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Assessment of the Knowledge of Tuberculosis Among Health Workers in Private Health Facilities in Benin City, Edo State: A Pilot Survey
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A1481 - Assessment of the Knowledge of Tuberculosis Among Health Workers in Private Health Facilities in Benin City, Edo State: A Pilot Survey
Author Block: N. Mokogwu, M. I. Okhawere; Community Health, Univ of Benin Teaching Hosp, Benin City, Nigeria.
Introduction
There is a general increase in multi-drug resistant Tuberculosis (MDR-TB) globally and Nigeria has been declared by World Health Organization (WHO) as a high burden country for MDR-TB. To achieve control, WHO recommends engagement of private providers to complement national TB control efforts, but progress in this direction has been slow. Paucity of skilled private health providers may pose challenges to standardization of practice with the national TB control programme (NTP) guidelines. This study aimed to determine the knowledge of healthcare workers in private facilities and level of adherence to national TB control guidelines.
Method
This was a descriptive cross sectional study carried in Benin City, South-South Nigeria. Ten private health facilities, divided into Public Private Mix Directly observed therapy (PPM-DOT) and 5 non PPM-DOT centres were selected for the study. A structured self-administered questionnaire modified from the Federal Ministry of health TB prevalence survey (2012) was used to assess knowledge of the NTP guidelines. Knowledge was scored and means compared between the facilities that were registered and not registered under PPM-DOT scheme. Data was analysed using IBM SPSS version 20.0.
Result
Eighteen health workers were interviewed with a median (Inter Quartile Range) age of 34 (30.0-36.75) years, two-thirds (66.7%) were female and 61.1% were medical doctors. Correct responses by healthcare workers were as follows: diagnosis of tuberculosis, 61.1%; the sputum collection schedule, 33.3% and number of sputum samples to be collected, 44.4% of respondents. The schedule for the first sputum follow up was correctly stated by 72.2% of respondents. The treatment categories was known by 27.8% of respondents; 27.8% knew the accurate number of drugs and 61.1% mentioned the exact drug treatment regimen for a newly diagnosed patient. Side effects for rifampicin and isoniazid were appropriately stated by 50.0% and 38.9% of respondents respectively. Screening for TB contacts was acknowledged by 72.2% of respondents. The mean knowledge score of respondents in PPM-DOT facility was 13.750 compared to 11.833 for a non PPM-DOT facility; however this difference in mean scores was not statistically significant (p>0.05).
Conclusion
Knowledge of NTP guidelines varied among workers in PPM-DOTS and non PPM-DOTS private facilities. There is a need for a comprehensive study with a larger number of private health facilities to establish gaps in the knowledge among private health personnel in order to guide the design of programmes for training and improve TB management.
Author Block: N. Mokogwu, M. I. Okhawere; Community Health, Univ of Benin Teaching Hosp, Benin City, Nigeria.
Introduction
There is a general increase in multi-drug resistant Tuberculosis (MDR-TB) globally and Nigeria has been declared by World Health Organization (WHO) as a high burden country for MDR-TB. To achieve control, WHO recommends engagement of private providers to complement national TB control efforts, but progress in this direction has been slow. Paucity of skilled private health providers may pose challenges to standardization of practice with the national TB control programme (NTP) guidelines. This study aimed to determine the knowledge of healthcare workers in private facilities and level of adherence to national TB control guidelines.
Method
This was a descriptive cross sectional study carried in Benin City, South-South Nigeria. Ten private health facilities, divided into Public Private Mix Directly observed therapy (PPM-DOT) and 5 non PPM-DOT centres were selected for the study. A structured self-administered questionnaire modified from the Federal Ministry of health TB prevalence survey (2012) was used to assess knowledge of the NTP guidelines. Knowledge was scored and means compared between the facilities that were registered and not registered under PPM-DOT scheme. Data was analysed using IBM SPSS version 20.0.
Result
Eighteen health workers were interviewed with a median (Inter Quartile Range) age of 34 (30.0-36.75) years, two-thirds (66.7%) were female and 61.1% were medical doctors. Correct responses by healthcare workers were as follows: diagnosis of tuberculosis, 61.1%; the sputum collection schedule, 33.3% and number of sputum samples to be collected, 44.4% of respondents. The schedule for the first sputum follow up was correctly stated by 72.2% of respondents. The treatment categories was known by 27.8% of respondents; 27.8% knew the accurate number of drugs and 61.1% mentioned the exact drug treatment regimen for a newly diagnosed patient. Side effects for rifampicin and isoniazid were appropriately stated by 50.0% and 38.9% of respondents respectively. Screening for TB contacts was acknowledged by 72.2% of respondents. The mean knowledge score of respondents in PPM-DOT facility was 13.750 compared to 11.833 for a non PPM-DOT facility; however this difference in mean scores was not statistically significant (p>0.05).
Conclusion
Knowledge of NTP guidelines varied among workers in PPM-DOTS and non PPM-DOTS private facilities. There is a need for a comprehensive study with a larger number of private health facilities to establish gaps in the knowledge among private health personnel in order to guide the design of programmes for training and improve TB management.
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