Mother knowledge and health-seeking behavior towards childhood TB
Introduction: BRAC in association with NTP recently started the community-based child TB programme. So far, no independent study has been conducted to explore the extent to which the objectives of the programme have been achieved in terms of raising knowledge about child TB, and changing health-s...
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| Формат: | Research report |
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BRAC Research and Evaluation Division (RED)
2019
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| Онлайн доступ: | http://hdl.handle.net/10361/13194 |
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10361-131942019-12-04T21:01:14Z Mother knowledge and health-seeking behavior towards childhood TB Islam, Qazi Shafayetul Ahmed, Syed Masud Islam, Md. Akramul Shatil, Tanvir Siddique, Zakia Sultana Health seeking behavior Mother Knowledge Health workers BRAC Childhood TB Tuberculosis in children Health, Nutrition, and Population Program (BRAC) Introduction: BRAC in association with NTP recently started the community-based child TB programme. So far, no independent study has been conducted to explore the extent to which the objectives of the programme have been achieved in terms of raising knowledge about child TB, and changing health-seeking behavior. This study uses quantitative method to evaluate the knowledge, attitude and practices of mothers towards childhood TB. Methods: The study was a cross-sectional in nature and it included mothers (257 in numbers) as respondents on behalf of child TB patients. Structured and semi-structured questionnaires were applied to elicit information. The study involved interviewing 157 BRAG health workers (Shasthya Sebika. SS) to explore their knowledge regarding childhood TB. Results: Both BRAG health workers (47%) and mothers (35%) did not have adequate knowledge about the primary risk source for child TB (closeness of contact). The knowledge of SSs (13-38%) and mothers (7-40%) regarding BCG and isoniazid therapy as a preventive strategy of TB was inadequate and similar. Both the health workers and the mothers had comprehensive knowledge about sputum test (67-78%) and X-ray (63-77%) for detecting TB in children except about tuberculin test (27-28%). Clinical symptoms like low grade fever (80-88%) and chronic cough (73-83%) were well known to them, but weight loss was not noted profusely (20-54%). Majority of SSs (61 %) and the mothers (47%) perceived that TB in children was dangerous. About half of SSs (50%) had high stigma. One-fourth of mothers (27%) did not want to disclose their child's TB due to fear and 35% of them became frustrated due to it. The time between the onset of symptoms and diagnosis of TB among children was 60 days (mean). The majority of child TB patients were aged between 11-14 years (46-65%) followed by 6-10 years (23-28%). More than one-third of the children (38%) had exposure to TB patients at home, and 16% to neighborhood TB patients. About 4 7% of mothers' children received treatment from informal providers at first time. The providers commonly prescribed cough syrup (41%), tablet for fever (40%) and antibiotics (37%). About 55% of mothers went to providers more than four times before diagnosis of her child's TB. The majority of detected cases were diagnosed at district (23%) and private hospitals (30%). A significant majority of children (85%) referred to BRAG for treatment. Conclusion: Programme should organize special training on child TB for awareness of health workers. Strong collaboration between NTP and local communities are required to develop social mobilization, and sensitization in disseminating childhood TB information. Healthcare providers need to set schedule to provide education, increase awareness of contact case screening, early identifying and treating TB infection and disease in children. 2019-12-04T09:21:16Z 2019-12-04T09:21:16Z 2013-03 Research report lslam, Q. S., Ahmed, S. M., lslam, M. A., Shatil, T., & Siddique, Z. S. (2013, March). Mother knowledge and health-seeking behavior towards childhood TB. Research Reports (2013): Health Studies, Vol - XLV, 200–222. http://hdl.handle.net/10361/13194 en application/pdf BRAC Research and Evaluation Division (RED) |
| institution |
Brac University |
| collection |
Institutional Repository |
| language |
English |
| topic |
Health seeking behavior Mother Knowledge Health workers BRAC Childhood TB Tuberculosis in children Health, Nutrition, and Population Program (BRAC) |
| spellingShingle |
Health seeking behavior Mother Knowledge Health workers BRAC Childhood TB Tuberculosis in children Health, Nutrition, and Population Program (BRAC) Islam, Qazi Shafayetul Ahmed, Syed Masud Islam, Md. Akramul Shatil, Tanvir Siddique, Zakia Sultana Mother knowledge and health-seeking behavior towards childhood TB |
| description |
Introduction: BRAC in association with NTP recently started the community-based child
TB programme. So far, no independent study has been conducted to explore the extent to
which the objectives of the programme have been achieved in terms of raising knowledge
about child TB, and changing health-seeking behavior. This study uses quantitative method
to evaluate the knowledge, attitude and practices of mothers towards childhood TB.
Methods: The study was a cross-sectional in nature and it included mothers (257 in
numbers) as respondents on behalf of child TB patients. Structured and semi-structured
questionnaires were applied to elicit information. The study involved interviewing 157 BRAG
health workers (Shasthya Sebika. SS) to explore their knowledge regarding childhood TB.
Results: Both BRAG health workers (47%) and mothers (35%) did not have adequate
knowledge about the primary risk source for child TB (closeness of contact). The knowledge
of SSs (13-38%) and mothers (7-40%) regarding BCG and isoniazid therapy as a
preventive strategy of TB was inadequate and similar. Both the health workers and the
mothers had comprehensive knowledge about sputum test (67-78%) and X-ray (63-77%)
for detecting TB in children except about tuberculin test (27-28%). Clinical symptoms like
low grade fever (80-88%) and chronic cough (73-83%) were well known to them, but weight
loss was not noted profusely (20-54%). Majority of SSs (61 %) and the mothers (47%)
perceived that TB in children was dangerous. About half of SSs (50%) had high stigma.
One-fourth of mothers (27%) did not want to disclose their child's TB due to fear and 35%
of them became frustrated due to it. The time between the onset of symptoms and diagnosis
of TB among children was 60 days (mean). The majority of child TB patients were aged
between 11-14 years (46-65%) followed by 6-10 years (23-28%). More than one-third of
the children (38%) had exposure to TB patients at home, and 16% to neighborhood TB
patients. About 4 7% of mothers' children received treatment from informal providers at first
time. The providers commonly prescribed cough syrup (41%), tablet for fever (40%) and
antibiotics (37%). About 55% of mothers went to providers more than four times before
diagnosis of her child's TB. The majority of detected cases were diagnosed at district (23%)
and private hospitals (30%). A significant majority of children (85%) referred to BRAG for
treatment. Conclusion: Programme should organize special training on child TB for
awareness of health workers. Strong collaboration between NTP and local communities
are required to develop social mobilization, and sensitization in disseminating childhood TB
information. Healthcare providers need to set schedule to provide education, increase
awareness of contact case screening, early identifying and treating TB infection and
disease in children. |
| format |
Research report |
| author |
Islam, Qazi Shafayetul Ahmed, Syed Masud Islam, Md. Akramul Shatil, Tanvir Siddique, Zakia Sultana |
| author_facet |
Islam, Qazi Shafayetul Ahmed, Syed Masud Islam, Md. Akramul Shatil, Tanvir Siddique, Zakia Sultana |
| author_sort |
Islam, Qazi Shafayetul |
| title |
Mother knowledge and health-seeking behavior towards childhood TB |
| title_short |
Mother knowledge and health-seeking behavior towards childhood TB |
| title_full |
Mother knowledge and health-seeking behavior towards childhood TB |
| title_fullStr |
Mother knowledge and health-seeking behavior towards childhood TB |
| title_full_unstemmed |
Mother knowledge and health-seeking behavior towards childhood TB |
| title_sort |
mother knowledge and health-seeking behavior towards childhood tb |
| publisher |
BRAC Research and Evaluation Division (RED) |
| publishDate |
2019 |
| url |
http://hdl.handle.net/10361/13194 |
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