Knowledge, attitude and practice regarding tuberculosis among the patients attending a tertiary care hospital in Maharashtra, India: a cross sectional study

Nilesh S. Sonawane, Chaitanya R. Patil


Background: Tuberculosis is major public health problem especially in the low and middle income countries like India. We conducted a study to assess the knowledge, attitude and practice related to tuberculosis among the patients attending our tertiary care institute.

Methods: A cross sectional study was conducted in a tertiary care hospital on the patients attending OPD of tertiary care hospital in Maharashtra. The patients with debilitating illness or bed bound patients and those diagnosed and cured of tuberculosis or were on treatment of tuberculosis were excluded from the study. A pretested and designed questionnaire was used to assess the knowledge, attitude and practice about the cause, clinical features and treatment of tuberculosis.

Results: The mean age of the study subjects was 43.34±11.23 years with male: female ratio of 1.45. About 16.67% of the subjects stated that cause of TB is bacteria, 51.33% reported that cough was the most common symptom, 58.67% believed that it spreads from person to person and among the people who said it spreads 58.67% said that it can be preventable.

Conclusions: About 1/5th of the study subjects expressed the cause of TB is bacteria or germs, and more than ½ believed that TB spreads from person to person. About 2/3rd of the patients felt that TB was a very serious disease; more than ½ of them expressed fear if they were diagnosed with TB but more than ½ of them also expressed rejection if they have a TB patient as a closed one.


Attitude, Knowledge, Practice, Tuberculosis

Full Text:



Zaman K. Tuberculosis: A Global Health Problem. J Heal Popul Nutr. 2010;28(2):111-3.

Sandhu GK. Tuberculosis: current situation, challenges and overview of its control programs in India. J Glob Infect Dis. 2011;3(2):143.

World Health Organisation’s. Factsheet on Tuberculosis, 2017. Available at: Accessed on 8 September 2018.

Narasimhan P, Wood J, MacIntyre C, Mathai D. Risk Factors for Tuberculosis. Pulm Med. 2013;828-939.

Angeline GG, Gopalakrishnan S, Umadevi R. Knowledge, attitude and practices regarding pulmonary tuberculosis in a rural area of Tamil Nadu, India: a cross sectional study. Int J Community Med Public Heal. 2018;5(9):4055-64.

Haasnoot PJ, Boeting TE, Kuney MO, Roosmalen J Van. Knowledge, attitudes, and practice of tuberculosis among Maasai in Simanjiro District, Tanzania. Am J Trop Med Hyg. 2010;83(4):902-5.

Tolossa D, Medhin G, Legesse M. Community knowledge, attitude, and practices towards tuberculosis in Shinile town, Somali regional state, eastern Ethiopia: a cross-sectional study. BMC Public Health. 2014;14:804.

Kigozi NG, Heunis JC, Engelbrecht MC, Rensburg APJ Van, Rensburg HCJD Van. Tuberculosis knowledge, attitudes and practices of patients at primary health care facilities in a South African metropolitan: research towards improved health education. BMC Public Heal. 2017;17:795.

Easwaran M, Ramachandran D, Ramasamy R, George N, Mathew M, Bazroy J, et al. Knowledge, attitude, and practice regarding tuberculosis among rural population in Tamil Nadu. Int J Med Sci Public Heal. 2015;4(12):1681-4.

Konda SG, Melo CA, Giri PA. Knowledge, attitude and practices regarding tuberculosis among new pulmonary tuberculosis patients in a new urban township in India. Int J Med Sci Public Heal. 2016;5(03):563-9.

Pengpid S, Peltzer K, Puckpinyo A, Tiraphat S, Viripiromgool S. Knowledge, attitudes, and practices about tuberculosis and choice of communication channels in Thailand original article knowledge, attitudes, and practices about tuberculosis and choice of communication channels in Thailand. J Infect Dev Ctires. 2016;10(7):694-703.

Hibstu D, Bago B. Knowledge, attitude and practice of tuberculosis and its transmission among journal of infectious diseases and. J Infect Dis Prev Med. 2016;4(2):142.

Jangid VK, Agrawal NK, Yadav GS, Pandey S. Knowledge and Awareness of the tuberculosis in tuberculosis patients at tertiary care centre in North West Rajasthan, India. Natl J Community Med. 2016;7(4):262-8.

Aseeri AA, Turkestani RA, Alamri MA, Algabr A, Alobaysi SA, Alghazal Z, et al. Assessment of knowledge, attitudes and practices regarding pulmonary tuberculosis among Saudi Arabia community in 2017. Egypt J Hosp Med. 2017;69(5):2421-5.

Solliman MA, Hassali MA, Al-haddad M, Hadida MM, Saleem F, Atif M. Assessment of Knowledge towards tuberculosis among general population in North East Libya. J Appl Pharm Sci. 2012;02(04):24-30.

Moreda TB, Nigatu DT. Assessment of knowledge, attitude and practice of tb transmission and prevention among the communities in Holeta Town. Epidemiol Int J. 2018;2(1):1-7.

Tasnim S, Rahman A, Hoque FMA. Patient’s knowledge and attitude towards tuberculosis in an Urban setting. Pulm Med. 2012;2012.

Rana MM, Islam MR, Rahman MM, Zaman TK, Bharati P, Hossain G. Assessment of knowledge regarding tuberculosis among industrial labors of Rajshahi District, Bangladesh: a cross- sectional study. Hum Biol Rev. 2018;7(2):155-71.

Howley MM, Katz DJ, Colson PW. Blacks and whites with tuberculosis. J Immigr Minor Heal. 2015;17(5):1487-95.

Faris A, Germossa G, Beyene D. Knowledge, attitude and practice on prevention and control of tuberculosis among Bilida Kebele Residents, Mana Woreda, Jimma Zone, Oromia Region, South West Ethiopa. Heal Sci J. 2018;12(5):10-3.