Evaluation of the knowledge of MDR- TB among the Multi-Purpose Workers, under the Revised National Tuberculosis Control Programme, in the mid hills of Himachal Pradesh, India
Singh AK1, Chawla B2, Chawla S3, Bhaglani DK4
1Ph.D Student, Dr. Yashwant Singh Parmar University of Horticulture and Forestry, Nauni, Solan, Himachal Pradesh, India
2,3Assistant Professor, Department Community Medicine, Department Community medicine, MMM college, Kumarhatti, Solan, Himachal Pradesh, India
4Medical Officer TB, RH Solan, Department of Health and Family Welfare, Solan, Himachal Pradesh, India
Introduction: Knowledge of MDR- TB in Multi- Purpose Workers (MPWs) is cornerstone for implementation of RNTCP, so its evaluation is necessary.
Methods: A Cross sectional study in 174 MPWs was conducted. Seven questions about MDR- TB were asked. Answers graded as no answer, incorrect answer and correct answer were allocated zero point, zero and two points respectively. Total score by the MPWs (out of 14), converted to percentage, was used to categorize the knowledge as no knowledge (0%), poor knowledge (> 0 and ≤ 25 %), fair (> 25 and ≤ 50 %), good (>50 and ≤ 75%) and > 75% as excellent knowledge. Comparison was done with the years of job, the training and DOTS provision status. The data was analyzed in SPSS Statistics version 21 and Microsoft Excel 2010 software.
Results: Only 9.2% MPWs had received Modular training. 85.6% had provided DOTS and 86.8% had more than five years of job experience. 9.1% workers had no knowledge about MDR-TB. 16.6%, 53.4% and 20.6% workers had poor, fair and good knowledge respectively. Significant difference of knowledge by gender was found (p-value = 0.02). 15.8% and 52.5% of untrained workers had poor and fair knowledge, respectively. 88.8% of workers having good knowledge were the DOT Providers (p- value of 0.04). 66.7% workers having good knowledge had job experience of more than 20 years (p- value = 0.001).
Conclusion: Knowledge about MDR- TB in MPWs has a significant relation with DOTS provision status and the years of service rendered. Absence of Modular trainings leads to poor knowledge of the worker.
Key words: Study, knowledge, comparison, gender