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To study the Knowledge, Attitude and Perception about Tuberculosis Among the People of Urban Slums in Kalyan-Dombivli

  • Divyesh J. Devaliya
  • Agency : RNTCP, DOTS, D.M.C., Tuberculosis, Urban Slums
  • Objective : To assess the knowledge, attitude and perception of the communities on tuberculosis. It also aims to find the barriers in access to medicine and which factors can lead to increase in the detection and cure rate of T.B before implementing new programs in the city.

  • Background : Tuberculosis (T.B.) is a worldwide, chronic communicable bacterial disease. Since 1993 Revised National TB Control Programme (RNTCP) was implemented and in 2006 DOTS (Direct Observed Treatment Shortcourse). Despite the availability of effective anti-TB drugs, tuberculosis is not on the decline; there could be many determining factors which ultimately decide treatment behavior of the patient on DOTS. The goal of RNTCP is to cure at least 85 percent of new smear-positive cases of tuberculosis and to detect 216 case per lakh population. In kalyan-dombivli city the detection rate was146 per lakh population and cure rate was 85.5 percent.

  • Methodology : The study was conducted in urban slums of Kalyan-dombivli city. The duration of the study was from February 2012 to April 2012. The study was based on Cross sectional descriptive study model. As per the District Health Department of Kalyan-Dombivli Municipal Corporation there were 8 Diagnostic Microscopy Centers (DMC), Each DMC covers different slums and a set of population of that area. To eliminate bias in the study, through random selection 3 DMC were included in the study and one slum under each DMC was selected through lottery system. 60 households from each slum were randomly selected and the available member were asked question accordingly. For the connivance and similar equal coverage of slums, equal number of samples were taken from each slum have the sample size of the study was 180.

  • Findings : There was a positive relationship between literacy/ education and knowledge on TB as less than half the respondents (43.6% of 133) knew the sources of transmission of TB. Coughing for more than three weeks was main symptom of TB as per the respondents (but it was only seen in smear positive patient). People still believe that women should be accompanied to health facilities. Friends and relatives were seen as potential sources of information about T.B. until and unless people experience infection within their families or neighborhood. Perception of people towards TB patients changed when within the family or among close relatives was. 58.6 percent believed that TB affects the income generating activities because of the additional cost of travel, wages due to leave etc. Result from attitude and perception indicates less prevalence of stigma among people with regard to TB patients

  • Recommendations :
    There is need of implementing more educational programs in the city so that people have correct knowledge about TB which can help in increasing the detection of patients. To have better feasibility of patients, per 50000 populations 1 DMC should be made. Some incentives for patient should be given on completion of their treatment so as to decrease the defaulters.

To assess the knowledge, attitude and perception of the communities on tuberculosis.