A Study to Assess the Knowledge and Attitude Regarding Dots Therapy among Dots Providers in Selected Rural Areas at Bhopal (Madhya Pradesh)

Introduction: In India, tuberculosis remains a major public health problem & it?s a communicable disease. Every day approximate 1000 peoples die from it. Tuberculosis is an infectious disease caused by MYCOBACTERIUM TUBERCULI the disease primarily affected the lung & cause pulmonary tuberculosis. It can also affect structure such as intestine, meninges, bone & joints, lymph gland, skin & other tissue of body parts.1 Tuberculosis is a preventable & curable disease, B. C. G. is gift to the30 prevent tuberculosis world given by the scientist Bacilli Calmette Guerin 1927, widely used like bacteria vaccine.2 DOTS (Directly Observed Treatment Short-course) is the name given to the Tuberculosis control strategy recommended by the WHO. According to WHO ?The most cost effective way to stop the spread of tuberculosis in communities with a high incidence is by curing it. The best curative method for tuberculosis is known as DOTS. DOTS has five main component:- 1) Government commitment (including political with at all levels & establishment of a centralized & priorities system of TB monitoring recording & training). 2) Case detection by sputum smear microscopy. 3) Standardized treatment regimen directly of 6-8 months observed by a healthcare workers or community health worker for at least the first two month. 4) A drug supply. 5) A standardized recording & reporting system that allows assessment of treatment result.3 and 8. In India today, two deaths occur every three minutes from tuberculosis. But these death can be prevented with proper care andtreatment. TB patients can be cured & the battle against TB can be won. 4 2 TB is an infectious disease caused by a bacterium mycobacterium tuberculosis. It is spread through the air by a person suffering from TB. A single patient can infect 10 or more people in the year. Objectives: a) To assess the knowledge regarding DOTS therapy among DOTS provider. B) To assess the attitude regarding DOTS therapy among DOTS provider. C) To find out the association between knowledge andattitude with selected socio demographic variables. D) To correlate the knowledge and attitude regarding DOTS therapy among DOTS providers. Hypothesis: H1-There is significant There is significant co-relation between knowledge and attitude. H2-There is significant association between knowledge with socio demographic variable. H3-There is significant association between attitude with socio demographic variable. H0? There is no significant co-relation between knowledge and attitude regarding DOTS therapy among DOTS provider. Methodology: A non-experimental, Descriptive design was adopt; Purposive sampling techniques was used to select 30 sample based on certain pre-determined criteria. Results: The data analyzed from the study subjects were analyzed and interpreted in term of the objectives and hypothesis of the study. Descriptive and inferential statistics was used for data analyzed; the level of significance of 5%. The characteristic of the demographic variables described in term of their frequency and percentage distribution which showed that majority 26.6% were in the age group of 15-25 years, majority 80% were male, most of the DOTS providers had got high school education, 73.3% were Hindu. Out of 30 DOTS providers, assessment of knowledge reveals that majority 12 (40%) of DOTS providers had moderate knowledge regarding DOTS therapy, 10 (33.3%) had adequate knowledge and only 8 (26.6%) had inadequate knowledge regarding DOTS therapy. The mean for overall knowledge of DOTS providers as represented in table-6 was 14.29 (S. D. =4.83). The assessment of attitude of DOTS providers revealed in table-7 that majority 20 (66.6%) of DOTS therapy and 10 (33.3%) had neutral attitude regarding DOTS therapy. The mean score of overall attitude was 31.4 (S. D. = 2.92) regarding DOTS therapy. Association of demographic variables with the level of knowledge using chi-square test. Although there was no statistically significant association found between level of knowledge and demographic variables such as age, gender and religion. There was a statistically association found between level of knowledge and demographic variable such as educational status at pless than0.05 level. Hence the research hypothesis H2 stated ?there will be a significant association between knowledge among DOTS providers regarding DOTS therapy and selected demographic variables? was accepted. This indicates that the level of knowledge of DOTS providers varies according to educational status. Association of demographic variables with the level of attitude using chi-square test. Although there was no statistically significant association found between level of attitude and demographic variables such as age and religion. There was a statistically association found between level of attitude and demographic variable such as educational status and gender at p less than0.05 level. Hence the research hypothesis H3 stated ?there will be a significant association between attitude among DOTS providers regarding DOTS therapy and selected demographic variables? was accepted. This indicates that the level of attitude of DOTS providers varies according to gender and educational status. The correlation between the knowledge and attitude showed that there was a positive correlation between knowledge and attitude of DOTS provider with regard to DOTS therapy. Hence the Research Hypothesis H1 stated. There will be a significant correlation between knowledge and attitude among DOTS providers regarding DOTS therapy was accepted. Conclusion: The present study assessed the knowledge and attitude regarding DOTS therapy among DOTS providers. On the basis of finding of the study the following of the study the following conclusion were made. Majority of the DOTS providers adequate knowledge regarding DOTS therapy. The study show that there was positive attitude regarding DOTS therapy. There was a positive correlation between knowledge and attitude among DOTS providers regarding DOTS therapy.