Knowledge and attitude of key community members towards tuberculosis: mixed method study from BRAC TB control areas in Bangladesh

BMC Public Health

Malabika Sarker¹  Ashaque Husain³  Akramul Islam²  Shayla Islam²  Mrittika Barua¹  Antora M Khan¹  Afzal Aftab¹  Rahima Akter¹  Sukanta Paul¹ 

[1] James P Grant School of Public Health, BRAC Institute of Global Health, BRAC University, 68 Mohakhali, Dhaka 1212, Bangladesh;Health Nutrition and Population Programme, BRAC, 75 Mohakhali, Dhaka 1212, Bangladesh;National Tuberculosis Control Program, Directorate General of Health Services, Mohakhali, Dhaka 1212, Bangladesh

关键词: Bangladesh;    and Social Mobilization (ACSM) activities;    Communication;    Advocacy;    Attitude;    Knowledge;    Key informant;    Key community member;    Tuberculosis;   

Others  :  1122810
DOI  :  10.1186/s12889-015-1390-5

 received in 2014-06-25, accepted in 2015-01-09,  发布年份 2015

【 摘 要 】

Background

Bangladesh National Tuberculosis (TB) Control Programme adopted a number of strategies to facilitate TB diagnosis and treatment. ‘Advocacy, Communication and Social Mobilization’ (ACSM) was one of the key strategies implemented by BRAC (Bangladesh Rural Advancement Committee, a non-governmental development organization) TB control program. The purpose of this study is to assess the knowledge and attitudes of the key community members (KCMs) participated in ACSM in BRAC TB control areas.

Methods

This study combined quantitative and qualitative methods using a mixed method approach. KCMs in three districts with low TB case detection rates were targeted to assess the ACSM program. The quantitative survey using a multi-stage random-sampling strategy was conducted among 432 participants. The qualitative study included in-depth interviews (IDIs) of a sub sample of 48 respondents. For quantitative analysis, descriptive statistics were reported using frequencies, percentages, and Chi square tests, while thematic analysis was used for qualitative part.

Results

Most (99%) of the participants had heard about TB, and almost all knew that TB is a contagious yet curable disease. More than half (53%) of the KCMs had good knowledge regarding TB, but BRAC workers were found to be more knowledgeable compared to other KCMs. However, considerable knowledge gaps were observed among BRAC community health workers. Qualitative results revealed that the majority of the KCMs were aware about the signs, symptoms and transmission pathways of TB and believed that smoking and addiction were the prime causes of transmission of TB. The knowledge about child TB was poor even among BRAC health workers. Stigma associated with TB was not uncommon. Almost all respondents expressed that young girls diagnosed with TB.

Conclusions

This study finding has revealed varying levels of knowledge and mixed attitudes about TB among the KCMs. It also provides insight on the poor knowledge regarding child TB and indicate that despite the significant success of the TB program stigma is yet prevalent in the community. Future ACSM activities should engage community members against stigma and promote child TB related information for further improvement of BRAC TB Control Programme.

【 授权许可】

   
2015 Paul et al.; licensee BioMed Central.

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