Development of Tuberculosis Care Model in Community with participation of District health network, Nakhon Ratchasima Province.

Abstract

     This study was a participatory action research aimed to development of tuberculosis care model in community with participation of district health network, Nakhonratchasima province. The research procedure consisted of 3 phases as follows. Phase 1; Study the situation and problems in caring for tuberculosis patients in the community of district health network. Phrase 2; The development model and testing in the model area. In phrase 3; evaluate the development model and population’s satisfaction of 68 participants in experimental group and 68 participants in comparison group. Data was collected through focus group discussions, observations and interviews. Content analysis was used to analyze qualitative data whereas descriptive and Inferential statistics were used to analyze quantitative one. Paired sample t-test was used to compare means.
     The results from the development of tuberculosis care model in community with participation of district health network, Nakhonratchasima province should consist of (1) Meeting to plan the operation of tuberculosis care patients in the community in the district health network group. (2) integrated operation through working group (3) capacity building of process facilitators (4) selection of study area (5) Evaluation: After using a tuberculosis care model in community with participation of district health network program try it out in the area the dan khun thot district and comparison areas in khonburi district nakhon ratchasima province for 12 weeks, it was shown that the experimental group had a higher mean score in knowledge about tuberculosis and prevention of the spread of tuberculosis significantly more than the comparison group (p-value < 0.001) and the experimental group had an mean score on behavior to prevent the spread of tuberculosis disease in the community of tuberculosis patients among tuberculosis patients and tuberculosis patient caregivers significantly more than the comparison group (p-value < 0.001) and the satisfaction assessment results of the tuberculosis care model in community with participation of district health network activities in the research area model was also at a very high level.