Impact Assessment of Mass Media Campaign on TB. Findings from three states. February, 2013

Transcription

1 Impact Assessment of Mass Media Campaign on TB Findings from three states February, 2013

2 Key Research Questions Awareness and knowledge about TB Status of psycho-social indicators post campaign Exposure to the campaign and recall Changes in the key determinants (awareness, knowledge and psycho-social indicators) related to TB among those who exposed in the campaign

3 Methodology Target Respondents - Adult (18-54 years) male and female usual resident Field work conducted in the months of Jan-Feb 2013 Multi-stage cluster sampling -PPS random sampling for selection of wards/villages Each ward divided into sub-clusters with around households 3 clusters were selected randomly -Selection of HHs and respondents Complete listing was done in the selected segments 20 eligible respondents (10 male and 10 female) were selected using Circular Systematic Random Sampling procedure First criteria to be selected as respondent those who are having persistent cough for 2 weeks or more in last 3 months prior to survey Total targeted sample: 2540 A structured interview schedule was used

4 Project and Survey Locations 6 states and 30 districts both rural and urban Punjab Ludhiana, Gurdaspur, Jalandhar, Hoshiarpur, Taran Taran Haryana Ambala, Sonipat, Mahendragarh, Rewari, Yamuna Nagar Bihar Buxar, Purbi Champaran, Nalanda, Paschim Champaran, Vaishali Rajasthan Bharatpur, Jhunjhunu, Barmer, Jodhpur, Nagaur Maharashtra Kolhapur, Kohlapur Municipal Corporation, Sangli, Sangali Municipal Corporation, Satara Karnataka Bangalore Rural, Bangalore city, Bijapur, Haveri, Chikmanglur

5 Key findings (Based on unweighted baseline data and partial data from 3 states Bihar, Maharashtra and Karnataka)

6 Actual sample size in End line State Bihar Karnataka Punjab Maharashtra Rajasthan Haryana Total Sample Findings presented here are based on the partial sample as below Type of place Bihar Karnataka Maharashtra Total Urban Rural Total

7 Awareness about TB Awareness about TB Baseline Endline Aware of TB * Awareness about place of TB diagnosis - DMC/Govt. facility * Awareness about place of TB diagnosis - private facility * Aware of DOTS Awareness about place of TB treatment - DOT centre/govt. facility * Awareness about place of TB treatment - private facility * Total * Significance at.05 level

8 Awareness about TB by states Awareness about TB Baseline Endline Baseline Endline Baseline Endline Bihar Karnataka Maharashtra Aware of TB * * Awareness about place of TB diagnosis - DMC/Govt. facility * * * Awareness about place of TB diagnosis - private facility * * Aware of DOTS * Awareness about place of TB treatment - DOT centre/govt. facility Awareness about place of TB treatment - private facility * * * * * * Total * Significance at.05 level

9 Knowledge indicators Knowledge indicators Baseline Endline TB is a contagious disease * Coughing more than 2 weeks is a symptom of TB * Usually, blood in sputum is a symptom of TB Simple cough cannot be symptomatic of TB * TB can be diagnosed by Sputum examination Normally, the duration of TB treatment is 6 months TB drugs are provided free of charge * If one stops treatment before completion, TB can relapse with drug resistance * Untreated TB can cause death * TB is a curable disease Total * Significance at.05 level

10 Knowledge indicators by states Knowledge indicators Baseline Endline Baseline Endline Baseline Endline Bihar Karnataka Maharashtra TB is a contagious disease * Coughing more than 2 weeks is a symptom of TB * 86.3* Usually, blood in sputum is a symptom of TB * Simple cough cannot be symptomatic of TB TB can be diagnosed by Sputum examination Normally, the duration of TB treatment is months * 62.8 TB drugs are provided free of charge * * If one stops treatment before completion, TB can relapse with drug resistance * Untreated TB can cause death * TB is a curable disease * Total * Significance at.05 level

11 Exposure to campaign Campaign exposure Total Urban Rural Exposed to any campaign activity Exposed to mass media (TVC & Radio) Exposed to TVC Exposed to radio Exposed to mid media (Street theater/ Mobile van) Exposed to street theater Exposed to activation car activity Exposed to static media (Hoarding/Poster/wall painting) Total

12 Psycho-social constructs Psycho-social constructs Availability Quality of care Social norm Social support Definition Perceived availability of place of TB diagnosis and treatment Perceived quality of TB care is good and convenient Perceived social norms acceptance of TB patients in society Perceived social support for TB diagnosis and treatment to TB patients Baseline (Jan- Feb 2010 ) Endline (Jan- Feb 2013) * * * Perceived threat Perceived susceptibility for getting TB Stigma Reduction in stigma related to TB * Significance at.05 level

13 Awareness about TB by any campaign exposure Not Exposed - Baseline exposed - Awareness about TB Aware of TB * 97.1*# Awareness about place of TB diagnosis - DMC/Govt. facility * 90.0*# Awareness about place of TB diagnosis - private facility * 51.5*# Aware of DOTS *# Awareness about place of TB treatment - DOT centre/govt. facility * 87.8*# Awareness about place of TB treatment - private facility * 50.7* N * sig from baseline to #sig from not exposed Significance at.05 level

14 Awareness about TB by mass media exposure Not exposed Exposed - Baseline Awareness about TB - Aware of TB * 97.1*# Awareness about place of TB diagnosis - DMC/Govt. facility Awareness about place of TB diagnosis - private facility * 90.5*# 50.7* 47.5* Aware of DOTS Awareness about place of TB treatment - DOT centre/govt. facility * 87.6*# Awareness about place of TB treatment - private facility * 48.1* N * sig from baseline to #sig from not exposed Significance at.05 level page 14

15 * sig from baseline to #sig from not exposed Significance at.05 level Knowledge indicators by any campaign exposure Not Not Exposed - exposed - exposed - Knowledge indicators baseline TB is a contagious disease *# Coughing more than 2 weeks is a symptom of TB * 90.1*# Usually, blood in sputum is a symptom of TB *# Simple cough cannot be symptomatic of TB * 52.7# TB can be diagnosed by Sputum examination Normally, the duration of TB treatment is 6 months *# TB drugs are provided free of charge *# If one stops treatment before completion, TB can relapse with drug resistance * 76.9* Untreated TB can cause death * 84.6* TB is a curable disease * N

16 Knowledge indicators by mass media exposure Knowledge indicators * sig from baseline to #sig from not exposed Significance at.05 level Not exposed - baseline Not exposed - Exposed - TB is a contagious disease *# Coughing more than 2 weeks is a symptom of TB * 91.2*# Usually, blood in sputum is a symptom of TB *# Simple cough cannot be symptomatic of TB * 54.4# TB can be diagnosed by Sputum examination Normally, the duration of TB treatment is months *# TB drugs are provided free of charge *# If one stops treatment before completion, TB can relapse with drug resistance * 73.0 Untreated TB can cause death * 82.8* TB is a curable disease *# N page 16

17 Psycho-social constructs by any campaign exposure Phycho social constructs Not exposed - baseline Not exposed - Exposed - Availability * 3.3*# Quality of care Social norm *# Social support * 4.4*# Perceived threat * 3.3*# Stigma * 3.3# * sig from baseline to #sig from not exposed Significance at.05 level N

18 Psycho-social constructs by mass media exposure Psycho social constructs Not exposed - baseline Not exposed - Exposed - Availability * 3.3*# Quality of care *# Social norm *# Social support * 4.4*# Perceived threat * 3.4*# Stigma 3.,3 3.9* 3.2*# N * sig from baseline to #sig from not exposed Significance at.05 level page 18

19 Recall from campaign exposure Percent Recall from TVC N=324 A fat person with a big moustache and smiling face 63.6 Cough more than two weeks can be TB 42.6 Visit near by DMC for sputum test 46.9 TB can be cured surely 44.1 TB treatment is free of cost 46.0 Slogan / Punch line 'Do hafte ho gaye kya? 18.2 Various person coughing 31.2 Person coughing and suddenly there appears a fat man with a big curled moustache 29.0 Percent Recall from Radio N=76 Cough more than two weeks can be TB 78.9 Visit near by DMC for sputum test 11.8 TB have the surest cure 59.2 TB treatment is free of cost 39.5 Slogan / punch line 'Do hafte ho gaye kya? 30.3 Balgum Bhai's character 63.2 Person coughing out 59.2

20 Respondent s perspective on campaign Media exposed to any media campaign Total Relevant to a large extent 51.8 Relevant to a certain extent 27.4 Not relevant at all 3.4 DK/CS 17.4 N 442 Future intention to go for diagnosis/treatment Type of Respondent Not exposed - Exposed - Total Government hospital/clinic/phc/heath worker/dmc General practitioner (private clinic) Quack/Drug seller /chemist/pharmacy/traditional practioner/others N page 20

21 Key Take Out Significant increase in awareness about TB from baseline to end line. Significant rise in knowledge about Coughing more than two weeks is symptomatic of TB. This is evident in respective states also. People exposed to the campaign reported better awareness and knowledge level about TB. Significant positive behaviour towards diagnosis and treatment of TB found among those exposed in the campaign Respondents who exposed in the campaign, majority could recall the Bulgam Bhai Character. All those exposed to any media majority intended to go to Government hospital/clinic/phc/heath worker including DMC for diagnosis and treatment. page 21