Skip to main content

Table 1 The outcome space for the district leaders’ perceptions of managing the DOT program in Trang Province, Thailand

From: Thai district Leaders’ perceptions of managing the direct observation treatment program in Trang Province, Thailand

(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