Please use this identifier to cite or link to this item: https://hdl.handle.net/1959.11/20641
Title: Steps on a journey to TB control in Solomon Islands: a cross-sectional, mixed methods pre-post evaluation of a local language DVD
Contributor(s): Massey, Peter D  (author); Asugeni, Rowena (author); Wakageni, John (author); Kekeubata, Esau (author); Maena'aadi, John (author); Laete'esafi, John (author); Waneagea, Jackson (author); Asugeni, Vunivesi (author); MacLaren, David (author); Speare, Richard (author)
Publication Date: 2015
Open Access: Yes
DOI: 10.1186/s12914-015-0041-3Open Access Link
Handle Link: https://hdl.handle.net/1959.11/20641
Abstract: Background: In Solomon Islands many people with Tuberculosis (TB) have challenges in accessing services because of socio-cultural, geographic and health service reasons, resulting in delays in TB treatment and low detection rates. The purpose of this project was to (i) develop a local language audio-visual resource (DVD) about TB (ii) share this resource with people in remote villages and (iii) evaluate the process and outcomes. Methods: The project involved the development and evaluation of a DVD in local Kwaio language. The DVD included five short videos based on the Australian Respiratory Council TB Education Flipchart. The DVD also included short videos of: traditional music/chanting (ai'imae); drama that presented an allegory of TB; and a short documentary on the redevelopment of the local TB Ward. A mixed-methods approach evaluated changes in TB knowledge and investigated the impact of the DVD. Results: The DVD was recorded and produced in March-June 2013 and screened in 41 villages and hamlets. The pre-post DVD survey was completed by 64% (255/400) of people who viewed the DVD in the villages. Pre-DVD survey responses showed a moderate to high knowledge about TB signs, symptoms and treatment but 76/255 (30%) stated TB was caused by sorcery and 85/255 (33%) incorrectly stated that TB medication should be stopped when a patient feels better. The post-DVD survey showed a significant increase in people in coastal villages reporting (i) a 3-week cough would trigger a medical assessment and (ii) TB is mainly spread through the air. Statements that TB is not caused by sorcery increased post-DVD in both coastal and mountain villages, however belief in sorcery in mountain villages remained high at 20/70 (29%). Conclusions: The local DVD resource was developed within local cultural understandings and oral traditions of Kwaio people. Using modern but accessible DVD technology generated a lot of interest about the disease and the stories. The project evaluation indicates that current delays in seeking treatment may be more due to socio-cultural and health service factors than awareness of the disease. Therefore the development of TB services, including TB education, which are culturally sensitive, remains important.
Publication Type: Journal Article
Source of Publication: BMC International Health and Human Rights, v.15, p. 1-9
Publisher: BioMed Central Ltd
Place of Publication: United Kingdom
ISSN: 1472-698X
Fields of Research (FoR) 2008: 111715 Pacific Peoples Health
111712 Health Promotion
111799 Public Health and Health Services not elsewhere classified
Fields of Research (FoR) 2020: 451601 Pacific Peoples and disability
420603 Health promotion
420399 Health services and systems not elsewhere classified
Socio-Economic Objective (SEO) 2008: 920599 Specific Population Health (excl. Indigenous Health) not elsewhere classified
920109 Infectious Diseases
920404 Disease Distribution and Transmission (incl. Surveillance and Response)
Socio-Economic Objective (SEO) 2020: 200404 Disease distribution and transmission (incl. surveillance and response)
Peer Reviewed: Yes
HERDC Category Description: C1 Refereed Article in a Scholarly Journal
Appears in Collections:Journal Article

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