Background: The National Department of Health realised that its TB control efforts had been ineffective and joined its international counterparts by adopting Directly Observed Treatment short course [DOTs] strategy to fight the spread of TB. DOT is the only globally recognised strategy for effective TB control. This strategy ensures that infectious TB patients are identified and cured using standardised drug combinations. Treatment supporters observe patients as they swallow their drugs daily (SA Tuberculosis control Programme practical guide, 2000). Objectives of the study are: to assess the relevancy and quality of training for DOT supporters at InxubaYethemba and Tsolwana sub – districts,to identify challenges faced by TB DOT supporters during the execution of their duties and to assess satisfaction of TB DOT supporters, with their remuneration packages and other conditions of employment. Method: A quantitative descriptive convenient design was conducted for this study. A self - administered questionnaire was used.The researcher’s targeted sample was 42 participants although only 39 filled in the questionnaires. The questionnaires were personally distributed by the researcher to TB DOT supporters. Items in the questionnaire included the following: Demographic data, working hours per day, distance covered, meeting with managers, salary and remuneration issues and acceptance by community members. Results: The research findings indicated that the TB DOT Supporters are generally not happy with the conditions they are working under. From the 100 percent (n=39) TB DOTS responses, 8 percent (n=11) received a three days training, which is not in line with the Department of Health’s guidelines, and resulted in rendering ineffective delivery of DOT programme. Of the 100 percent ) 23.1 percent (n=9) walk 8kilometres, 51.3 percent percent(n=20) walk 7kilometers, 12.8 percent (n=5) walk 5kilometers, 10.3 percent (n=4) walk 4kilometers. This is against the required distance allowed to travel by foot which is five kilometres. Conclusion:According the results of this study, the effectiveness of TB DOT Supporters is being distracted by many factors, such as: Not having transport for doing home visits, Less number of hours worked per day, few number of community health workers working as TB DOT supporters, not having meetings with the management to discuss their challenges, and most of all not being given a clear explanation as far as their salaries are concern. The mentioned factors render D OT Support programme is rendered in effective at the Chris Hani District. According to Tuberculosis, A training Manual proven for Health Workers (1998:13) the most effective means of controlling TB known to us is a strategy known as Directly Observed Treatment Short Course (DOTS). This strategy enables tuberculosis clients to complete their treatment and has four areas of strength when compared to previous TB control strategies in South Africa. Recommendation: The results from this study proves that there is a definite need for improvement of working condition amongst TB Co-ordinators, TB Managers and the TB DOT Supporters. It is clear that increased number of MDR/XDR is due to the challenges that were mentioned above. There is a need for the additional number of TB DOT Supporters, as the area is big for only two TB DOT Supporters in each area. Hours worked by TB DOT needs to be extended considering their salaries as well.Therefore it is essential to empower TB DOT Supporters with more knowledge and skills so that they can be able to make an impact in TB service delivery system.
| Identifer | oai:union.ndltd.org:netd.ac.za/oai:union.ndltd.org:ufh/vital:11196 |
| Date | January 2013 |
| Creators | Gili-Stemele, Lindiwe |
| Publisher | University of Fort Hare, Faculty of Science & Agriculture |
| Source Sets | South African National ETD Portal |
| Language | English |
| Detected Language | English |
| Type | Thesis, Masters, MSc (Nursing Science) |
| Format | 54 leaves; 30 cm, pdf |
| Rights | University of Fort Hare |
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