Tuberculosis infection control in a high drug-resistance setting in rural South Africa: information, motivation, and behavioral skills

Journal of Infection and Public Health
Z KanjeeGerald Friedland

Abstract

Tuberculosis (TB) is transmitted in resource-limited facilities where TB infection control (IC) is poorly implemented. Theory-based behavioral models can potentially improve IC practices. The present study used an anonymous questionnaire to assess healthcare worker (HCW) TB IC information, motivation, and behavioral skills (IMB) and implementation in two resource-limited rural South African hospitals with prevalent drug-resistant TB. Between June and August 2010, 198 surveys were completed. Although the respondents demonstrated information proficiency and positive motivation, 22.8% did not consider TB IC to be worthwhile. Most tasks were rated as easy by survey participants, but responding HCWs highlighted challenges in discrete behavioral skills. The majority of responding HCWs reported that they always wore respirators (54.3%), instructed patients on cough hygiene (63.0%), and ensured natural ventilation (67.4%) in high-risk areas. Most respondents (74.0%) knew their HIV status. Social support items correlated with the implementation of the first three aforementioned practices but not with the respondents' knowledge of their HIV status. In most cases, motivation and behavioral skills, but not information, were associated with...Continue Reading

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Citations

Jul 5, 2013·Current HIV/AIDS Reports·Tejaswi KompalaGerald Friedland
Oct 19, 2013·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Catherine GodfreyJeffrey T Schouten
Mar 27, 2015·International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases·Arne von DelftAlimuddin Zumla
Apr 28, 2016·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Gilles van CutsemHelen Cox
Apr 28, 2016·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Sabine Verkuijl, Keren Middelkoop
Jun 27, 2018·African Journal of Primary Health Care & Family Medicine·Michelle C EngelbrechtDingie H C J Van Rensburg
Aug 31, 2020·Journal of Contextual Behavioral Science·Steven C HayesCory E Stanton

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