Abstract: Health plays an important role in the process of social and economic development. The role of human behaviors in health and illness has been increasingly recognized. Tuberculosis (TB) is an airborne communicable disease caused by infection with Mycobacterium tuberculosis (M.tb). Health experts estimate that more than 1/3rd of the world population has the TB bacterium in their body, which means they have M.tb infections is called latent TB. The active TB infection is developed only a fraction of people with different surroundings within few days or week. TB typically affects the lungs, but it can also affect any other organ of the body. There are established systems to detect the prevalence of TB as mentioned by local hospital (PHC, CHC) as well as in district hospital and regional wise. TB affects all the predicted fields of quality of life, such as general health perception, corporal sense, psychological health, mental peace, and functionality of physical and social roles. Tuberculosis is associated with social stigma and discrimination. Stigma includes social isolation of patients, both inside and outside the family. Stigma contributes to the suffering from illness in various ways and it may delay presentation and treatment leading to prolonged transmission of infectious diseases, drug resistance (MDR & XDR-TB) or complication that increase treatment costs for treatable health problem and also lead to death. Studying illness perceptions in relation to TB can bring information, which helps in improving the cure rates amongst tuberculosis patients, especially in improving the present low adherence to the administrative therapy. It is extremely important that a holistic view of treatment is taken in view of the complex psychosocial characteristics of the disease. Despite the availability of services across the country, many cases are being missed. According to empirical research done during my M.Phil programme, it’s found that supervisors, care providers and even doctors and employees of diagnosis centers are also infected with TB bacteria (spinal TB infected by a anganwadi worker& a doctor infected with abdominal TB).The case study also reveal many interesting facts about the death of lactant mother and its association with the infant child (<5 month) and death of gestational mother infected with Genitourinary TB. Inspite of different TB control progammes are implemented by bilateral and multilateral agencies like DANIDA, DFID, USAID, GFATM, GFD, WHO, NTCP(RNTCP), NRHM and various national and state wise programme, due to lack of advocacy and awareness, cultural beliefs among remote area habitants the knowledge gap is still exists. Knowledge, attitude and practice (KAP) surveys in TB can identify knowledge gaps, cultural beliefs or behavior patterns that may facilitates understanding and action, as well as pose problems or create barriers for TB control efforts. KAP surveys can also access communication processes and sources that are a key to define effective activities messages in TB prevention and control. TB and HIV are closely covalent. A programme should be formulated and implemented to early detection of latent TB with special focus on remote area people in regular interval which can be helpful to eliminate or control over widespread of TB. Special attention & advocacy should be given to gestational women, lactent mother & also to the newborn. Adequate awareness programme should be created for BCG vaccine at the time of birth and check out early detection of latent TB by doing tuberculin skin test among community members.
Keywords: Tuberculosis patient, Koraput District, Quality of life.
Title: Knowledge, Attitude and Practice (KAP) findings of Tuberculosis patient – a study of Borigumma block of Koraput District, Odisha
Author: S SIVA PRASAD DORA, BHASKAR SINGH
International Journal of Social Science and Humanities Research
ISSN 2348-3156 (Print), ISSN 2348-3164 (online)
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