069 |
INTERVIEW AS A TOOL FOR SYMPTOM SCREENING IN PULMONARY
TUBERCULOSIS |
Radha Narayan, Susy Thomas, S Prabhakar & N Srikantaramu:
Indian J Soc Work 1978, 38, 367-74. |
Persons suffering from pulmonary tuberculosis generally
experience symptoms such as cough, chest pain, fever and haemoptysis.
It is possible to identify the symptomatics by interviewing them
during community health surveys. The symptom survey was carried
out in 62 villages and 4 town blocks of Tumkur district in Karnataka
as a sequel to an epidemiological survey undertaken to estimate
the prevalence of tuberculosis. The data was collected through structured
schedule. The interviewers were given the identification details
of individuals having X-ray shadows suggestive of tuberculosis and
an equal number of matched controls within 4 weeks of the survey.
A total of 1752 persons were taken into the study of whom 875 had
x ray shadows and 877 were normals. Of the total persons under study
89.7% were satisfactorily interviewed. It was observed that 42.6%
of the total symptomatics gave history of one symptom at the
first general question, 13% responded having symptoms after
being asked specific questions. In conclusion a 42.6% affirmative
response to the initial question of 'How is your health' is noteworthy
that an investigator is acceptable health agency as the interviewee
is willing to confide in him regarding his health problems. Additional
number of persons responded to direct specific questions.
It must be pointed out that interview is a generic
term applied to a tool that may be used for obtaining information
through verbal communication. As a tool in surveys for screening
for tuberculosis it is amenable to divese techniques and has great
potentialities of being applied to different situations and various
categories of respondents. Hence, it is necessary to identify the
nature of data to be obtained and to decide on the technique that
would be most suitable. Proper training, skill and supervision of
the interviewer can obviate any possible bias and subjectivity that
could vitiate an interview. As compared to many of the tools of
social science research, the interview is simple, easy and amenable
to being used in live situations. It is also of prime importance
among populations for whom vocalisation is the most important medium
of communication. Hence, in a community survey for the estimation
of the prevalence of chest symptomatics the interview can be
a valuable tool. It also shows that the interview is adequate
as a tool of community survey in tuberculosis.
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KEY WORDS: SYMPTOMS, SCREENING TOOLS, INTERVIEW,
CONTROL PROGRAMME, RURAL POPULATION. |