|LETTER TO EDITOR
|Year : 2017 | Volume
| Issue : 4 | Page : 412-413
Knowledge on tuberculosis in rural Myanmar
Sora Yasri1, Viroj Wiwanitkit2
1 KMT Primary Care Center, Bangkok, Thailand
2 Department of Tropical Medicine, Hainan Medical University, Hainan Sheng, China
|Date of Web Publication||17-Nov-2017|
KMT Primary Care Center, Bangkok
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Yasri S, Wiwanitkit V. Knowledge on tuberculosis in rural Myanmar. Int J Mycobacteriol 2017;6:412-3
We read the report on the situation in Myanmar with great interest. Lin et al. studied on the knowledge of local people in rural Myanmar regarding tuberculosis and found that “Only 54% of the respondents have good knowledge.” Lin et al. concluded that “Wrong ideas should be tackled, and lacking knowledge should be enlightened.” Indeed, the problem of tuberculosis is still highly prevalent in Indochina, and the poor knowledge among the local people in the remote rural area can be seen. The similar findings on the problem on knowledge regarding tuberculosis are also reported from other countries in Indochina including to Vietnam. We, hereby, would like to share experience from out setting in Thailand, an Indochina country next to Myanmar. At present, the problem of tuberculosis among migrant workers from Myanmar becomes the big public health issue in Thailand. The emerging multidrug resistant tuberculosis is presently observed in the Myanmar migrant communities at Thailand-Myanmar border. Thi et al. noted that “Migrants in this region come into contact with high numbers of people and may be able to spread the disease across wide geographic ranges.” Wongkongdech et al. mentioned for the requirement for “a tuberculosis control program and communicable disease surveillance among migrant communities, in Thailand.” In a recent report on knowledge survey among the migrant Myanmar workers, 74.2% of the workers have a low level of knowledge. Comparing this rate to the general local rural Myanmar people in the report by Lin et al., there is a significantly lower percentage of respondents with good knowledge. This can imply a more serious problem among Myanmar migrant worker group.
Nevertheless, in Thailand, although the economics status is better than Myanmar, the lack of knowledge among the local people is still common and relating to the failure of management of tuberculosis. Of interest, for the patients with tuberculosis under treatment, the study also showed that the knowledge of those patients in Thailand was also low and this implied the problem of health education regarding tuberculosis in this setting. This problem is not different from the observation among the tuberculosis patients treated in Myanmar. Hence, lack of good knowledge seems to be a common problem in Indochina. Focusing on the health education regarding tuberculosis, an important problem in the remote rural area in Indochina is the difficulty to assessment to health media and the multiethnic nature of the local people. As noted by Ishikawa, the success of the control problem was not only based on the improvement of knowledge but also empowering the local for continuous improvement. Ishikawa also mentioned that this requires the good human relationship. To produce the proper health media that can be easily perceived by local people, especially for those who are ethnic minorities, as well as is an important challenge. Similar, the finding and adjusting for a good media for health education for the Myanmar migrant should not be forgotten. As noted by et al., “The tuberculosis treatment and care program, and the associated health education interventions enabled migrants to complete the treatment regimen and achieve treatment success.”
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