Informal allopathic provider knowledge and practice regarding control and prevention of TB in rural Bangladesh

Informal allopathic provider knowledge and practice regarding control and prevention of TB in rural Bangladesh

Background BRAC (formerly Bangladesh Rural Advancement Committee), in collaboration with the National Tuberculosis Control Programme, provides one full-day training on TB to make informal allopathic providers knowledgeable for managing TB in rural Bangladesh. This study explored the knowledge and pr...

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Bibliographic Details
Published in:International health Vol. 6; no. 3; pp. 225 - 231
Main Authors: Islam, Qazi S., Ahmed, Syed M., Islam, Mohammad A., Chowdhury, Anita S., Siddiquea, Bodrun N., Husain, Mohammad A.
Format: Journal Article
Language:English
Published: England Oxford University Press 01-09-2014
Subjects:
Adult
Bangladesh
Complementary Therapies
Female
Health Knowledge, Attitudes, Practice
Health Personnel - education
Health Personnel - standards
Humans
Male
Middle Aged
Rural Health Services - organization & administration
Rural Population
Socioeconomic Factors
Surveys and Questionnaires
Tuberculosis - prevention & control
Bangladesh
Bangladesh
DOTS
Informal healthcare providers
BRAC
TB
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Summary:Background BRAC (formerly Bangladesh Rural Advancement Committee), in collaboration with the National Tuberculosis Control Programme, provides one full-day training on TB to make informal allopathic providers knowledgeable for managing TB in rural Bangladesh. This study explored the knowledge and practices of the providers receiving the above training in the control and prevention of TB. Methods The study was conducted in 30 subdistricts, with 30 trained and 30 untrained providers randomly selected from each subdistrict. Approximately 3% (49/1800) did not provide complete information. Pre-tested structured and semi-structured questionnaires were used. Results TB was commonly perceived as a disease of only males (66.1%, 1157/1751). Only one-quarter knew about the bacterial cause of TB. Very few providers (2.1%, 36) had adequate knowledge regarding prevention of TB. They also lacked knowledge about TB treatment duration (71.6%, 1253), the meaning of DOTS (directly observed treatment, short course) (26.0%, 455) and multidrug resistance (20.6%, 360). Antibiotics (79.7%, 1396) and cough syrup (75.0%, 1313) were commonly prescribed by providers despite symptoms suggestive of TB. However, 70.2% (613) and 74.5% (650) of trained providers' knowledge and practice scores were equal to or more than the mean scores (≥6.97 and ≥6.6, respectively), whereas they were only 49.5% (435) and 64.2% (563), respectively, among untrained providers (p<0.0001). Conclusions Misperception, lack of knowledge and irrational use of antibiotics are challenges that need to be addressed for controlling and preventing TB efficiently.
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ISSN:1876-3413
1876-3405
DOI:10.1093/inthealth/ihu025