Commnity knowledge, attitudes and practices towards tberculosis and its treatment inMpwapwa District, central Tanzania

Abstract

Tuberculosis (TB) is one of the leading causes of adult mortality with 32% of the global population infected
with Mycobacterium tuberculosis. The current control of TB depends mainly on case management using the Direct-Observed
Treatment, Short-course (DOTs) regimen. Despite the measures taken, the disease burden is still on increase especially in
the developing countries including Tanzania. Correct knowledge and positive perception of the community towards TB
and its management is a prerequisite to early treatment seeking. This study was carried out in Mpwapwa district, central
Tanzania, to assess the knowledge, attitudes and practice as regards to TB and its treatment. Focus group discussions
involving men and women were conducted in six villages. Results show that TB was an important public health problem.
However, community knowledge on its cause was poor. Symptoms of TB as mentioned by the community included
persistent cough and weight loss. TB was reported to be transmitted mainly through air. Self medication was the first most
preferred option, whereas health care facility consultation was the last one. Focus group discussants knew that TB cure
requires a 8-month period of treatment. Friends and relatives were the main source of TB information in the community. In
conclusion, rural communities of Mpwapwa District have a low knowledge on the causes and the transmission of tuberculosis
which is a likely cause of the delay in seeking treatment. An intensive appropriate community health education is required
for a positive behavioural change in tuberculosis control.

Tanzania Health Research Bulletin Vol. 9 (1) 2007: pp. 38-43