Abstract

This study was part of a comprehensive research project undertaken at the request of the SANTA Health Education Committee to evaluate the tuberculosis guidance programme. The aim of the research was to examine factors influencing black people's health perceptions and intentions concerning the combating of tuberculosis as well as vaccination of their children. Data were collected by means of a questionnaire based on the Health Belief Model. The research was conducted in selected areas of the OFS, the Transvaal and Natal (N = 1,198). It was found that factors indicating a greater degree of development of the individual (e.g. literacy) were positively associated with positive health perceptions such as that medical treatment can cure TB completely. Some positive associations were also found between perceptions/modifying factors and intentions/vaccination. Indications were also found of an inability on the part of health personnel to influence the public positively.

Highlights

  • Tuberculosis (TB) is a significant health problem throughout the world

  • This study was part of a comprehensive research project undertaken at the request of the SANTA

  • The purpose of the study reported here was to establish the role in certain black areas of the factors posited by the Health Belief Model (HBM) in individual health perceptions, intentions to combat tuberculosis and previous vaccination of respondents’ children

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Summary

Introduction

Tuberculosis (TB) is a significant health problem throughout the world. In South Africa the incidence varies between 100150/100 000 (Glatthaar 1982: 37) and is high (200/100 000) in the black population (Fourie, Townshend and Kleeberg 1986: 386). A lack of community involvement in the field of TB control contributes to this situation. A tuberculosis control programme has been developed that includes a guidance programme aimed at motivating the community to participate in case-finding, supervision and treatment at home, and improving socio-economic circumstances (Glatthaar 1982:39). Health Education Committee to evaluate the tuberculosis guidance programme. The purpose of the study reported here was to establish the role in certain black areas of the factors posited by the Health Belief Model (HBM) in individual health perceptions, intentions to combat tuberculosis and previous vaccination of respondents’ children

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