Knowledge, attitude and preventive practices regarding tuberculosis care and control among health care professionals at TB centres: implications for TB control efforts

K. M. Jaiswal, Lohit S. Vaishnao, Sujata Dudhgaonkar, Latesh Raghte, Mahek S. Kewalramani, Ashutosh S. Jawade, Kunal C. Chugh


Background: Tuberculosis (TB) ranks as the leading cause of death from infectious disease. The World Health Organization (WHO) has considered TB a global public health disaster since 1993. Four factors affect non-adherence to treatment-the patient, healthcare systems, pharmaco-therapeutics and the key persons, health care professional (HCP). So, the study was conducted to evaluate knowledge, attitudes and practices regarding TB care and control in HCPs working in TB units.

Methods: This was a cross-sectional, observational, questionnaire-based study conducted in all the HCPs working for the TB care and control.

Results: The responses to the questions of knowledge were variable indicating incompleteness of information, facts, understanding related to TB in HCPs. HCPs show very strong positive attitude for finding every new case of TB is essential. The HCPs disagree to some statements like traditional or alternative medicine assists in wellbeing of TB patients. Practice competency was low with average score 2.32 out of 6, doctors having higher score of 4.62 followed by nurses, lab-technicians, pharmacist and activist with score of 2.57, 1.66, 1.5, 1.25 respectively.  The activist are the key persons in the national tuberculosis program, exhibited the least score in this study indicates they do not have much orientation about the practice of TB treatment. Specific deficiencies existed for some knowledge statements of HCWs on TB. There was disagreement in attitudes regarding stigma and traditional medicine, and practice competencies were poor. Improvement in aspect of KAP of HCPs on TB will help India achieve the goal of End TB.

Conclusions: Specific deficiencies existed for some knowledge statements of TB in paramedical staff as compared to doctor participants. There was disagreement in attitudes regarding stigma and traditional medicine, and practice competencies were poor in activists. Improvement in knowledge, attitude and practices of TB in paramedical staff by conducting CME, Workshop, training sessions will help India to achieve the goal of End TB.


National tuberculosis program, Questionaire based study, Tuberculosis, DOTS, RNTCP

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The end TB strategy global strategy and targets for tuberculosis prevention, care and control after 2015. The official text approved by 67th World Health Assembly, 2014.

World Health Organization Strategic and Technical Advisory Group for TB. Use of high burden country lists for TB by WHO in the post-2015 era. Geneva: WHO. Available at publications/ global_ report/ high_ tb_ burden countrylists 2016-2020. pdf?ua=1. Accessed on 28 July 2017.

Wahab FA, Abdullah S, Abdullah JM, Jaafar H. Updates on knowledge, attitude andpreventive practices on tuberculosis among healthcare workers. Malays J Med Sci. 2016;23(6):25-34.

Kigozi NG, Heunis JC, Engelbrecht MC, Janse AP. Tuberculosis knowledge, attitudes andpractices of patients at primary health care facilities in a South African metropolitan research towards improved health education. BMC Public Health. 2017;17:795.

Minnery M, Contreras C, Pérez R, Solórzano N, Tintaya K, Jimenez J. A cross sectional study of knowledge and attitudes towards tuberculosis amongst front-line tuberculosis personnel in high burden areas of Lima, Peru. PLOS One. 2013;8(9):75689.

Noé A, Ribeiro RM, Anselmo R, Maixench M, Sitole L, Mulgambe K, et al. Knowledge, attitudes and practice regarding tuberculosis care among health workers in Southern Mozambique. BMC Pulmon Med. 2017;17:2-9.

Woith WM, Volchenkov G, Larson JL. Russian healthcare workers’ knowledge of tuberculosis and infection control. Int J Tuberc Lung Dis. 2010;14(11):1489-92.

Hashim, DS, Kubaisy A, Dulayme WA‎. Knowledge, attitudes and practices survey among health care workers and tuberculosis patients in Iraq. Eastern Mediterran Health J. 2003;9(‎4):718-31.

Buregyeya E, Kulane A, Colebunders R. Tuberculosis knowledge, attitudes and health-seeking behaviour in rural Uganda. Int J Tuberc Lung Dis. 2011;15(7):938-42.

Haasnoot PJ, Boeting TE, Kuney MO, Roosmalen VJ. Knowledge, attitudes and practice of tuberculosis among maasai in simanjiro district, Tanzania. Am J Trop Med Hyg. 2010;83(4):902-5.

Chakaya JM, Meme H, Kwamanga D. Planning for PPM-DOTS implementation in urban slums in Kenya: knowledge, attitude and practices of private health care providers in Kibera slum, Nairobi. Int J Tuberc Lun Dis. 2005;9(4):403-8.

Peltzer K, Mngqundaniso N, Petros G. Knowledge, beliefs and practices of traditional healers in Kwazulu-Natal, South Africa. AIDS Care. 2006;18:608-13.

Kanjee Z, Catterick K, Moll AP, Amico KR, Friedland GH. Tuberculosis infection control in rural south Africa: survey of knowledge, attitude and practice in hospital staff. J Hosp Infect. 2011;79(4):333-8.

Heunis C, Wouters E, Kigozi G, Rensburg V, Bonthuyzen EJ, Jacobs N. TB/HIV-related training, knowledge and attitudes of community health workers in the free state province, South Africa. Afr J AIDS Res. 2013;12:113-9.

Temesgen C, Demissie M. Knowledge and practice of tuberculosis infection control among health professionals in northwest Ethiopia, 2011. BMC Health Serv Res. 2014;14:593-7.