Table 4.
Distribution of primary health care staff who stated perceived stress and fear to conduct multidrug-resistant tuberculosis care
| 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 (%) | |||||
| Stress | ||||||||||||||
| Taking account of my workload, I am still able to provide DOT for MDR-TB patients. | 49 (39.9) | 36 (37.9) | 5 (50.0) | 8 (44.4) | 0.691 | 22 (56.4) | 27 (32.1) | 0.011 | 21 (58.3) | 28 (32.2) | 0.007 | 32 (42.7) | 17 (35.4) | 0.423 |
| I feel stressed providing DOT for MDR-TB patients. | 65 (52.8) | 14 (14.7) | 2 (20.0) | 5 (27.8) | 0.425 | 4 (10.3) | 17 (20.2) | 0.171 | 2 (5.6) | 19 (21.8) | 0.055c | 15 (20.0) | 6 (12.5) | 0.405c |
| Fear | ||||||||||||||
| I am afraid to be infected when I provide DOT for MDR-TB patients. | 58 (47.1) | 44 (46.3) | 5 (50.0) | 9 (50.0) | 0.943 | 18 (46.2) | 40 (47.6) | 0.880 | 13 (36.1) | 45 (51.7) | 0.115 | 35 (46.7) | 23 (47.9) | 0.892 |
| I am not afraid to talk with MDR-TB patients when I provide DOT. | 58 (47.2) | 43 (45.3) | 5 (50.0) | 10 (55.6) | 0.712 | 19 (48.7) | 39 (46.4) | 0.813 | 17 (47.2) | 41 (47.1) | 0.992 | 39 (52.0) | 19 (39.6) | 0.178 |
aClinical staff: medical doctor, nurse, and laboratory staff. bOther staff: registration staff, health promotion staff, and environmental health staff. In general, the data analysis used the Pearson chi-square test. Few analyses used the chi-square test with continuity correctionc
TB tuberculosis, PHCs primary health care facilities, DOT direct observed treatment, MDR-TB multidrug-resistant tuberculosis