Bulletin of the World Health Organization

Management of children exposed to Mycobacterium tuberculosis: a public health evaluation in West Java, Indonesia

Merrin E Rutherford, Rovina Ruslami, Melissa Anselmo, Bachti Alisjahbana, Neti Yulianti, Hedy Sampurno, Reinout van Crevel & Philip C Hill

Volume 91, Number 12, December 2013, 932-941A

Table 3. Staff’s questionnaire responses on knowledge of and attitudes towards the management of the child contacts of tuberculosis patients, community lung clinic, Bandung, Indonesia, 2009–2012

Questionnaire item No. (%) of doctors (n = 12) No. (%) of nurses (n = 22) Total no. (%) (n = 34)
Knowledge of child contact management
Inform patients that they should screen household members 12 (100) 21 (95) 33 (97)
Inform patients that they should screen child household members 12 (100) 21 (95) 33 (97)
Correct understanding of the definition of latent tuberculosis infection 4 (33) 12 (55) 16 (47)
Correct method for diagnosing latent tuberculosis infection 11 (92) 14 (64) 25 (74)
Correct treatment for disease-free child case contacts younger than  5 years 6 (50) 4 (18) 10 (29)
Correct knowledge of National Tuberculosis Programme recommendations on isoniazid preventive therapy 8 (67) 3 (14) 11 (32)
Correct knowledge of isoniazid dosing guidelines 7 (58) 6 (27) 13 (38)
Correct knowledge of duration of isoniazid preventive therapy 8 (67) 16 (23) 24 (71)
Knowledge score > 75% correct responses 6 (50) 4 (18) 10 (29)
Has received child contact management traininga 0 (0) 0 (0) 0 (0)
Staff’s explanation of current management policy for child contacts younger than  5 yearsa
Screen children for disease if disease-free and give isoniazid preventive therapy to those with a positive tuberculin skin test result 1 (8) 1 (4.5) 2 (6)
Screen children for disease if disease-free and give isoniazid preventive therapy 2 (17) 2 (9.1) 4 (12)
Screen children using the Indonesian Paediatric Scoring System and administer full antituberculosis medication if the score is 6 or more 6 (50) 14 (64) 20 (59)
Attitudes to child contact management
Would treat latent tuberculosis infection 2 (17) 14 (64) 16 (47)
Agree that child contacts younger than  5 years should be screened 12 (100) 22 (100) 34 (100)
Agree that isoniazid preventive therapy protects against tuberculosis disease 6 (50) 5 (23) 11 (32)
Agree that isoniazid preventive therapy should be given to disease-free child contacts younger than  5 years 3 (25) 7 (32) 10 (29)
Attitude score > 75% correct responses 6 (50) 9 (41) 15 (44)
Concerns about child contact management (e.g. the development of multidrug-resistant tuberculosis)a 5 (42) 13 (59) 18 (53)
Staff’s view of why caregivers do not comply with screeninga
Caregivers do not think it is important 11 (92) 18 (82) 29 (85)
Caregivers cannot afford to bring their children for screening 10 (83) 19 (86) 29 (85)
Caregivers only come if their child is sick 11 (92) 18 (82) 29 (85)
Other reasons 11 (92) 16 (73) 27 (79)

a Not included in knowledge or attitude score.