Sharma N, Taneja D K, Pagare D, Saha R, Vashist R P, Ingle G K A
Department of Community Medicine, Maulana Azad Medical College, New Delhi, India.
Int J Tuberc Lung Dis. 2005 Nov;9(11):1259-65.
To study the impact of an intensive IEC campaign regarding the Revised National Tuberculosis Control Programme launched by the Government of Delhi on awareness generation among the general population and improvement in self-reporting by symptomatic cases in Delhi, India.
Cross-sectional study.
A pilot study wherein 1008 persons selected by systematic random sampling from the general population and 1012 patients selected from symptomatic cases reporting to DOTS centres were interviewed. Among the general population, 716 (71.0%) had been exposed to one or more IEC message through the media. The core message regarding symptoms, diagnosis, treatment centre and free treatment was recalled correctly by 144 (14.3%), 449 (44.5%), 659 (65.4%) and 900 (89.2%), respectively. In the post IEC period, a significant increase (P < 0.01) was seen in individuals self-reporting with symptoms to DOTS centres: the media message reportedly encouraged 36.3% of these to self-report. Prior to the IEC campaign only 49 (9.8%) patients had chosen a DOTS centre as first source of treatment, which increased significantly (P < 0.0001) to 104 (20.4%) post IEC.
The IEC campaign launched by the Government of Delhi has been effective in raising awareness and improving self-reporting, but it requires intensification with suitable modification to reach all sectors.
研究德里政府发起的关于修订后的国家结核病控制规划的强化信息、教育与宣传（IEC）活动对印度德里普通人群的认知度以及有症状病例自我报告情况改善的影响。
横断面研究。
一项试点研究，对通过系统随机抽样从普通人群中选取的1008人以及从向直接观察短程治疗（DOTS）中心报告的有症状病例中选取的1012名患者进行了访谈。在普通人群中，716人（71.0%）通过媒体接触到了一条或多条IEC信息。关于症状、诊断、治疗中心和免费治疗的核心信息，分别有144人（14.3%）、449人（44.5%）、659人（65.4%）和900人（89.2%）能够正确回忆。在IEC活动之后，向DOTS中心自我报告有症状的个体显著增加（P < 0.01）：据报道，媒体信息促使36.3%的这些人进行了自我报告。在IEC活动之前，只有49名患者（9.8%）选择DOTS中心作为首选治疗来源，在IEC活动之后这一比例显著增加（P < 0.0001）至104名患者（20.4%）。
德里政府发起的IEC活动在提高认知度和改善自我报告方面是有效的，但需要加强并进行适当调整以覆盖所有部门。
