The Development of a Service System for Tuberculosis Inmates Following the STOP TB Program in the Central Prison of Samut Prakan Province
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Abstract
BACKGROUND: Bang Bo Hospital provides treatment services for prisoners at Samut Prakan Central Prison. Despite these efforts, there have been ongoing tuberculosis outbreaks in 2021-2022. As such, it is crucial to investigate the current situation and the development of the service system, as well as the effectiveness of such systems in caring for prisoners with tuberculosis.
OBJECTIVES: This study aims to assess various situations and needs of the service system required to care for tuberculosis patients. The goals are to develop a service system for prisoners with tuberculosis and to evaluate the outcomes of the service system in accordance with the STOP TB program at Samut Prakan Central Prison.
METHODS: This research and development project consisted of three phases. Phase 1 involved analyzing the current situation through questionnaires distributed to prisoners diagnosed with tuberculosis and interviews with all professionals involved in prisoner care. Phase 2 focused on developing a service system using the AIC process in collaboration with multidisciplinary professionals, followed by a trial and feasibility study of the system. Phase 3 involved evaluating the program by measuring score levels before and after participation.
RESULTS: The results indicate that the STOP TB service system requires further development in areas such as disease screening procedures, treatment, telemedicine, and tool maintenance. The multidisciplinary team expressed high feasibility in using the program (49.7±4.6). Post-trial, the experimental group exhibited significantly higher average scores in knowledge about tuberculosis, self-efficacy, and adherence to the tuberculosis treatment plan compared to pre-trial scores (p<0.001). Additionally, the knowledge and self-efficacy levels of the experimental group were significantly higher than those of the control group (p<0.05). Overall program development satisfaction among the multidisciplinary team was high, at 90 percent.
CONCLUSIONS: The operation of the service system for prisoners with tuberculosis according to the STOP TB program meets its objectives and can be effectively utilized to care for prisoners in collaboration between host hospitals and Samut Prakan Central Prison.
Thaiclinicaltrials.org number, TCTR20240406004
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