Continuous Health Education Research Articles

Analysing Home Pharmaceutical Care Under the Combination of Medical Care and Nursing.

Home pharmaceutical care delivers individualised, whole-process and continuous pharmaceutical services and health education. This study aims to explore the feasibility of home pharmaceutical services as a combination of medical and nursing care. Patient information was collected from 1 October 2020 to 30 September 2021 and was analysed and evaluated. We then developed a family medication plan and investigated its effectiveness and any issues encountered during the implementation process. A total of 102 patients received services, and 100% of the patients were satisfied with these. Moreover, using home pharmaceutical care saved approximately USD1,359.64 (RMB9,360.45) in outpatient costs and USD41,077.76 (RMB282,700) in inpatient costs, and the number of hospitalisations was reduced by 16%. It is beneficial to make home pharmaceutical services available as a combination of medical and nursing care. Pharmacists can help patients solve medication-related problems and reduce the number of hospitalisations and medical costs through standardised service models while ensuring safe, effective, economical and rational drug use for patients.

Urban-Rural Differences in Care-Seeking for Childhood Febrile Illnesses Among Mothers of Under-Fives in Anambra State, Nigeria

Background: Despite inroads in treatment and prevention, childhood febrile illnesses remain global public health issues. Optimal care-seeking by mothers could influence health outcomes. Objective: To assess the differences in care-seeking patterns and practices for childhood febrile illnesses among mothers of under–fives in urban and rural areas of Anambra state, Nigeria. Methods: This was a comparative cross-sectional analytical mixed-method study. Multistage sampling technique was used to enrol 600 mothers of under-five children accessing child welfare clinics at the Primary Health Care facilities in Anambra state. Analysis of data was carried out using SPSS version 22; with alpha set at p-value ≤ 0.05.Triangulation of findings of the survey and thematic content analysis of the Focus Group Discussion was done. Results: Appropriate care was sought by 134 (44.7%) of the urban and 125 (43.2%) of the rural respondents (p = 0.458). Prompt appropriate care was sought by 122 (40.7%) of the urban and 98 (36.7%) of the rural respondents (p = 0.042). Distance to the health facility, determinant of place of care-seeking and possession of health insurance were significantly associated with appropriate and prompt care-seeking patterns among the mothers. Conclusions: Appropriate and prompt care-seeking is generally poor among the respondents in both localities. A reorientation of mothers on appropriate and prompt care-seeking practices through continuous health education and other awareness creation processes is needed.

THE IMPACTS OF COVID-19 PANDEMIC ON CHILD HEALTH CARE

Objective: Identify the vulnerabilities that occurred to the detriment of the COVID-19 pandemic in child health care. Method: An integrative literature review based on the guiding question: What were the impacts of the COVID-19 pandemic on child health care? Then, a search for articles was carried out in the SCIELO, LILACS, BDENF and BVS databases, between August and November 2022, and five articles were found, using the following descriptors: “pandemic”, “child health care in Brazil” and “covid-19 and child health”, using the Boolean operator AND. The inclusion criteria were: articles available for free and literature reviews published in Portuguese between 2015 and 2022, which delimited Brazil as a study scenario and whose sample involved nurses working in child health care during the pandemic period. Theses, monographs and dissertations were excluded from the study. Results: Due to the large scale contamination by the covid-19 virus, health system took emergency measures to contain the virus, causing health systems to readjust their care model. Because of this, there was a big impact on child heath care, especially with regard to monitoring the child’s growth and development and compliance with child vaccination schedule, bringing deficit effects to the child’s health in a long term. Conclusion: It is necessary to reinforce the lines of care for child health care, as well as the active search for newborns during this period to remedy possible deficits in follow up. In addition to strengthening continuing health education, to reaffirm the partnership between partners or guardians and the health system.

PREVALENCE OF TUBERCULOSIS AND RIFAMPICIN RESISTANT Mycobacterium tuberculosis AMONG PATIENTS RECEIVING TREATMENT IN ERCC MEDICAL CENTER ALUSHI, NASARAWA STATE, NIGERIA.

The purpose of this study was to estimate the prevalence of tuberculosis among patients undergoing treatment at the ERCC medical centre in Alushi from January 2017 to July 2021. A total of 3029 TB presumptive patients were included in the current investigation. The overall TB prevalence was 43.57%. There were 993 (64.90%) males, 10.1% of whom were rifampicin resistant, and 537 (35.09%) females, 34.8% of whom were rifampicin resistant. The highest prevalence is recorded in all age groups, was seen in the age bracket 21-30 with a total of 350 (26.51%) and 327 (24.77%) in the age range 31-40. Findings revealed that having a history of TB medication and being female were both associated with the development of rifampicin-resistant Tuberculosis and patients aged 21 to 40 were more likely than others to be infected with tuberculosis and develop rifampicin-resistant tuberculosis. Because of the high prevalence, immediate action is essential to encourage early identification and the completion of DR-TB medication in order to prevent the disease from spreading in the community, as well as continuous community health education about tuberculosis and the risk of drug resistance

Factors affecting risky sexual behavior of participating adolescents of the ENSACA/UNICEF ADOKITS Stepdown/Rollout Program

Adolescents and young adulthood are periods of development and change involving experimentation and adaptation of new roles and behaviors. The Adolescents Kits ADOKITS Program by Enugu State Agency for the Control of AIDS (ENSACA) kin partnership with United Nations Children Fund (UNICEF) is a training of adolescents on several innovations, skills and competencies that help them to cope with stressful circumstances, build healthy relationships, and engage positively with their communities. To assess factors (sexual abuse, gender and peer influence) that affect adolescents’ risky sexual behavior. The study population was adolescents from communities and Local Government Areas hosting the ENSACA/UNICEF ADOKITS Program. It was a cross-sectional study. One hundred and thirty-eight (55.4%) of respondents did not practice risky sexual behavior while 28 (11.2%) of respondents practiced high-risk sexual behaviors. A statistically significant relationship exists between sexual abuse, gender; peer pressure and risky sexual behavior p=0.007. Sexual abuse, gender and peer pressure all strongly contribute to sexual risk behavior. There is a need to emphasize continued enlightenment, health education and awareness creation on sexual/ reproductive health among adolescents such as the UNICEF/ENSACA ADOKITS program pursues.

Healthcare providers perspectives on home blood pressure management in Peru and Cameroon: Findings from the BPMONITOR study

Home blood pressure management, including self-monitoring and medication self-titration, is an efficient and cost-effective tool. Although its use is increasing globally, little is known about the feasibility of such interventions in low and middle-income countries. Further, the perspectives and experiences of healthcare providers who play a big role in ensuring the success of home blood pressure management interventions have not been documented. This qualitative study was conducted with a total of 35 healthcare providers (60% female, mean [SD] age = 37.3 [6.9 years] years), through 4 in-depth interviews from Peru, and 8 in-depth interviews and 4 focus groups from Cameroon. Study participants (healthcare providers) include physicians (primary care physicians), specialists (cardiologists and geriatricians), and nurses that were purposively recruited from two hospitals in two of the largest cities in both countries. Results were thematically analyzed by two researchers. Themes derived were related to feasibility and acceptability, and largely reflected providers in both countries endorsing home blood pressure management. Providers’ concerns were in three main areas; 1) safety of patients when they self-titrate medications, 2) resources such as healthcare financing, local hospital policies that support communications with patients for home blood pressure management, and 3) sustainability through patient adherence, incorporating home blood pressure management within clinical guidelines and hospital policies, and complementing with continued health education and lifestyle modifications. According to providers, home blood pressure management may be feasible and acceptable if tailored multi-faceted protocols were introduced bearing in mind local contexts.

Barriers to Lifestyle Modification Compliance among Type 2 Diabetic Patients in Lesotho

Diabetes mellitus (DM) has been considered a serious long-term condition which is one of the top 10 causes of death among adults and it has got a major impact on lives and well-being of individuals, families and societies. The most common type of DM in Africa is Type2 (T2DM). Diabetes being a major problem worldwide, healthy eating coupled with regular physical activity help in achieving a good glycemic control as well as delaying and reducing the onset of commonest diabetes complications. The current study aimed at exploring the barrier to lifestyle modification compliance among type 2 diabetic clients at Paki health center Lesotho. In this study, a quantitative descriptive design was applied in exploring the barriers of compliance to lifestyle modifications (diabetes self- management) among adults with type 2 diabetes. Data was collected using semi-structured questionnaires, which were administered to 40 study participants who were purposively selected for inclusion into study. The study revealed that among other factors, financial constraints 21participants (52.5%) is associated with non- compliance to healthy eating habits. Other reasons from non-compliance to healthy eating were identified as absence of written instructions, sickness, lack of stamina to exercise, laziness and lack of access to physical activity facilities with percentages 85%, 65%, 50% and 40% respectively. Thus, study findings reveal needs for continuous health education on health benefits of healthy eating habits and physical activity.

Systematic Review of Brain-Eating Amoeba: A Decade Update.

Primary amoebic meningoencephalitis (PAM) is a rare but lethal infection of the brain caused by a eukaryote called Naegleria fowleri (N. fowleri). The aim of this review is to consolidate the recently published case reports of N. fowleri infection by describing its epidemiology and clinical features with the goal of ultimately disseminating this information to healthcare personnel. A comprehensive literature search was carried out using PubMed, Web of Science, Scopus, and OVID databases until 31 December 2022 by two independent reviewers. All studies from the year 2013 were extracted, and quality assessments were carried out meticulously prior to their inclusion in the final analysis. A total of 21 studies were selected for qualitative analyses out of the 461 studies extracted. The cases were distributed globally, and 72.7% of the cases succumbed to mortality. The youngest case was an 11-day-old boy, while the eldest was a 75-year-old. Significant exposure to freshwater either from recreational activities or from a habit of irrigating the nostrils preceded onset. The symptoms at early presentation included fever, headache, and vomiting, while late sequalae showed neurological manifestation. An accurate diagnosis remains a challenge, as the symptoms mimic bacterial meningitis. Confirmatory tests include the direct visualisation of the amoeba or the use of the polymerase chain reaction method. N. fowleri infection is rare but leads to PAM. Its occurrence is worldwide with a significant risk of fatality. The suggested probable case definition based on the findings is the acute onset of fever, headache, and vomiting with meningeal symptoms following exposure to freshwater within the previous 14 days. Continuous health promotion and health education activities for the public can help to improve knowledge and awareness prior to engagement in freshwater activities.

Knowledge, attitude and practices about Nipah virus infection among people visiting urban and rural health training centres

Background: Nipah virus infection is an emerging infectious disease of south-east Asia region, which has gained public health importance. Nipah virus is classified internationally as a biosecurity level (BSL) 4 agent. Objective was to assess knowledge, practice and attitude regarding Nipah virus infection. Methods: A cross sectional study was done in urban and rural health training centers among adult population, data was collected using pre-designed and pre-tested proforma. Data was entered in Microsoft excel, frequencies and percentages were calculated. Results: In present study majority of study participants belonged to less than 25 years. Nuclear families were common in both urban (76%) and rural (44%) areas. 41% and 35% of urban and rural study participants belonged to class II status respectively. In present study it was found that both urban and rural study participants had heard about Nipah virus infection in recent few months. 73% of urban study participants considered themselves at risk of Nipah virus infection when compared to 36% of rural participants. Rural study participants did not have clarity of spread, signs and symptoms. 11% and 6% of urban and rural study participants had heard health education talks about Nipah virus infection respectively and most common source was social media. Conclusions: The present study finding is suggestive of good knowledge regarding Nipah virus infection among urban population when compared to rural setting. Continuous health education has to be imparted at all levels of health care so as to make community aware about spread, clinical presentation and prevention aspects of Nipah virus infection.

Early Baby Bathing Practice and its Associated Factors Among Mothers who Give Birth in the Past One Month in Gurage Zone, Ethiopia, 2022.

Ethiopia has still suffered the highest burden of neonatal morbidity and mortality. The World Health Organization's practical guide for the thermal protection of newborns recommends delaying the bathing of newborns for at least 24 h following delivery, as it is crucial to prevent neonatal mortality and morbidity and to achieve 2030 sustainable development goals. However, little is known about delayed newborn bathing practices in Ethiopia. Therefore, the purpose of this study was to assess early baby bathing practices and associated factors among postpartum women. A mixed community-based cross-sectional study was conducted among a total of 582 postnatal mothers. A multistage sampling technique was used to select study participants. A pre-tested and structured questionnaire was used to collect data. The data was entered into Epi-Data version 4.2.0 and exported into SPSS version 23 for analysis. Three focus group discussions with postnatal mothers were used for qualitative data. A purposive sampling method was used. Thematic analysis was used for qualitative data. Bivariate and multivariate logistic regression analyses were used in the analysis. To declare statistically significant, p-values of .05 were used. This study revealed that 250 (43%) mothers were practicing early newborn bathing. Early baby bathing was associated with antenatal care (ANC) follow-up (AOR = 5.1 = .95% CI = (2.6-9.9)), having no recent complications during birth (AOR = 1.9 = 95% CI = (1.02-3.6), having information about the time of baby bathing (AOR = 6.02, 95% CI = (3.9, 9.3)), knowledge of hypothermia (AOR = 3.3 = 95.6% CI (1.9-5.8), and poor knowledge about neonatal danger signs. ANC follow-up, recent complications during birth, having information, knowledge about hypothermia, and neonatal danger signs were significantly associated with early baby bathing. Continuous health education on the appropriate time of baby bathing and neonatal danger signs and enhanced ANC service utilization are recommended.

Psychological distress and related factors regarding COVID-19 among the ancillary hospital staff: A cross-sectional study.

Healthcare workers (HCWs) are at the front line of the Coronavirus disease (COVID-19) outbreak response. They have faced great risks to both physical and mental health. We aimed to assess the psychological effect of COVID-19 among ancillary hospital staff. A cross-sectional study was conducted among 267 on-duty ancillary hospital staff using a semi-structured questionnaire to assess their psychological status and risk perception. In addition, their knowledge, attitude, and practices (KAP) and risk perception were also assessed. The General Health Questionnaire (GHQ-12) was used to screen for psychological distress. Among 267 participants, the mean (±SD) age was 33.5 (7.6) years. The majority knew about the symptoms of COVID-19 (88.4%), droplet spread (99.3%), and the importance of isolation (99.3%). About 35.2% were worried about infecting family members, while 26.2% were worried about colleagues at the frontline. Only 38.9% of them had a good knowledge score. Participants with high school and above education level had significantly good knowledge about COVID-19 (OR = 1.99; 95% CI = 1.17- 3.39) than those with primary school or below. Being female (OR 1.99; 95% CI 1.17-3.39) and working with COVID-19 patients (OR 3.88, 95% CI 1.77-8.47, P = 0.001) was associated with psychological distress. The ancillary hospital staff had insufficient knowledge regarding the risk factors of COVID-19 but possessed positive attitudes and practices. Continued health education and appropriate psychological interventions may improve understanding and reduce psychological distress.

Characteristics of work in primary care identified in the collective exercise of application of the SWOT matrix.

to understand how variables strengths, weaknesses, opportunities and threats make it possible to characterize work in Primary Health Care, to collectively propose strategies for systematizing this process with Family Health teams. methodological research, with 23 participants in direct relationship with Primary Care, including representatives of segments: care (work), management and social control. In one of the three pedagogical meetings, the SWOT matrix was used as a tool for organizational work planning. applying the matrix resulted in the following thematic categories: Teamwork and regulations: key elements for interprofessionality at work; Continuing Health Education: path to autonomy and participatory management (co-management). the study promoted the systematization of teams' work, through the mobilization of sectors and distribution of tasks, involving professionals in the co-management of the process.

Early initiation of antenatal care and its associated factors among antenatal care followers at public health facilities in Ambo town administration, Central Ethiopia.

Mothers who attend antenatal care (ANC) late miss the opportunity to receive health information, early interventions, and timely referrals, which leads to problems complicating pregnancy and contributes to maternal mortality. This study was conducted to assess early initiation of ANC visit and its associated factors in public health facilities at Ambo town administration, Oromiya regional state, Central Ethiopia, 2018. A total sample of 344 pregnant women who attended their first natal care visit were chosen using a systematic random selection procedure for facility-based cross-sectional research. Data were entered into EpiData Version 3.1. "The EpiData Association" Odense, Denmark (In Danish: EpiData foreningen) and analyzed using IBM SPSS Version 21 - International Business Machines Corporation, (Armonk, New York). Descriptive statistics were applied to describe the magnitude of the variable, and binary and multivariable logistic regression analyses were employed to identify factors associated with the early initiation of ANC visits. Statistically significant association was declared at a 95% confidence interval and P value (<0.05). The study revealed that only 30.5% of the study respondents started their first ANC timely. Initiation of early ANC booking was affected by factors like having good knowledge of ANC follow-up (Adjusted odd ratio (AOR) = 2.25, 95% CI: 1.06, 4.78), primigravida (AOR = 2.52, 95% CI: 1.20,5.32), planned pregnancy (AOR = 2.86, 95% CI: 1.05, 7.81), partners whose occupation were merchant (AOR = 3.47, 95% CI: 1.15, 10.46), know the available service on ANC service (AOR = 3.00, 95% CI: 1.31, 6.88), and having advice from health professionals (AOR = 2.27, 95% CI: 1.05, 4.89); all these factors had shown significant association with timing of first ANC. Early initiation of first ANC was relatively low in the study area. Planned pregnancy, number of pregnancies, knowledge of ANC follow-up, partner's occupation, knowing the available service on ANC service, and having advice from health professionals were factors associated with it. To improve the situation, it is important to provide continuous public health education on the importance of early initiation of ANC at public health facilities.

Validação do modelo lógico da Política de Educação Permanente em Saúde nos Centros de Atenção Psicossocial

Abstract The study aims to describe the validation process of the Continuing Health Education Policy (PEPS) logical model in the Psychosocial Care Centers (CAPS) in Barreiras, Bahia, Brazil. In two rounds, this evaluability study on specialists distributed in the health training four-square model, including management, education/research, service, and social control, was conducted through the Delphi consensus technique. The items were consensual when they reached more than 80% of agreement among the participants, confirmed by the analysis of the median and the interval between the first and the third quartiles. The results reflect the validated logical model content in five technical components: Planning, Political Articulation, Coordination, Technical Qualification, and Live Work in Care Production. The structure and processes required to carry out the EPS actions at the CAPS and the expected results in the short, medium, and long terms were described in the logical model. Validating the operational aspect of the intervention contributes to organizing and adopting operability and fertility criteria in a formative assessment that aims to strengthen the practices of an educational policy in mental health toward comprehensive care.

Validation of the Continuing Health Education Policy logical model in the Psychosocial Care Centers.

The study aims to describe the validation process of the Continuing Health Education Policy (PEPS) logical model in the Psychosocial Care Centers (CAPS) in Barreiras, Bahia, Brazil. In two rounds, this evaluability study on specialists distributed in the health training four-square model, including management, education/research, service, and social control, was conducted through the Delphi consensus technique. The items were consensual when they reached more than 80% of agreement among the participants, confirmed by the analysis of the median and the interval between the first and the third quartiles. The results reflect the validated logical model content in five technical components: Planning, Political Articulation, Coordination, Technical Qualification, and Live Work in Care Production. The structure and processes required to carry out the EPS actions at the CAPS and the expected results in the short, medium, and long terms were described in the logical model. Validating the operational aspect of the intervention contributes to organizing and adopting operability and fertility criteria in a formative assessment that aims to strengthen the practices of an educational policy in mental health toward comprehensive care.

Public knowledge and attitude toward epilepsy in Bisha, Saudi Arabia

Background: The misconception of the communities toward epilepsy is common and can lead to a social stigma that will affect the quality of life of people living with epilepsy (PLWE) dramatically. The aim of this study is to assess public knowledge and attitude toward epilepsy in Bisha, Saudi Arabia. Methods: A descriptive cross-sectional study was conducted in the city of Bisha, located in the southern region of Saudi Arabia. Data were collected from the general population of Bisha through a closed-ended self-administered web-based questionnaire consisting of 20 items that assess general knowledge and attitude toward epilepsy. Results: There were 796 participants involved in the study, 402 (50.5%) of whom were females. Of the participants, 162 (20%) had never heard or read about epilepsy before. The highest acknowledged cause of epilepsy was neurological disease (59.4%). However, some participants incorrectly believed that epilepsy is caused by an evil eye, envy (22.4%), psychological disease (22%), or possession by a demon (14.8%). The majority (89%) of participants had a positive attitude toward the ability of PLWE to work efficiently in their jobs. About 243 (30.5%) of participants thought that PLWE have a psychiatric illness, and 281 (35%) of participants would not allow their sons or daughters to get married to PLWE. Conclusion: The study showed that there are some general misconceptions regarding epilepsy among the Bisha population. Therefore, we recommend a continuous health education program to increase the level of awareness of the general population.

건강신념모델(HBM)을 적용한 유아교육기관의 구강건강교육 프로그램 개발 연구

Objectives In this study, the purpose of developing oral education programs for early childhood educational institutions applying the health belief model was to lay the foundation for continuous and systematic oral health education in early childhood education institutions.&#x0D; Methods Through the literature review stage, the necessity of oral education program development research and research plan are established, and the needs of early childhood teachers, principals, parents, and dental hygiene experts are surveyed, analyzed and reflected to provide continuous oral education in early childhood education institutions. The health belief model (HBM) was applied to the possible oral education objectives, educational goals, educational contents, and teaching and learning methods. The suitability was verified by early childhood education experts and dental hygiene experts, and qualitative and quantitative evaluation methods for teachers and infants were constructed in the evaluation method.&#x0D; Results This program consists of 17 sessions, by modifying and supplementing the health belief model appropriately for oral education, to have sensitivity to one's own oral health, to recognize the seriousness of the cause of dental caries, and to recognize the benefits arising from good oral health habits. The program consisted of procedures of recovering oral health obstacles, and acquiring a sense of self-efficacy.&#x0D; Conclusions Through this study, children in early childhood education institutions check their oral conditions and based on this, they can expand and change their awareness of healthy oral care to practice and maintain behaviors for healthy oral hygiene. The significance of this study can be found in that it has prepared a sustainable oral education program that allows.

Health-related quality of life of children and adolescents with type 1 diabetes during the COVID-19 pandemic in Kuwait.

With the rapid transmission of COVID-19 globally, countries have implemented strict governmental measures and social distancing rules that aimed to minimize the spread of the virus. School closures, quarantine orders, and social isolation, coupled with a surge in family stress and lack of peer interactions, are probable causes of mental health complications and psychological symptoms faced by children. This study aims at comparing the HRQoL of children and adolescents with type 1 diabetes (T1D) and affected by COVID-19 infection (personal or familial) and those who were not affected by COVID-19. A random sample was selected from children and adolescents diagnosed with T1D at the six major governmental diabetes centers in Kuwait. To measure HRQoL, parent-proxy and self-reports from the Pediatric Quality of Life Inventory (PedsQLTM) 3.0 Diabetes Module were used. A sample of 455 children and adolescents with T1D diabetes (44.6% male participants and 41.98% affected by COVID-19 infection) was studied. The total score of the HRQoL self-reports was significantly higher compared with parent-proxy reports (79.06 ± 15.19 vs. 73.79 ± 15.17, p < 0.01). Children reported significantly higher HRQoL scores in the "treatment I" domain and "worry" domain and lower scores in the "diabetes" symptoms domain, compared with their parents' reports (p < 0.01). In the COVID-19-affected group, a major difference was noticed between the total scores of children and parent-proxy reports (77.04 ± 15.81 vs. 72.80±14.90, p = 0.047). The affected children reported significantly lower scores in "diabetes" symptoms (59.50) (p < 0.01) and higher scores in the "treatment I" domain (81.43) than their parent-proxy reports (72.05) (p < 0.01). This is the first report on the health-related quality of life of children with T1D in Kuwait during the COVID-19 era. Parents' or caregivers' experience of caring for their children was negative, as they worried, and reported poorer HRQoL compared with their children's perceptions. There is a need to empower healthcare professionals to support parents and caregivers of children with chronic diseases such as T1D in promoting self-management, enhancing physical and psychological wellbeing, treatment adherence, and continuous health education during pandemics of any kind.

Assessment of Knowledge, Attitudes, and Practices (KAP): Public Health and Economic Burden of Tuberculosis in Jarso District of West Wollega Zone, Oromia, Western Ethiopia.

Tuberculosis is a communicable mycobacterial disease of humans and animals caused by members of Mycobacterium tuberculosis complex, highly impacting the public health and economy of the country in endemic areas. Retrospective and cross-sectional study was conducted between March and August 2021. For knowledge, attitude, and practices study, five villages were randomly selected using simple random sampling. To quantify the public health burden, one-year data were collected from Jarso Health Center, and unregistered patients were identified using snowball method, and the estimation was based on disability-adjusted life years. Younger age groups (18-40 years) had shown 105.8 times more odds of knowledge towards tuberculosis than the older (>60 years). Moreover, tertiary levels of education had 9395.1 times more odds of knowledge towards tuberculosis compared to illiterates. The estimated economic burden was 7,731.25US$. Of the 51 tuberculosis patients, two died from the disease, resulting in 45.03 disability-adjusted life years. Communities of the study district were heard about tuberculosis, however, unaware of the cause and sources of the infection. Therefore, further strategic and continuous community-based health education and awareness should be given for effective control and prevention of tuberculosis in the study area.

Continuing Health Education: an interprofessional and affective policy

RESUMO O estudo objetivou refletir sobre a interprofissionalidade como uma dimensão da natureza da Educação Permanente em Saúde (EPS), como um processo que implica os profissionais a aprenderem sobre os outros, com os outros e entre si, a partir dos encontros. Como resultado, abordou duas dimensões: Educação Permanente na Atenção Básica à Saúde: lugar de encontros; e Educação Permanente em Saúde e a circularidade dos afetos. A partir de tais reflexões, apontou que é no cotidiano das práticas de saúde que se podem pensar maneiras de produzir conhecimentos que estejam mais aliados à potência das equipes de saúde, fazendo com que os encontros entre os sujeitos sejam ferramentas que possibilitem a colaboração coletiva e a melhoria da resolubilidade dos problemas que surgem no cotidiano do trabalho em saúde. Por fim, afirma-se a centralidade da dinâmica dos afetos e da interprofissionalidade nos encontros de EPS na Estratégia Saúde da Família, enquanto um campo de relações de corpos, em um processo micropolítico de transformação e formação em ato.