Development of Empowering the Community Health Network Prevention and Control for Tuberculosis Primary Care Unit, Nakhon Phanom Hospital

Abstract

This study aimed to develop a tuberculosis (TB) prevention and control model by strengthening community network empowerment within a primary care service setting at Nakhon Phanom Hospital. The study was conducted in the Nakhon Phanom Municipality area. Researchers and community members collaboratively participated in all stages of the research process. A purposive sampling technique was used to recruit 85 participants, including public health personnel, community network representatives, community leaders, and tuberculosis patients. The research process consisted of four phases: (1) planning, which involved participatory operational planning, problem analysis, establishment of an operational committee, clear role and responsibility assignment, coordination with relevant agencies, and review of screening and referral systems in accordance with standard guidelines; (2) action; (3) observation; and (4) reflection. Research instruments included a tuberculosis knowledge test, a self-care behavior questionnaire, a satisfaction assessment form, and a TB screening form. Data were analyzed using descriptive statistics (frequency, percentage, and mean) and inferential statistics employing the paired t-test. The results demonstrated that after implementation of the developed model, participants showed significantly improved knowledge regarding self-care (p<0.001) and self-care behaviors (p<0.001). Overall satisfaction with the model was rated at the highest level. Tuberculosis screening coverage among individuals with suspected TB symptoms in the community during the 2022 fiscal year reached 98.43%, and all tuberculosis patients (100%) completed their prescribed treatment regimens. Furthermore, this study led to the development of an innovative community-based tuberculosis prevention and control model, referred to as the “4C Model,” which can be applied to other primary care settings.