Challenges in Sputum Collection among Tuberculosis Suspects and Drug Distribution to Tuberculosis Patients among Health-care Providers (ANM/ASHA) in Rural and Urban Field Practice Area of SSIMS and RC, Davangere – A Qualitative Study

Vidya V Patil, J Rakesh, . Ashok Kumar

Abstract


Introduction: Tuberculosis (TB) continues to cause a large burden of disease in the world. Both diagnosis delay and non-completion of treatment are two central behavioral challenges in the National TB Elimination Program. Objective: The objective of the study was to determine challenges faced during sputum collection and drug distribution by the health-care providers (ANM/ASHA) at rural and urban field practice area of SSIMS and RC, Davangere. Materials and Methods: Four focus group discussions (FGDs) were conducted: Two groups with ANM’s and ASHA’s each from rural and urban field practice area of SSIMS and RC in Davangere during July and August 2018, respectively. Each group consisted of six participants, and a total of 24 health-care providers participated. The sample was stratified by professional role (ANM and ASHA) and by geographical area (urban and rural) to explore and compare views regarding challenges faced during sputum collection and drug distribution by different professional groups working in different settings. FGDs were video recorded and transcribed, and a second researcher took notes recording group dynamics. Results: Most of the ASHA and ANM knew about the guidelines for sputum collection and also would instruct the patient regarding sputum collection. However, still many of them had faced difficulty in collecting sputum. Every ANM reported no difficulties in procuring anti-TB drugs from the main store and patient did not collect drugs regularly. Conclusion: Most of the ANM and ASHA workers reported difficulty in sputum collection and drug distribution which implies subsequent reinforcement to be done by health-care providers to TB patients to complete their treatment.

Key words: Challenges, Drug distribution, Health-care providers, Knowledge, Sputum collection, Tuberculosis


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