Impact of need-based training of healthcare workers on their knowledge and practice regarding case finding under RNTCP at selected tuberculosis unit's of primary health centres, Bangalore
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India is the highest TB burden country in the world and accounts for nearly one – fifth of global burden of tuberculosis. Tuberculosis is a major barrier to social and economic development in rural areas of the country, still considered to be a socially outcaste disease, due to lack of knowledge about symptoms and fear from people around them. The battle against tuberculosis can be won when peripheral workers are whole heartedly involving themselves in the field.
The major objective of the study was to find out the difference in proportion of health care workers having adequate knowledge and practice for TB case finding as per RNTCP guideline between pre and post need -oriented training program.
Materials and Methods
One group pre and posttest design was adopted. The study was conducted at selected tuberculosis unit's Primary Health Centres (PHC) at Bangalore. After initial survey 3 tuberculosis units were selected by using convenient sampling technique. The PHCs under these units were selected and all the healthcare workers working in these PHCs were included in study. The sample size of the study was 403 and divided into three groups based on their qualification and job description. Data collection was done using different structured questionnaire for knowledge and OSCE check list for assessment of practice.
There was a significant difference in the proportion of healthcare workers having adequate knowledge and practice of TB case finding between pre and post need- based training program’ Sensitizing the HCWs with knowledge in regular interval will increase case finding.
The study recommends involvement of district public health nurse in the activities of RNTCP, up gradation of current TB laboratories, appointment of required laboratory technician, involving nursing staff for supervision and including OSCE in RNTCP training.
Tuberculosis, Primary health centre, Knowledge, Objective structured clinical examination, Healthcare workers.