Influence Of Community Health Volunteers On Implementation Of Community Based Tuberculosis Care, In Bungoma County, Kenya
Abstract
Tuberculosis has re-emerged as a major public health problem in the world. World Health
Organization estimate that a third of the world’s population is infected with tubercle bacillus
with about nine million people progressing to active tuberculosis disease each year, two million
of whom die of Tuberculosis disease. The main objective of this study is to establish the roles
played by Community Health Volunteers in tuberculosis care, prevention and control in
Bungoma County. It looks at their roles in the implementation of community based –Directly
observed treatment short courses (Community based-Directly observed treatment short courses).
Another area is defaulter identification and initiation of tracing and retrieving of patients, contact
tracing and screening of all smear positive contacts and referral of suspect to health facility. The
study also looked at Heath education given to the community through effective communication
as part of advocacy, communication and social mobilization. The other area the researcher
looked into is observation of patient take their medication (Directly observed therapy), referral
and linkage of clients to facility and community, and documentation of tuberculosis information
in the community tuberculosis tools. The study was undertaken in Bungoma County which has
240 community units with approximate 2400 community health volunteers. The study design
included developing a questionnaire that administered after a population frame had been
determined through cluster sampling method to get required sample size. The study was
descriptive cross sectional. Data was collected using a structured questionnaire and was analyzed
using computer data base SPSS, chi-square and presented using texts, pie charts, tables. The
results helped to find out the roles played by Community Health Volunteers in implementation of
community based directly observed treatment short courses indicating areas of success, failures,
and challenges encountered. It provided a conclusion and recommendation that will be used to
improve the services to the people of Bungoma.
Publisher
University of Nairobi
Subject
Influence Of Community Health Volunteers On Implementation Of Community Based Tuberculosis CareRights
Attribution-NonCommercial-NoDerivs 3.0 United StatesUsage Rights
http://creativecommons.org/licenses/by-nc-nd/3.0/us/Collections
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