ArticleAfrican journal of primary health care & family medicine2018
An illustrated booklet for reinforcing community health worker knowledge of tuberculosis and facilitating patient counselling.
Article in African journal of primary health care & family medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Impact of a tuberculosis treatment adherence intervention versus usual care on treatment completion rates: results of a pragmatic cluster randomized controlled trial.Implementation science : IS · 2020Trial
- Community health workers' knowledge of Ubuntu informed care in tuberculosis, HIV, and AIDS in Gauteng province.Curationis · 2025Article
- Community health workers' knowledge, attitudes and practices in the detection of respiratory symptomatic patients.Revista brasileira de enfermagem · 2025Article
- Factors associated with Community Health Agents' knowledge about tuberculosis.Revista brasileira de enfermagem · 2024Article
- Self-efficacy and self-management mediate the association of health literacy and quality of life among patients with TB in Tibet, China: a cross-sectional study.International health · 2023Article
- Educational technology on tuberculosis: construction shared with Primary Health Care nurses.Revista brasileira de enfermagem · 2023Article
- Factors predicting self-report adherence (SRA) behaviours among DS-TB patients under the "Integrated model": a survey in Southwest China.BMC infectious diseases · 2022Article
- Visual aids in ambulatory clinical practice: Experiences, perceptions and needs of patients and healthcare professionals.PloS one · 2022Article
- Exploring the mechanism through which a child-friendly storybook addresses barriers to child-participation during HIV care in primary healthcare settings in KwaZulu-Natal, South Africa.BMC public health · 2021Article
- Survey on the Progression of Myopia in Children and Adolescents in Chongqing During COVID-19 Pandemic.Frontiers in public health · 2021Article
- Different Trajectories of Panic and the Associated Factors among Unmarried Chinese during the COVID-19 Pandemic.Applied psychology. Health and well-being · 2020Article
- Article
- Outcome of illustrated information leaflet on correct usage of asthma-metered dose inhaler.African journal of primary health care & family medicine · 2019Article
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Authors and funding
2 authors.
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Abstract
backgroundCommunity health workers (CHWs) have facilitated the move to decentralise tuberculosis (TB) management, but lack access to information appropriate both for personal use and in patient interaction and education.
aimTo explore the impact of a pictorial-based TB booklet on reinforcing CHW knowledge and facilitating patient counselling.
settingThis study was conducted in local primary health care clinics and the Hospice in Grahamstown, Eastern Cape Province in South Africa.
methodsQuantitative and qualitative methods were used. A simple, 17-page, A5 booklet containing pictograms and simple text was designed in collaboration with CHWs who advised on preferred content. Its influence on knowledge was assessed in 31 CHWs using a 17-item questionnaire in a before-and-after study. The experiences of CHWs using the booklet were qualitatively explored using focus group discussions (FGD) and semi-structured interviews.
resultsOverall knowledge increased significantly from 70.6% to 85.3% (p < 0.001) with 8 of 17 questions significantly better answered at follow-up. These addressed meaning of side effects and side effect advice for patients, cause and prevention of TB, action if a dose is forgotten, timing of dose in relation to food intake and the possibility that not all patients are cured.Community health workers reported using the booklet during patient interactions, commenting that it enhanced their confidence in their own TB-related knowledge, improved recall of information and reduced uncertainty. They appreciated the simplicity of the text and its userfriendliness because of the inclusion of pictograms. The booklet was perceived to be valuable as a tool for both patient education as well as improved communication with patients.
conclusionA simple, user-friendly TB booklet containing pictograms improved CHWknowledge and acted as a valuable tool in patient communication and education.
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