Study Reveals All Respondents Were Not Aware of The Cause, Spread, Prevention and Treatment of TB

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A TB Prevention Paramedics Blog Launched in Uganda!

 A study done in October 2021-March 2022 by the Most at Risk Populations’s Society in Uganda (MARPS In Uganda) of respondents who are 1,578 persons living with HIV; 24 under treatment for TB (13 under 27 yo; 18 females); and 170 TB Survivors living in Mbarara, Masaka, Lyantonde, Bukomansimbi, Gulu, Fort Portal, Masindi, Adjumani, Kabale, Kawempe, Makindye, Jjinja, Mbale, Kamuli and Lira revealed that:

1.   All respondents could not name 5 clinics or health facilities where they could go to have TB-related screening, testing or treatment in case they needed to find out if a persistent cough they had needed attending a clinic for check-up. 

*Name 5 other clinics or health facilities where one can report for TB-related screening, testing or treatment? Why pose this question? Whereas all were receiving treatment from a clinic for HIV or TB, we asked for 5 names due to three reasons. This question proxied intuition to advise peers in form of options other than one clinic; the second reason was to elicit social mapping or navigation knowledge and skills among respondents; the third was to link facilitation to ability to access several clinics. 

2.    All respondents were not aware the cause, spread, prevention and treatment of TB. 

* Answer fully and truthfully the cause, spread, prevention and treatment. Why pose this question? Whereas all were receiving treatment from a clinic for HIV or TB, we asked and expected all questions to responded to correctly. This question proxied coughing habits, hygiene that promotes healthy living, stigma following an Acid-Fast Bacilli (ATB) positive sputum test, discrimination, uptake of medicines, adherence to medicines, advise peers about options other than one clinic; eliciting social habits to break the transmission cycle, navigation knowledge and skills around prevention, care, or treatment among respondents; and habits around health seeking and plans in place to link those in need through facilitation to access several clinics. 

3.    All respondents requested to have short and basic trainings in TB Prevention and health promotion. 

*Would you find time to attend a short and basic training on TB Prevention? Why poses this question? Whereas all were receiving treatment from a clinic for HIV or TB, we asked and expected all questions to responded to correctly. This question proxied a desire to learn, a informed choice to engage in TB Prevention activities, being conscious of coughing habits, hygiene that promotes healthy living, stigma following an Acid-Fast Bacilli (ATB) positive sputum test, discrimination, uptake of medicines, adherence to medicines, advise peers about options other than one clinic; eliciting social habits around breaking the transmission cycle, navigation knowledge and skills around prevention, care, or treatment among respondents; and habits around health seeking and plans in place to link those in need through facilitation to access several clinics. 

4.    All respondents knew of a person who had cough but never sought care from a qualified health worker and instead used herbal medicines to cure it. 

* Are you aware of any person who chooses to use herbal medicines in place of? Why pose this question? Whereas all were receiving treatment from a clinic for HIV or TB, we asked and expected all questions to elicit responses on health seeking practices among peers. This question proxied a desire to learn, a informed choice to engage in TB Prevention activities, being conscious of coughing habits, hygiene that promotes healthy living, stigma following an Acid-Fast Bacilli (ATB) positive sputum test, discrimination, uptake of medicines, adherence to medicines, advise peers about options other than one clinic; eliciting social habits around breaking the transmission cycle, navigation knowledge and skills around prevention, care, or treatment among respondents; and habits around health seeking and plans in place to link those in need through facilitation to access several clinics. 

5.    All demanded for Information, Education and Communication (IEC) on health promotion and TB Prevention specifically.

*Do you need IEC resource materials on TB Prevention? Why pose this question? Whereas all were receiving treatment from a clinic for HIV or TB, we asked and expected all questions to responded to in order to elicit of respondents get IEC resource materials from the clinics; or if they take time to read notices. This question proxied a desire to learn, a informed choice to engage in TB Prevention activities, being conscious of coughing habits, hygiene that promotes healthy living, stigma following an Acid-Fast Bacilli (ATB) positive sputum test, discrimination, uptake of medicines, adherence to medicines, advise peers about options other than one clinic; eliciting social habits to break the transmission cycle, navigation knowledge and skills around prevention, care, or treatment among respondents; and habits around health seeking and plans in place to link those in need through facilitation to access several clinics.

Conclusion: This calls for a strategic planning and implementation of TB Prevention activities targeting the respondents. These will be based on: cause, spread, prevention and treatment of TB; information that motivates respondents to cough to seek care from a qualified health workers; elicit reasons for use of herbal medicines; share benefits and limits of herbal medicines; and Information, Education and Communication (IEC) resource materials on health promotion and TB Prevention.

















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