Development of a proactive tuberculosis surveillance system in the area of responsibility of Ban Non Rang Subdistrict Health Promoting Hospital, Sawathi Subdistrict, Mueang Khon Kaen District, Khon Kaen Province.

Abstract

     This research is an action research aimed at developing a proactive tuberculosis surveillance system with the participation of the community at Ban Non Rang Health Promotion Hospital, Mueang District, Khon Kaen Province. The research sample is divided into two groups: tuberculosis patients and their caregivers, totaling 24 people, and a community health network group consisting of 28 people. The 4S Model system concept was applied to identify tuberculosis patients among at-risk populations and the general population. Data were collected questionnaires. Data analysis was conducted using descriptive statistics, including frequency distribution, percentage, mean, and standard deviation, as well as qualitative data analysis through content analysis.
     The research findings indicate that the process of implementing an active tuberculosis surveillance model with community participation consists of six steps: (1) studying baseline data and analyzing the context of the area, (2) organizing a planning workshop, (3) developing an action plan, (4) executing the plan, (5) monitoring and evaluating the implementation, and (6) holding a meeting to summarize the results of the implementation. The active tuberculosis surveillance system includes six activities: (1) conducting practical training for community health volunteers and community leaders on tuberculosis surveillance, (2) searching for tuberculosis patients using the principles of the 4S Model, (3) conducting home visits to tuberculosis patients and their caregivers, (4) collecting sputum samples from individuals with suspected tuberculosis symptoms for testing, (5) communicating and promoting awareness through community announcement boards and informational posters, and (6) disseminating information regarding the development of the active tuberculosis surveillance system in the community.