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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Tuberculosis infection control in a high drug-resistance setting in rural South Africa: Information, motivation, and behavioral skills
Journal of Infection and Public Health, Volume 5, No. 1, Year 2012
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Description
Background: 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. Methods: 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. Results: 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 implementation. Conclusion: HCWs in rural South African hospitals with high drug-resistance demonstrated moderate IMB and implementation of TB IC. Improvement efforts should emphasize the development of HCW motivation and behavioral skills as well as social support from colleagues and supervisors. Such interventions should be informed by baseline IMB assessments. In the present study, a trimmed/modified IMB model helped characterize TB IC implementation. © 2011 King Saud Bin Abdulaziz University for Health Sciences.
Authors & Co-Authors
Kanjee, Zahir
United States, New Haven
Yale School of Medicine
Rivet Amico, K. Rivet
United States, Storrs
University of Connecticut
Li, F.
United States, New Haven
Yale University
Mbolekwa, K.
South Africa, Kwazulu-natal
Church of Scotland Hospital
Moll, Anthony P.
South Africa, Kwazulu-natal
Church of Scotland Hospital
Friedland, Gerald H.
United States, New Haven
Yale School of Medicine
Statistics
Citations: 38
Authors: 6
Affiliations: 4
Identifiers
Doi:
10.1016/j.jiph.2011.10.008
ISSN:
18760341
e-ISSN:
1876035X
Research Areas
Health System And Policy
Infectious Diseases
Study Design
Cross Sectional Study
Study Approach
Quantitative
Study Locations
South Africa