The Development of Operational on Prevention and Control Surveillance tuberculosis Model, Ubon Ratchathani Province Network

Abstract

           This research and development project aimed to analyze the situation and essential needs, develop a model, and evaluate the outcomes of tuberculosis surveillance, prevention, and control operations within the health network of Ubon Ratchathani province. Data were collected from key informants, including service recipients, tuberculosis surveillance, prevention, and control workers, primary responsible personnel, new tuberculosis patients, household contacts, research participants, and activity participants, totalling 1,680 individuals. The data collection employed a questionnaire with content validity verified by experts, where all items showed a content validity index greater than 0.5 and a reliability coefficient exceeding 0.7. Data were analyzed using frequency, percentage, mean, standard deviation, percentage differences, PNImodified, and content analysis.
           The study's findings revealed that (1) the overall need for tuberculosis surveillance, prevention, and control operations was moderate, with focus group discussions emphasizing the importance of comprehensive identification of tuberculosis-infected individuals and new patients, control of tuberculosis transmission in healthcare facilities, support for civil society organizations to participate in the care and referral of tuberculosis patients, and surveillance of the risk of multi-drug-resistant tuberculosis. (2) The operational model for tuberculosis surveillance included: (1) situation analysis and needs assessment, (2) development of a workshop training curriculum, (3) workshop training for relevant stakeholders, (4) development of guidelines to accelerate screening, detection, and referral of contacts, high-risk groups, and patients for timely treatment, (5) communication through all channels, (6) coordination of information transfer within healthcare facilities and communities, and (7) supervision, monitoring, and evaluation in key theoretical and practical areas, with an overall feasibility rating of high. (3) The evaluation of the model showed that new pulmonary tuberculosis patients' knowledge of self-care increased by 33.8%, and their overall self-care activity scores were rated as good, increasing by 31.8%. Household contacts' knowledge of self-care increased by 32.3%, with their overall self-care activity scores rated as high, showing a 72.1% increase.