Development of a Model of Tuberculosis Prevention and Control by Community Participation at Satuek District, Buriram Province

Abstract

                  The objectives of this research were to develop a model of tuberculosis preventionand control, to study the model implementation process and the outcomes of model implementation to prevent and control tuberculosis, and to compare the knowledge, attitude and practice as well as community participation before and after model implementation. Forty-eight samples were selected by purposive sampling. The statistics used in the analysis of quantitative data were frequency, percentage, mean, standard deviation and paired sample t-test. Qualitative data was analyzed using content analysis. The result revealed that thecommunity is a mainstay in the prevention and control of tuberculosis. The community developed four projects: 1) home visits with TB patients, 2) finding TB patients in the community, 3) village cleaning and 4) development of an integrated care network for TB patients. The four projects were implemented by the community participation. Outcomes of the project   implementation showed that TB patients receiving home care and continuous encouragement from the community. Caregivers took the TB patients to see the doctor at the time of the  appointment. Community members participated in the implementation process. A collaborative network between the community and government agencies was developed to monitor, prevent and control tuberculosis in the community. The average scores of knowledge, attitude and  practice in the prevention and control of tuberculosis in the community members and the community participation were increased, statistically significant (p <0.001), after model  implementation.