National TB Control Programme Ministry of Health

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National TB Control ProgrammeMinistry of Health
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KAP Survey Mapping Knowledge, Attitude
Practices on Tuberculosis

• By Maryam Jawaid Nabeel Ahmad
• ACSM

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ACSM

• Brainstorming
• Devising strategies
• Developing concepts
• Building Campaigns

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Where is evidence
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KAP Survey
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Our Objective

• To unearth misconceptions and perceptions
• To guide TB Communications
• To measure and direct communication campaigns

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Research Design

• Quantitative and Qualitative Research based on
  Survey encircled three main organic spheres of
  our society
• Households Non-TB Patients,
• TB Patients
• Doctors

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Sampling
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Research Tools Questionnaire

• Well thought in-depth qualitative interview
  questionnaires
• The perception of an individual who has nothing
  to do with TB is fairly impartial and un-biased
• Most unbiased, straight, simple and easily
  comprehensible opinion gathered through close-end
  and multiple choice variables

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• Section-1 Socio Economics
• Section-2 Knowledge on TB
• Section-3 Health Seeking Behavior
• Section-4 Health Care
• Section-5 Stigma
• Section-6 Gender

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Quantitative Analysis Findings
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Knowledge on TB
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Symptoms of TB
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Knowledge about Govt. Health Establishments
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Source of Information
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Stigma
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Multi Drug Resistant TB
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Qualitative Analysis Findings
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Questionnaire (doctors)

• How comfortable did you find talking to TB
  patient?
• What has been your experience regarding Medical
  facilities provided to TB patients in Pakistan?
• How was the attitude of the patient(s) the time
  they visited the TB centre?
• What difficulties you have faced in educating
  patients?
• Etc

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• It is very difficult and people come frustrated
  and they argue more even sometimes they talk loud
  for no reason and I try to pacify them with best
  of my will.
• It is difficult to make them understand, they
  drop the schedule of medicine and change it with
  their ease and argue that we take three doses
  what if the time was changed or altered, in their
  opinion it does not matter for them.

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• Ladies are more demanding and create panic most
  of the time.
• Once they are given time then they do not appear
  and when they asked the reason then they always
  play with the words and come up with a reason
  difficult to be disowned.

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Questionnaire (patients)

• How comfortable did you find talking to your
  health care provider?
• How was the attitude of the health care provider?
  
• Please share what information the health care
  provider gave to you the first time you were
  diagnosed of having TB?
• How did you find taking the treatment (drugs) for
  TB for eight months?
• Etc..

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• yeh mairay liya dunya kaa ikhtitam tha, aur
  main nay rona shurooh kar diya jab doctor nay
  mujh say is marz kay baaray main poocha
• I was trying to understand the procedure from
  one window to the other in order to complete my
  reference file as Doctor told me
• Main apni file banwanay k liyay khabi aik khirki
  par jata khabi dosri par mugar mari rehnumayee
  karnay wala koi nahi tha.or main nay yay mehsoos
  kia k har annay walay ko issi tarah kay misyal ka
  samna tha.

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• They take much time in every process, even they
  could work faster but they did not and the whole
  process goes very slow
• They act in cooperation but sometimes there are
  patients who really create a mess and the staff
  got angry with the same patients and consequently
  with others as well

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Conclusion

• Physical evidence
• Focal points for communication identified
• Eliminate barriers btw HCP and Patients

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Thank You!