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Effectiveness of TB sensitization initiatives in improving the involvement of self help group members in rural TB control in south India.

Identifieur interne : 000C49 ( Main/Exploration ); précédent : 000C48; suivant : 000C50

Effectiveness of TB sensitization initiatives in improving the involvement of self help group members in rural TB control in south India.

Auteurs : Beena Thomas [Inde] ; B. Priscilla Rebecca [Inde] ; A. Dhanalakshmi [Inde] ; S. Rani [Inde] ; A. Deepa Lakshmi [Inde] ; Basilea Watson [Inde] ; R. Vijayalakshmi [Inde] ; M. Muniyandi [Inde] ; N. Karikalan [Inde]

Source :

RBID : pubmed:28938052

Descripteurs français

English descriptors

Abstract

Background

The 'End TB strategy' has highlighted the importance of inter-sectoral collaboration and community mobilization for achieving zero TB deaths by 2020.

Objective

The aim of the study was to develop and test a model TB sensitization programme involving self help groups (SHGs).

Methodology

This experimental study was conducted in two blocks (intervention and control), in Tiruvallur district. The intervention content included short-lecture, musical story telling activity, role play, short film on TB. The impact was compared at baseline, third and sixth months in terms of SHGs' awareness, promotion of awareness, identification and referral of presumptive TB cases and provision of TB treatment.

Results

A total of 764 vs 796 SHGs were enrolled in control and intervention groups, respectively. The knowledge attitude, and practice score (lower score indicated a better attitude and practice), from baseline to 6 months was significantly reduced (29 to 24) in the intervention group. Similarly, a significant difference was observed in identification and referral of chest symptomatics in the intervention group at 3 and 6 months. During the 3 month follow-up a significantly higher proportion of SHG members were involved in TB awareness activities in the intervention (623/748 [83.3%]) vs control group (471/728 [64.7%]; p<0.001).

Conclusions

Findings from this study highlight the feasibility of involving SHGs through a model TB sensitization program for strengthening TB prevention and control activities.


DOI: 10.1093/trstmh/trx006
PubMed: 28938052


Affiliations:


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<b>Background</b>
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<p>The 'End TB strategy' has highlighted the importance of inter-sectoral collaboration and community mobilization for achieving zero TB deaths by 2020.</p>
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<div type="abstract" xml:lang="en">
<p>
<b>Objective</b>
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<p>The aim of the study was to develop and test a model TB sensitization programme involving self help groups (SHGs).</p>
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<div type="abstract" xml:lang="en">
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<b>Methodology</b>
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<p>This experimental study was conducted in two blocks (intervention and control), in Tiruvallur district. The intervention content included short-lecture, musical story telling activity, role play, short film on TB. The impact was compared at baseline, third and sixth months in terms of SHGs' awareness, promotion of awareness, identification and referral of presumptive TB cases and provision of TB treatment.</p>
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<p>
<b>Results</b>
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<p>A total of 764 vs 796 SHGs were enrolled in control and intervention groups, respectively. The knowledge attitude, and practice score (lower score indicated a better attitude and practice), from baseline to 6 months was significantly reduced (29 to 24) in the intervention group. Similarly, a significant difference was observed in identification and referral of chest symptomatics in the intervention group at 3 and 6 months. During the 3 month follow-up a significantly higher proportion of SHG members were involved in TB awareness activities in the intervention (623/748 [83.3%]) vs control group (471/728 [64.7%]; p<0.001).</p>
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<div type="abstract" xml:lang="en">
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<b>Conclusions</b>
</p>
<p>Findings from this study highlight the feasibility of involving SHGs through a model TB sensitization program for strengthening TB prevention and control activities.</p>
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<AbstractText Label="Background">The 'End TB strategy' has highlighted the importance of inter-sectoral collaboration and community mobilization for achieving zero TB deaths by 2020.</AbstractText>
<AbstractText Label="Objective">The aim of the study was to develop and test a model TB sensitization programme involving self help groups (SHGs).</AbstractText>
<AbstractText Label="Methodology">This experimental study was conducted in two blocks (intervention and control), in Tiruvallur district. The intervention content included short-lecture, musical story telling activity, role play, short film on TB. The impact was compared at baseline, third and sixth months in terms of SHGs' awareness, promotion of awareness, identification and referral of presumptive TB cases and provision of TB treatment.</AbstractText>
<AbstractText Label="Results">A total of 764 vs 796 SHGs were enrolled in control and intervention groups, respectively. The knowledge attitude, and practice score (lower score indicated a better attitude and practice), from baseline to 6 months was significantly reduced (29 to 24) in the intervention group. Similarly, a significant difference was observed in identification and referral of chest symptomatics in the intervention group at 3 and 6 months. During the 3 month follow-up a significantly higher proportion of SHG members were involved in TB awareness activities in the intervention (623/748 [83.3%]) vs control group (471/728 [64.7%]; p<0.001).</AbstractText>
<AbstractText Label="Conclusions">Findings from this study highlight the feasibility of involving SHGs through a model TB sensitization program for strengthening TB prevention and control activities.</AbstractText>
<CopyrightInformation>© The Author 2017. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.</CopyrightInformation>
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<ForeName>M</ForeName>
<Initials>M</Initials>
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<Affiliation>National Institute for Research in Tuberculosis (formerly Tuberculosis Research Centre), ICMR, Chennai, Tamil Nadu, India.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Karikalan</LastName>
<ForeName>N</ForeName>
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<AffiliationInfo>
<Affiliation>National Institute for Research in Tuberculosis (formerly Tuberculosis Research Centre), ICMR, Chennai, Tamil Nadu, India.</Affiliation>
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<Country>England</Country>
<MedlineTA>Trans R Soc Trop Med Hyg</MedlineTA>
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<ISSNLinking>0035-9203</ISSNLinking>
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<Keyword MajorTopicYN="Y">DOT providers</Keyword>
<Keyword MajorTopicYN="Y">Effectiveness</Keyword>
<Keyword MajorTopicYN="Y">Self Help Group members</Keyword>
<Keyword MajorTopicYN="Y">TB control</Keyword>
<Keyword MajorTopicYN="Y">Tuberculosis</Keyword>
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<Year>2016</Year>
<Month>12</Month>
<Day>07</Day>
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<PubMedPubDate PubStatus="entrez">
<Year>2017</Year>
<Month>9</Month>
<Day>23</Day>
<Hour>6</Hour>
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<Year>2017</Year>
<Month>9</Month>
<Day>25</Day>
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<PubMedPubDate PubStatus="medline">
<Year>2018</Year>
<Month>2</Month>
<Day>10</Day>
<Hour>6</Hour>
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</History>
<PublicationStatus>ppublish</PublicationStatus>
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<li>Inde</li>
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<name sortKey="Thomas, Beena" sort="Thomas, Beena" uniqKey="Thomas B" first="Beena" last="Thomas">Beena Thomas</name>
</noRegion>
<name sortKey="Deepa Lakshmi, A" sort="Deepa Lakshmi, A" uniqKey="Deepa Lakshmi A" first="A" last="Deepa Lakshmi">A. Deepa Lakshmi</name>
<name sortKey="Dhanalakshmi, A" sort="Dhanalakshmi, A" uniqKey="Dhanalakshmi A" first="A" last="Dhanalakshmi">A. Dhanalakshmi</name>
<name sortKey="Karikalan, N" sort="Karikalan, N" uniqKey="Karikalan N" first="N" last="Karikalan">N. Karikalan</name>
<name sortKey="Muniyandi, M" sort="Muniyandi, M" uniqKey="Muniyandi M" first="M" last="Muniyandi">M. Muniyandi</name>
<name sortKey="Priscilla Rebecca, B" sort="Priscilla Rebecca, B" uniqKey="Priscilla Rebecca B" first="B" last="Priscilla Rebecca">B. Priscilla Rebecca</name>
<name sortKey="Rani, S" sort="Rani, S" uniqKey="Rani S" first="S" last="Rani">S. Rani</name>
<name sortKey="Vijayalakshmi, R" sort="Vijayalakshmi, R" uniqKey="Vijayalakshmi R" first="R" last="Vijayalakshmi">R. Vijayalakshmi</name>
<name sortKey="Watson, Basilea" sort="Watson, Basilea" uniqKey="Watson B" first="Basilea" last="Watson">Basilea Watson</name>
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