Examination Survey I was the only module that examined the social determinants of an infectious disease. This module was questionnaire-based with no biomarkers obtained to screen for the presence of tuberculosis disease among the participants. Data was collected by administering a researcher developed individual level questionnaire. Simple and multiple linear regression was used to determine the independent variables associated with tuberculosis knowledge.ResultsHalf the sample (52.6 %) was female and the majority of the respondents were black African (76.5 %). More than two thirds (68.0 %) resided in urban areas, 56.9 % did not complete high school and half were not in formal employment. Significant predictors of tuberculosis knowledge were race, sex, completion of high school, being in employment, having a diagnosis of the disease in ones’ life-time and learning about tuberculosis from television, brochures, health workers, and teachers.ConclusionsTo reduce the burden of tuberculosis in South Africa, media campaigns targeting both rural and urban communities should include conveying accurate information about the disease. Policy makers should also address structural barriers that vulnerable communities face.Electronic supplementary materialThe online version of this article (doi:10.1186/s12889-016-2951-y) contains supplementary material, which is available to authorized users.

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“…According to the authors, the population's knowledge about TB is an important factor to improve the disease control [8][9][10][11] . with the purpose of making the population aware of TB and stimulating community participation in health control.…”

Section: Introductionmentioning

confidence: 99%

Factors associated with knowledge about tuberculosis and attitudes of relatives of patients with the disease in Ribeirão Preto, São Paulo, Brazil

Freitas

Popolin

Touso

et al. 2015

Rev. bras. epidemiol.

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ABSTRACT:Objective: To investigate the knowledge regarding tuberculosis among relatives of patients with tuberculosis and the possible factors associated with this event and also to conduct comparative analyses between groups of relatives with or with few knowledge regarding tuberculosis, considering their attitudes in both groups. Methods: Cross-sectional study in which the sample was obtained through simple and randomized method. The data were collected by trained interviewers and validated tool. Logistic regression analyses were done using statistical software SPSS, version 22.0. Results: Among the 110 subjects recruited for the study, 85 (87.5%) were women, and the mean age was 49 years. Regarding common symptoms of tuberculosis, 102 relatives (90.9%) pointed the chronic cough; regarding the knowledge about tuberculosis transmission modes, 100 (90.9%) of them pointed symptomatic respiratory as the probable infection source. The relatives also reported other tuberculosis transmission models: sharing of clothes (n = 87; 79.1%) and household utensils (n = 66; 60%); sexual relations (n = 50; 50%). Illiterate relatives (adjusted OR = 4.39; 95%CI 1.11 -17.36), those who do not watch or watch little television (adjusted OR = 3.99; 95%CI 1.2 -13.26), and also those who do not have the Internet access (adjusted OR = 5.01; 95%CI 1.29 -19.38) were more likely to have low knowledge regarding tuberculosis. Regardless the group, with or without tuberculosis knowledge, the attitudes of both were satisfactory. Conclusion: There are evidences that social inequity is associated to the tuberculosis knowledge of patient relatives.

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The impact of mass media interventions on tuberculosis awareness, health-seeking behaviour and health service utilisation: a systematic review protocol

Cited by 14 publications

References 17 publications

Interventions for improving coverage of childhood immunisation in low- and middle-income countries

Interventions for improving coverage of childhood immunisation in low- and middle-income countries

Predictors of knowledge about tuberculosis: results from SANHANES I, a national, cross-sectional household survey in South Africa

Factors associated with knowledge about tuberculosis and attitudes of relatives of patients with the disease in Ribeirão Preto, São Paulo, Brazil

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