Development of participatory pulmonary tuberculosis care model in network of community, Donchan Hospital, Kalasin Province.

Abstract

    This study was participatory action research (PAR) aimed to develop and implement a participatory model for tuberculosis (TB) care within community networks. Population consisted of qualitative component comprising 18 multidisciplinary team members and community partners, and a quantitative component of 36 TB patients. Research was conducted in three phases: 1) situation analysis, 2) model development and testing, and 3) model evaluation. Data collection employed a mixed-methods approach, combining both quantitative and qualitative data. The research tools included 1) focus group discussion guides and TB care guidelines for qualitative data, and quantitative tools such as general data collection forms, clinical data forms, health literacy assessment forms for TB patients, and satisfaction evaluation forms. Quantitative data were analyzed using descriptive statistics and compared pre- and post-intervention using T-tests. Qualitative data were analyzed using content analysis.

      Research Findings results showed significant improvements in operational indicators, health literacy among TB patients, and patient satisfaction levels, all statistically significant at the 0.05 level. (t=6.28, 7.53)