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 Table of Contents  
LETTER TO EDITOR
Year : 2017  |  Volume : 6  |  Issue : 4  |  Page : 412-413

Knowledge on tuberculosis in rural Myanmar


1 KMT Primary Care Center, Bangkok, Thailand
2 Department of Tropical Medicine, Hainan Medical University, Hainan Sheng, China

Date of Web Publication17-Nov-2017

Correspondence Address:
Sora Yasri
KMT Primary Care Center, Bangkok
Thailand
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijmy.ijmy_135_17

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How to cite this article:
Yasri S, Wiwanitkit V. Knowledge on tuberculosis in rural Myanmar. Int J Mycobacteriol 2017;6:412-3

How to cite this URL:
Yasri S, Wiwanitkit V. Knowledge on tuberculosis in rural Myanmar. Int J Mycobacteriol [serial online] 2017 [cited 2019 Nov 17];6:412-3. Available from: http://www.ijmyco.org/text.asp?2017/6/4/412/218625



Dear Editor,

We read the report on the situation in Myanmar with great interest.[1] 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.[1]” Lin et al. concluded that “Wrong ideas should be tackled, and lacking knowledge should be enlightened.[1]” 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.[2] 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.[3] 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.[4]” Wongkongdech et al. mentioned for the requirement for “a tuberculosis control program and communicable disease surveillance among migrant communities, in Thailand.[5]” In a recent report on knowledge survey among the migrant Myanmar workers, 74.2% of the workers have a low level of knowledge.[6] Comparing this rate to the general local rural Myanmar people in the report by Lin et al.,[1] 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.[7] 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.[8] This problem is not different from the observation among the tuberculosis patients treated in Myanmar.[9] 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.[9] Ishikawa also mentioned that this requires the good human relationship.[10] 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.,[11] “The tuberculosis treatment and care program, and the associated health education interventions enabled migrants to complete the treatment regimen and achieve treatment success.”

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Lin KS, Kyaw CS, Sone YP, Win SY. Knowledge on tuberculosis among the members of a rural community in Myanmar. Int J Mycobacteriol 2017;6:274-80.  Back to cited text no. 1
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2.
Hoa NP, Chuc NT, Thorson A. Knowledge, attitudes, and practices about tuberculosis and choice of communication channels in a rural community in Vietnam. Health Policy 2009;90:8-12.  Back to cited text no. 2
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3.
Tschirhart N, Thi SS, Swe LL, Nosten F, Foster AM. Treating the invisible: Gaps and opportunities for enhanced TB control along the Thailand-Myanmar border. BMC Health Serv Res 2017;17:29.  Back to cited text no. 3
    
4.
Thi SS, Parker DM, Swe LL, Pukrittayakamee S, Ling CL, Amornpaisarnloet K, et al. Migration histories of multidrug-resistant tuberculosis patients from the Thailand-Myanmar border, 2012-2014. Int J Tuberc Lung Dis 2017;21:753-8.  Back to cited text no. 4
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5.
Wongkongdech R, Srisaenpang S, Tungsawat S. Pulmonary TB among Myanmar Migrants in Samut Sakhon Province, Thailand: A. Problem or not for the TB control program? Southeast Asian J Trop Med Public Health 2015;46:296-305.  Back to cited text no. 5
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6.
Sreechat S, Hongsranagon P. Assessment of knowledge, attitude and preventive behavior of pulmonary tuberculosis among Myanmar refugees in Ban Mai Nai Soi temporary shelter, Mae Hong Son, Thailand. J Health Res 2013;27:391-8.  Back to cited text no. 6
    
7.
Choowong J, Tillgren P, Söderbäck M. Thai people living with tuberculosis and how they adhere to treatment: A grounded theory study. Nurs Health Sci 2017.  Back to cited text no. 7
    
8.
Karnjanasilp P. The study of factors effecting on attendance of tuberculosis patients at 5th Zonal TB Center, Nakhonratchasima, 1996. Commun Disord Control Regul J 1996-1997;3:28-35.  Back to cited text no. 8
    
9.
Khan MS, Hutchison C, Coker RJ. Risk factors that may be driving the emergence of drug resistance in tuberculosis patients treated in Yangon, Myanmar. PLoS One 2017;12:e0177999.  Back to cited text no. 9
    
10.
Ishikawa N. How to cope with the global tuberculosis burden – Experiences and perspectives for Japan's international cooperation. Kekkaku 2005;80:89-94.  Back to cited text no. 10
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11.
Khortwong P, Kaewkungwal J. Thai health education program for improving TB migrant's compliance. J Med Assoc Thai 2013;96:365-73.  Back to cited text no. 11
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