Socio demographic determinants of health care seeking behaviour among tuberculosis patients admitted in the isolation ward of tertiary care hospital: a health belief model
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20175348Keywords:
Health belief model, Anti tubercular treatment, Multi drug resistant, Acid fast bacilli, Rural nonqualified medical practitionersAbstract
Background: Health care seeking behavior explains that people differ in their willingness to seek help from health care services. It is difficult to identify which determinants are most influential in the decision to utilize health care. The health belief model proposes that a person's health-related behaviour depends on the person's perception in critical areas. The aims and objectives of the study was planned to determine the socio demographic factors of sputum positive tuberculosis patients and to assess the health care seeking behaviour of patients by health belief model.
Methods: Cross sectional descriptive study was conducted on sputum positive tuberculosis patients above 15 years in Tuberculosis wards of Rajiv Gandhi Institute of Medical Sciences, Ongole from April to September 2014.
Results: Mean age group of the 100 participants was 48.89±5.93 years, 92% were males and 49.5% were labourers. Accessibility of the health care services was good in 95% of the cases, diagnostic tests and ATT treatment were accepting in good way by 71% of cases. In first contact, 36% of the cases contacted rural RMPs and 39% of the patients visited private practitioners. Symptoms of the tuberculosis were recognized by 20% of the patients and only 22% of them were perceived about the signs and symptoms. Significant association observed between the recognition of severity of symptoms and awareness on threat of tuberculosis among Tuberculosis patients (p<0.5).
Conclusions: Heath education can be done by using the results of health belief model to increase awareness on perception, susceptibility, threat and understanding about the tuberculosis, there by patient’s intake of the drugs will be increased so that we can prevent chances of transmission of the disease.
References
Available at: http://psychology.wikia.com/wiki/ Health_care_seeking_behavior. Accessed on 3 August 2017.
MacKian S. A review of health seeking behaviour: problems and prospects. Internal concept paper. Health Systems Development Programme, London School of Hygiene and Tropical Medicine. London, 2001.
Grover A, Kumar R, Jindal SK. Socio-demographic determinants of treatment-seeking behavior among chest symptomatic. Indian J Community Med. 2006;31:145-9.
Chakraborty AK. Epidemiology of tuberculosis: Current status in India. Indian J Med Res. 2004;120(4):248-76.
Available at: http://www.canindia.com/2013/03/ extremely-drug-resistant-tb-rearing-its-head-in-india/#sthash.969ptEk9.dpuf. Accessed on 25 June 2014.
WHO Report on treatment on Tuberculosis and guidelines on national programmes third edition,. Geneva, WHO; 2003. (WHO/CDS/ TB/2003.313)
Marriner TA, Raile AM. Nursing theorists and their work. 5th ed. Sakraida T, Nola J, Pender, eds. The Health Promotion Model. St Louis: Mosby; 2005,
Croyle RT. Theory at a Glance: Application to Health Promotion and Health Behavior (Second Edition). U.S. Department of Health and Human Services, National Institutes of Health, 2005. Available at www.thecommunityguide.org. Accessed on 4 August 2017.
Centarl TB division, DGHS. Medical officer training module: Revised national tuberculosis programme guidelines. MOHFW; New Delhi: 2010.
Kroeger A. Anthropological and Socio-medical health care research in developing countries. Soc Sci Med. 1983;17(3):147-61.
Sadiq H, Muynck AD. Health Care Seeking Behavior of Pulmonary Tuberculosis Patients visiting TB Center Rawalpindi. J Pak Med Assoc. 2001;51(1):10-6.
Puentas-Markides C. Women and access to health care. Soc Sci Med. 1992;35:619-26.
Mechanic D. Medical Sociology, 2nd edition. New York: Free Press; 1978.
Shaikh BT, Hatcher J. Health seeking behaviour and health service utilization in Pakistan: challenging the policy makers. J Public Health. 2004;27(1):49–54.
Sajid S. Quality of Health Care: An Absolute Necessity for Public Satisfaction. Internet J Healthcare Admin. 2007;4(2):1-3.
Parakoyi DB, Akande TM, Musa IO. A Survey on Utilization of Comprehensive Health Centre. Savannah Med J. 2001;4(1):14-6.
Abodunrin OL, Bamidele JO, Olugbenga-Bello AI, Parakoyi DB. Preferred Choice of Health Facilities for Healthcare among Adult Residents in Ilorin Metropolis, Kwara State, Nigeria. Int J Health Res. 2010;3(2):79-86.
Karkee R, Kadariya J. Choice of health-care facility after introduction of free essential health services in Nepal. WHO South-East Asia J Public Health. 2013;2(2):96-100.
Agha S, Do M. The quality of family planning services and client satisfaction in the public and private sectors in Kenya. Int J Qual Health Care. 2009;21:87-96.
Rao KD, Peters DH, Bandeen-Roche K. Towards patient-centered health services in India - A scale to measure patient perceptions of quality. Int J Qual Health Care. 2006;18:414-21.
Ager A, Pepper K. Patterns of health service utilizaton and perceptions of needs and services in rural Orissa. Health Policy Plan. 2005;20:176-84.
Uplekar M, Rangan S, Tackling TB. The search for solutions. Bombay. India. The Foundation of Research in Community Health. 1996.
Krishnasswamv KV, Rahim MA, Parthasarathy R. A sociological study of awareness of symptoms of pulmonary tuberculosis and actions taken by the patients to seek relief. Indian J Tubercle. 1997;24:15-20.
Liefooghe R, Baliddawa JB, Kipruto EM, Vermeire C, De Munynck AO. From their own perspective. A Kenyan community perception of tuberculosis. Trop Med lnt Health. 1997;8:809-21.
Uzochukwu BSC, Onwujekwe OE. Socio-economic differences and health seeking behaviour for the diagnosis and treatment of malaria: a case study of four local government areas operating the Bamako initiative programme in south-east Nigeria. Int J Equity Health. 2004;3:6.
Becker MH. The health belief model and personal health behavior. Health Education Monographs. 1974;2:324-473.
Janz NK Becker MH. The health belief model: a decade later. Health Education Quarterly. 1984;11:1-47.
Weinstein ND. Testing four competing theories of health-protective behavior. Health Psychology. 1993;12:324-33.
