(4) Need for improvement | |
Motivation | |
For district leaders: Extrinsic motivation | |
For VHVs: Extrinsic motivation and intrinsic motivation | |
In the health system: Community participation | |
New practices in the TB guidelines | |
District leaders: Having a family member as a mentor | |
Health system: Having effective informational materials for village health volunteers | |
(3) Practical dilemmas | (2) Achieving a full recovery |
Fear of infection | Need for trust |
District leaders: Fear of infection | District leaders: |
VHVs: Fear of infection | Trust the TB patients and their families |
TB patients and their families: Fear of participation restriction | TB patients and their families: Having self-awareness or self-responsibility |
Mutual distrust | Needs of care |
District leaders: | District leaders: Home visits and follow ups |
Don’t trust TB patients and their families | VHVs: Empowering TB patients and their families |
VHVs: Unsuitable | TB patients and their families: |
TB patients and their families: Don’t trust village health volunteers | Empowerment, caring, and health education |
Inadequate knowledge about TB | Necessity of community participation |
District leaders: Insufficient knowledge to conduct the DOT program | Good cooperation among stakeholders (district leaders, VHVs, TB patients and their families, villagers) |
VHVs: Insufficient knowledge to perform the DOT program | |
(1) Compliance with the TB treatment program guidelines | |
Management of the DOT program follows the guidelines of the national TB program | |
Health education training for village health volunteers |