A Study to Evaluate the Effectiveness of Structured Teaching Programme Regarding Home Care Management on Tuberculosis among Tuberculosis Clients in Selected PHC at Vijayapura

Introduction: Tuberculosis remains a worldwide public health problem despite the fact that the causative organism was discovered more than 100 years ago and highly effective drugs and vaccines are available making tuberculosis a preventable and curable disease [1]. The global incidence rate of Tuberculosis being 119 per lakh population with low-income countries carrying most of the burden with the incidence rate 197 per lakh population [2]. Middle-income countries are having the rate of about 85 per lakh population and high income countries about nine per lakh population [3]. Eight out of ten of all those struck by tuberculosis are in economically productive age group of 15-49 years. It kills more adults than any other infectious disease. India accounts for nearly one third of global burden of tuberculosis [4]. Objectives of the study: (1) To assess the existing knowledge regarding home care management on tuberculosis among tuberculosis clients. (2) To evaluate the effectiveness of structured teaching programme regarding home care management on tuberculosis. (3) To find out the association between the knowledge about home care management on tuberculosis and selected demographic variables. Material and methods: An evaluative research approach with one group pretest posttest design in quasi-experimental design was used to evaluate the effectiveness of the STP. This study was conducted in Vijayapura. The population for this study consisted of TB clients. Random sampling technique by lottery method was used to select 60 samples. The tool used for the data collection was structured knowledge interview questionnaire which comprised of 11 items on demographic data and 40 items on home care management on TB. The reliability of the tool was established by Split Half technique, with ‘r’=0.94. Conceptual frame work for the study was based on the J.W. Kenny system theory model. The pretest was administered to 60 TB clients followed by the STP on the 7th (seven) day; post test was conducted to the same sample using the same tool. Results: Regarding the existing knowledge of the home care management on TB, there was a lack of knowledge in all aspects of home care management on TB. The overall pretest mean knowledge was 20.82 and posttest mean knowledge was 31.10, with mean percent enhancement of knowledge score as 10.28 which was statistically significant as observed between pre and post test score with paired ‘t’ test 20.42 at 0.05 level. Conclusion: Hence, the H2 is rejected. So there is no significant association between level of knowledge scores and selected demographic variables. Also, Null Hypothesis (H01) is accepted