Myths and realities about knowledge, attitudes and practices of household contacts of tuberculosis patients

Gil, Nelly Lopes de Moraes; López, Lucelly; Rodríguez, David Alejandro; Rondon, Maria Clara de Sales; Betancourt, Ana Lucía Herrera; Gutiérrez, Blanca; Rueda, Zulma Vanessa

doi:10.5588/ijtld.17.0886

Cited by 12 publications

(9 citation statements)

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“…The willingness of HHCs to want more education on TB in our study is consistent with other studies in South Africa, Cambodia and Columbia, where participants wanted healthcare workers to educate their whole community on TB 19,20,21 . Such evidence has demonstrated the value of HHCT as a platform for distributing information on TB, which ultimately increases patient empowerment.…”

Section: Discussionsupporting

confidence: 89%

"Knock Knock": A qualitative study exploring the experience of household contacts on home visits and their attitude towards people living with TB in South Africa

Sathar

Velen

Peterson

et al. 2020

Preprint

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Abstract Background: Household contract tracing (HHCT) is an important strategy for active case finding. However, there is limited data on the patient-centered approach to HHCT. Our study aimed to describe experiences and preferences of household contacts (HHCs) for HHCT. Methods: We conducted a qualitative study in Rustenburg, South Africa from September 2013 to March 2015. Twenty-four HHCs (≥18 years) had audio-recorded in-depth interviews. We used an inductive thematic analysis approach to develop themes. We made an a priori assumption that we would reach saturation with at least 20 interviews.Results: There were 16 (66.7%) females (median age = 36 years) and eight (33.3%) males (median age = 34 years). Two themes developed: (i) Positive attitude of HHCs towards TB services provided at home and (ii) HHCs relationship to and acceptance of people living with TB (PLTB). The first main theme emphasized that HHCs appreciated the home visits. Participants preferred home visits because they had negative experiences at the clinic such as delayed waiting times and long queues. HHCs supported the screening of children for TB at home. Participants suggested that the research staff could expand their services by screening for diabetes and hypertension alongside TB screening. In the second main theme, there was a sense of responsibility from the HHCs towards accepting the diagnosis of PLTB and caring for them. A sub-theme that emerged was that as their knowledge on TB disease improved, they accepted the TB status of the PLTB empowering them to take care of the PLTB. Conclusions: HHCs are supportive of HHCT and felt empowered by receiving TB education that ultimately allowed them to better understand and care for PLTB. HHCs were supportive of screening children for TB at home. Future HHCT activities should consider raising community awareness on the benefits of TB contact tracing at households.

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Section: Discussionsupporting

confidence: 89%

"Knock Knock": A qualitative study exploring the experience of household contacts on home visits and their attitude towards people living with TB in South Africa

Sathar

Velen

Peterson

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…The willingness of HHCs to want more education on TB in our study is consistent with other studies in South Africa, Cambodia and Columbia, where participants wanted healthcare workers to educate their whole community on TB 22,23,24 . Such evidence has demonstrated the value of HHCT as a platform for disseminating information on TB.…”

Section: Discussionsupporting

confidence: 89%

"Knock Knock": A qualitative study exploring the experience of household contacts on home visits and their attitude towards people living with TB in South Africa

Sathar

Velen

Peterson

et al. 2020

Preprint

View full text Add to dashboard Cite

Abstract Background: Household contract tracing (HHCT) is an important strategy for active tuberculosis case finding and offers an opportunity for testing of other diseases such as HIV. However, there is limited data on the patient-centered approach to HHCT. Our study aimed to describe experiences and preferences of household contacts (HHCs) for HHCT.Methods: We conducted a qualitative study in Rustenburg, South Africa from September 2013 to March 2015. Twenty-four HHCs (≥18 years) had audio-recorded in-depth interviews. We used an inductive thematic analysis approach to develop themes. We made an a priori assumption that we would reach saturation with at least 20 interviews. Results: There were 16 (66.7%) females (median age = 36 years) and eight (33.3%) males (median age = 34 years). Two themes developed: (i) Positive attitude of HHCs towards TB services provided at home and (ii) HHCs relationship to and acceptance of people living with TB (PLTB). The first main theme emphasized that HHCs appreciated the home visits. Participants preferred home visits because they had negative experiences at the clinic such as delayed waiting times and long queues. HHCs supported the screening of children for TB at home. Participants suggested that the research staff could expand their services by screening for diabetes and hypertension alongside TB screening. In the second main theme, there was a sense of responsibility from the HHCs towards accepting the diagnosis of PLTB and caring for them. A sub-theme that emerged was that as their knowledge on TB disease improved, they accepted the TB status of the PLTB empowering them to take care of the PLTB.Conclusions: HHCs are supportive of HHCT and felt empowered by receiving TB education that ultimately allowed them to better understand and care for PLTB. HHCs were supportive of screening children for TB at home. Future HHCT activities should consider raising community awareness on the benefits of TB contact tracing at households.

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“…Gil et al . in 2018 [ 31 ] reported that a significant gap in knowledge about TB among HHCs increased the risk of disease transmission and reiterated the need for education campaigns at the community level, which can address misconceptions on causation and transmission of TB. The WHO recommends routine contact investigation in TB high burden countries through counseling and education of HHCs, who are the primary caregivers for active TB patients at home (WHO, 2018).…”

Section: Discussionmentioning

confidence: 99%

Latent tuberculosis among household contacts of pulmonary tuberculosis cases in Nairobi, Kenya

Odera¹,

Mureithi²,

Aballa³

et al. 2020

Pan Afr Med J

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Introduction Household Contacts (HHCs) of Pulmonary Tuberculosis (PTB) patients have a higher risk of latent tuberculosis infection (LTBI). However, its prevalence and risk factors among adults living with PTB patients are poorly documented in Kenya. Objective to determine the prevalence and risk factors for LTBI among adult HHCs of PTB patients in Kenya. Methods this was an analytical cross-sectional study of HHCs of PTB patients in Nairobi, Kenya. Socio-demographic data was captured on questionnaires and blood samples drawn for Interferon gamma (IFN-γ) quantification. Univariate and multivariate analyses using the Statistical Package for Social Scientists (SPSS) was used to determine the prevalence of LTBI and risk factors at 95% Confidence Interval (CI). Results a total of 166 PTB patients yielded 175 HHCs of whom 29.7% (52/125) were males and 70.3% (123/125) were females. A majority of HHCs [65.7% (115/175)] lived in a single-room house with the patient and [37.7% (66/175)] were in the age group 30-39-years. The overall prevalence of LTBI was 55.7%, peaking among spouses of the patients [70.0% (14/20) and the 30-39 year age group [63.5% (42/66)]. Potential risk factors for LTBI included cohabiting with a PTB patient for 8 to 12 weeks [OR = 3.6 (0.70-18.5), p = 0.107], being a spouse of the patient [OR = 2.0 (0.72-5.47), p = 0.173] and sharing a single room with the patient [OR = 1.58 (0.84 - 2.97), p = 0.158]. Conclusion the high prevalence of LTBI among adult HHCs of PTB patients in this population demonstrates the need for targeted contact-screening programs in high TB transmission settings.

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Myths and realities about knowledge, attitudes and practices of household contacts of tuberculosis patients

Cited by 12 publications

References 0 publications

"Knock Knock": A qualitative study exploring the experience of household contacts on home visits and their attitude towards people living with TB in South Africa

"Knock Knock": A qualitative study exploring the experience of household contacts on home visits and their attitude towards people living with TB in South Africa

"Knock Knock": A qualitative study exploring the experience of household contacts on home visits and their attitude towards people living with TB in South Africa

Latent tuberculosis among household contacts of pulmonary tuberculosis cases in Nairobi, Kenya

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