The Development of Prevention and Control Model for Tuberculosis among Household of TB Contacts by Community Participation in Jawrakae Health Promoting Hospital, Nong Ruea District, Khon Kaen Province

Abstract

The objectives of this action research were to develop and evaluate the effects of a model for tuberculosis (TB) prevention and control among households with community participation. The study was conducted in 1) a group of 40 household contacts who passed risk screening 2) community leaders, a total of 48 people. The research was conducted using a 2-cycle PAOR process. Data were collected using knowledge and self-protection behavior questionnaires, which has a reliability of 0.82. Quantitative data were analyzed by descriptive statistics and the qualitative data were analyzed by content analysis. The results showed that, most of household contacts of TB case live together as a large family, sleeping with the TB case, poorly ventilated, less access TB examination because they were embarrassed of TB infection. The development of a model become the BUDDY TB model as follows; 1) B (Ban): all household contacts of TB case have to tested with the cooperation of the local network and communicate through the Line group "Friend TB” 2) U (Unity): working as a team, Integrate the "Friend TB" with the improving the quality of life at the sub-district level to achieve propulsion, local budget support, community coordinator, proactive services in the community 3) D (Design): Designing a TB screening fast track 4) D (Do): Matching VHVs 1:2 people to search, persuade and refer risk groups for screening and 5) Y (Yardstick) defines a standard format in operation. As a result of the model, the BUDDY TB group persuades 100% of all household TB contacts to get screened and more TB positive 3 cases. Therefore, BUDDY model can be used to enhance the prevention and control of TB in the Jawrakae Health Promoting Hospital.