Table 5 Distribution of primary health care staff who agree about perceived capacity and motivation to conduct direct observed treatment for multidrug-resistant tuberculosis patients
| Domains of attitude | Total (N = 123) | Type of staff | Working at PHCs which provide DOT for MDR-TB | Received on-the-job training on DOT for MDR-TB procedure | Received training on infection control | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
|
Clinical staffa (N = 95) | TB program staff (N = 10) | Other staffb (N = 18) | p | Yes (N = 39) | No (N = 84) | p | Yes (N = 36) | No (N = 87) | p | Yes (N = 75) | No (N = 48) | p | ||
| n (%) | n (%) | n (%) | n (%) | n (%) | n (%) | n (%) | n (%) | n (%) | n (%) | |||||
| Perceived capacity | ||||||||||||||
| I am confident conducting DOT for MDR-TB patient. | 81 (65.9) | 62 (65.3) | 9 (90.0) | 10 (55.6) | 0.178 | 32 (82.1) | 49 (58.3) | 0.01 | 31 (86.1) | 50 (57.5) | 0.002 | 52 (69.3) | 29 (60.4) | 0.309 |
| I understand the DOT procedure for MDR-TB patient. | 72 (58.6) | 58 (61.1) | 7 (70.0) | 7 (38.9) | 0.161 | 31 (79.5) | 41 (48.8) | 0.001 | 32 (88.9) | 40 (46.0) | < 0.001 | 48 (64.0) | 24 (50.0) | 0.124 |
| Infection control is properly managed in the PHC. | 66 (53.7) | 47 (49.5) | 4 (40.0) | 15 (83.3) | 0.020 | 24 (61.5) | 42 (50.0) | 0.232 | 20 (55.6) | 46 (52.9) | 0.786 | 36 (48.0) | 30 (62.5) | 0.116 |
| Motivation | ||||||||||||||
| If there were a choice, I would prefer not to conduct DOT for MDR-TB patients. | 33 (26.8) | 28 (29.5) | 1 (10.0) | 9 (22.2) | 0.319 | 9 (23.1) | 24 (28.6) | 0.522 | 6 (16.7) | 27 (31.0) | 0.158 | 17 (22.7) | 16 (33.3) | 0.193 |
| I think I should be involved in TB control by doing DOT for MDR-TB patients. | 83 (67.5) | 60 (63.2) | 10 (100) | 13 (72.2) | 0.055 | 28 (71.8) | 55 (65.5) | 0.486 | 30 (83.3) | 53 (60.9) | 0.016 | 57 (76.0) | 26 (54.2) | 0.012 |