Impact of Refresher Training on Knowledge Regarding Tuberculosis among Health Workers of West Bengal

Year 2019, , 14 - 18, 01.01.2019

İndranil Halder Ritesh Singh

https://doi.org/10.5455/umj.20190104122056

Abstract

Background: Tuberculosis TB is one of the leading causes of morbidity and mortality in India. Peripheral health workers in rural areas come in contact with TB suspects regularly during their home visits. The success of the Revised National Tuberculosis Control Programme RNTCP depends largely upon the involvement of these workers particularly Auxiliary Nurse Midwives ANMs . Materials and Methods: All the ANMs and Health Assistants attached to a block primary health center BPHC of West Bengal were called for a refresher training on tuberculosis and RNTCP. Medical Officer – Tuberculosis Unit of the area impacted the training along with Senior Treatment Supervisor STS and Senior Tuberculosis Laboratory Supervisor STLS of the concerned Tuberculosis Unit TU . The training was of one full day duration and conducted at the BPHC. The resource persons told them about the diagnosis and management of TB cases according to RNTCP guidelines. A pre-test questionnaire having 20 multiple choice and true/ false type questions were given to the participants. The same questionnaire was given to them after the training. The score of post-tests was compared with the pre-test questionnaire. Results: In total 34 health workers participated in the training. 44.1% of the participants were ANM and 38.2% were Health Assistants Female . Rest were Health Assistants Male . The mean SD duration of their service was 17.79 1.8 years. 35.3% of them had a graduate degree. The mean SD post-test score was significantly better than the mean SD pre-test score, 16.53 1.73 vs 9.76 1.71 . There was a significant improvement in score for 12 questions. Conclusion: With time the knowledge regarding TB and RNTCP is fading in health workers. Regular refresher training is required for the health workers to remain updated about tuberculosis.

Keywords

Tuberculosis, knowledge, ANMs, health worker, training

References

• 1.Global tuberculosis report 2018. World Health Organization.
• 2.Mechanisms of mycobacterial transmission: how does Mycobacterium tuberculosis enter and escape from the human host. Future Microbiol. 2016;11(12):1503-1506
• 3.Dean E. Schraufnagel. “Latent Tuberculosis Infection” Is a Term That Should Go Dormant, and the Significance of Latent Tuberculosis Should Be Rethought. Annals of the American Thoracic Society 2016; 13(5):593-594
• 4.Tuberculosis Infection and Latent Tuberculosis. Tuberc Respir Dis (Seoul). 2016;79(4):201-206
• 5.Loren G. Miller, Steven M. Asch, Emily I. Yu, Laura Knowles, Lillian Gelberg, Paul Davidson; A Population-Based Survey of Tuberculosis Symptoms: How Atypical Are Atypical Presentations? Clinical Infectious Diseases, Volume 30, Issue 2, 1 February 2000, Pages 293–299
• 6.Chadha VK1, Kumar P, Jagannatha PS, Vaidyanathan PS, Unnikrishnan KP. Average annual risk of tuberculous infection in India. Int J Tuberc Lung Dis. 2005 Jan;9(1):116-8
• 7.Global Tuberculosis Report 2017. World Health Organization.
• 8.Sarabjit Singh Chadha, Sharath Burugina Nagaraja, Archana Trivedi, Sachi Satapathy, Devendrappa N M and Karuna Devi Sagili. Mandatory TB notification in Mysore city, India: Have we heard the private practitioner’s plea? BMC Health Services Research 2017;17:1
• 9.L S Chauhan. RNTCP: Past, Present and Future of TB Control Programme in India. J. Commun. Dis. 2006; 38 (3):191-203
• 10. Rahul R Bogam, Sunil M Sagare. Knowledge of tuberculosis and its management practices amongst postgraduate medical students in Pune city. National Journal of Community Medicine 2011: 2(1): 52-59
• 11. A Vijaya Raman, VK Chadha et al. A study of knowledge, Attitude and Practices of Medical Practitioners Regarding Tuberculosis and Its Control in a Backward Area of South India. NTI Bulletin 2000; 36/1&2:3-7
• 12. PS Wu, Pesus Chou, et al. Assessment of Changes in Knowledge and Stigmatization Following Tuberculosis Training Workshop in Taiwan. J formos Med Assoc 2009; 108:377-85
• 13. Giri PA, Phalke DB. Impact of sensitization workshop on knowledge regarding tuberculosis among final year medical students. Int J Med Public Health 2013;3:100-2