Knowledge and attitude of rural population towards TB and perception of barriers in accessing to TB services in two provinces of Afghanistan

The study aimed to explore i) the awareness and knowledge on tuberculosis (TB), ii) knowledge on TB diagnosis and treatment, iii) attitudes towards TB, and iv) perception of barriers in accessing to TB services. The approach adopted for this study was cross-sectional, multi-stage 30-cluster sampl...

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Main Authors: Islam, Qazi Shafayetul, Ahmed, Syed Masud, Rahman, Taufiqur, Amin, Sher Shah, Rahman, Mashuqur
Format: Research report
Jezik:English
Izdano: BRAC Research and Evaluation Division (RED) 2019
Teme:
Online dostop:http://hdl.handle.net/10361/13145
id 10361-13145
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spelling 10361-131452019-11-28T21:01:11Z Knowledge and attitude of rural population towards TB and perception of barriers in accessing to TB services in two provinces of Afghanistan Islam, Qazi Shafayetul Ahmed, Syed Masud Rahman, Taufiqur Amin, Sher Shah Rahman, Mashuqur Knowledge Rural population TB Afghanistan Provinces Tuberculosis Rural health--Afghanistan Community health services--Afghanistan Health, Nutrition, and Population Program (BRAC) The study aimed to explore i) the awareness and knowledge on tuberculosis (TB), ii) knowledge on TB diagnosis and treatment, iii) attitudes towards TB, and iv) perception of barriers in accessing to TB services. The approach adopted for this study was cross-sectional, multi-stage 30-cluster sampling method, face to face interview with adult male and female (aged + 15 year) in Badghis and Balkh provinces of Afghanistan. The total sample size was 900. The general awareness about ·rs was high in both the provinces (around 96%). TB was perceived widely as dangerous (81 %), and incurable (85%) by the population in both the provinces. A misperception that 'TB is a disease of female' was also observed in these provinces (78%) . Though the knowledge on symptom suggestive of TB (chronic cough) was high (9 I%), they lacked knowledge on other associated symptoms of TB. Knowledge on microbiological cause of TB was totally absent. However, they had different cultural explanations for the causation of TB. The knowledge on transmission and prevention was not comprehensive and varied by province and gender. Knowledge on diagnostic test was high (S5%), but when to test sputum was poor (26%). Knowledge on place of diagnosis was lacking. Respondents had also poor knowledge on management of TB (e.g., treatment duration, place of treatment). Tendency to seek care from government facilities lnr TB treatment was low ( 18%) in Afghanistan despite TB services offered free at government health facilities. Population had less access to community health workers (CHW) and public facilities for obtaining TB information. TB patients in both the provinces prioritized work over taking TB treatment. Besides, financial problem, shame and fear of isolation were found to be important deterrents in accessing to TB care. Health education content and materials should be reviewed and redesigned appropriately tnr disseminating comprehensive information on TB causation, transmission, prevention, diagnostic place and misperception associated with TB as well. A social support network (SSN) should be established within the community to support the TB patients to overcome the barriers. 2019-11-28T04:44:25Z 2019-11-28T04:44:25Z 2008-04 Research report Islam, Q. S., Ahmed, S. M., Rahman, T., Amin, S. S., & Rahman, M. (2008, April). Knowledge and attitude of rural population towards TB and perception of barriers in accessing to TB services in two provinces of Afghanistan. Research Reports (2008): Health Studies, Vol - XL, 71–99. http://hdl.handle.net/10361/13145 en application/pdf BRAC Research and Evaluation Division (RED)
institution Brac University
collection Institutional Repository
language English
topic Knowledge
Rural population
TB
Afghanistan
Provinces
Tuberculosis
Rural health--Afghanistan
Community health services--Afghanistan
Health, Nutrition, and Population Program (BRAC)
spellingShingle Knowledge
Rural population
TB
Afghanistan
Provinces
Tuberculosis
Rural health--Afghanistan
Community health services--Afghanistan
Health, Nutrition, and Population Program (BRAC)
Islam, Qazi Shafayetul
Ahmed, Syed Masud
Rahman, Taufiqur
Amin, Sher Shah
Rahman, Mashuqur
Knowledge and attitude of rural population towards TB and perception of barriers in accessing to TB services in two provinces of Afghanistan
description The study aimed to explore i) the awareness and knowledge on tuberculosis (TB), ii) knowledge on TB diagnosis and treatment, iii) attitudes towards TB, and iv) perception of barriers in accessing to TB services. The approach adopted for this study was cross-sectional, multi-stage 30-cluster sampling method, face to face interview with adult male and female (aged + 15 year) in Badghis and Balkh provinces of Afghanistan. The total sample size was 900. The general awareness about ·rs was high in both the provinces (around 96%). TB was perceived widely as dangerous (81 %), and incurable (85%) by the population in both the provinces. A misperception that 'TB is a disease of female' was also observed in these provinces (78%) . Though the knowledge on symptom suggestive of TB (chronic cough) was high (9 I%), they lacked knowledge on other associated symptoms of TB. Knowledge on microbiological cause of TB was totally absent. However, they had different cultural explanations for the causation of TB. The knowledge on transmission and prevention was not comprehensive and varied by province and gender. Knowledge on diagnostic test was high (S5%), but when to test sputum was poor (26%). Knowledge on place of diagnosis was lacking. Respondents had also poor knowledge on management of TB (e.g., treatment duration, place of treatment). Tendency to seek care from government facilities lnr TB treatment was low ( 18%) in Afghanistan despite TB services offered free at government health facilities. Population had less access to community health workers (CHW) and public facilities for obtaining TB information. TB patients in both the provinces prioritized work over taking TB treatment. Besides, financial problem, shame and fear of isolation were found to be important deterrents in accessing to TB care. Health education content and materials should be reviewed and redesigned appropriately tnr disseminating comprehensive information on TB causation, transmission, prevention, diagnostic place and misperception associated with TB as well. A social support network (SSN) should be established within the community to support the TB patients to overcome the barriers.
format Research report
author Islam, Qazi Shafayetul
Ahmed, Syed Masud
Rahman, Taufiqur
Amin, Sher Shah
Rahman, Mashuqur
author_facet Islam, Qazi Shafayetul
Ahmed, Syed Masud
Rahman, Taufiqur
Amin, Sher Shah
Rahman, Mashuqur
author_sort Islam, Qazi Shafayetul
title Knowledge and attitude of rural population towards TB and perception of barriers in accessing to TB services in two provinces of Afghanistan
title_short Knowledge and attitude of rural population towards TB and perception of barriers in accessing to TB services in two provinces of Afghanistan
title_full Knowledge and attitude of rural population towards TB and perception of barriers in accessing to TB services in two provinces of Afghanistan
title_fullStr Knowledge and attitude of rural population towards TB and perception of barriers in accessing to TB services in two provinces of Afghanistan
title_full_unstemmed Knowledge and attitude of rural population towards TB and perception of barriers in accessing to TB services in two provinces of Afghanistan
title_sort knowledge and attitude of rural population towards tb and perception of barriers in accessing to tb services in two provinces of afghanistan
publisher BRAC Research and Evaluation Division (RED)
publishDate 2019
url http://hdl.handle.net/10361/13145
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