Effort to Control Pulmonary Tuberculosis (TB) in the Community through Tuberculosis Alert Health Cadre Training

https://doi.org/10.22146/jcoemph.77331

Yogi Fitriadi(1*)

(1) Gadjah Mada University
(*) Corresponding Author

Abstract


Tuberculosis (TB) alert health cadre training is an important thing that can be done to help control TB in the community. TB control includes increasing early detection and adherence to treatment for TB patients. To solve TB problems in the community, a synergy of roles is needed between health workers and the community, one of which is through empowering health cadres by increasing their capacity. We conducted interactive TB control health education training program that aim to improve health cadre knowledge, attitudes, and practice in early detection of TB and assistance to Drug Swallowing Supervisors/”Pengawas Menelan Obat (PMO)”. The training was provided using lecture method, two-way discussion, and demonstration for one day by internal medicine specialists, assisted by multi-professional students from medical and nursing program. A total of 36 health cadres from Sumberharjo village participated in this training. Before and after the training, cadres took pre-test and post-test. The survey results were analyzed statistically using descriptive quantitative methods for the respondent’s characteristics, whereas the score of knowledge, attitude, and practice were analyzed using nonparametric test. The median and the minimum-maximum of the pre-test score before training for knowledge was 10.5(7-13), attitude score was 15(11-15), and practice score was 15(8-15). Meanwhile, the median and the minimum-maximum post-test score after training for knowledge was 11(8-14), attitude score was 15(10-15), and practice score was 15(10-15). The results of statistic test obtained were p=0.003 for knowledge, p=0.272 for attitude, and p=0.111 for practice. It showed that there was a significant difference in the cadre's knowledge scores before and after training, but there were no significant differences in their attitudes and practice scores before and after training. Training for health cadres is recommended to increase capacity of health cadre, especially the knowledge of health cadre controlling TB in the community.


Keywords


health cadre; tuberculosis; training; early detection; Drug Swallowing Supervisor

Full Text:

PDF


References

Houben RM, Dodd PJ. The global burden of latent tuberculosis infection: a re-estimation using mathematical modelling. PLoS medicine. 2016 Oct 25;13(10):e1002152.

World Health Organization. 2019. Global tuberculosis report 2019. Accessed from https://www.who.int/publications/i/item/9789241565714. On 20th July 2022.

WHO. 2012. Global Tuberculosis Control : WHO report 2011. Geneva, Switzerland: WHO Press.

DitjenPP&PL. 2011. “Laporan Situasi Terkini Perkembangan Tuberkulosis di Indonesia Januari-Juni 2011”. Jakarta: Kementerian Kesehatan RI.

Sumartini NP. “Penguatan peran kader kesehatan dalam penemuan kasus tuberkulosis (TB) BTA positif melalui edukasi dengan pendekatan Theory of Planned Behaviour (TPB)”. Jurnal Kesehatan Prima. 2018 Apr 5;8(1):1246-63.

Onazi O, Adejumo AO, Redwood L, Okorie O, Lawal O, Azuogu B, Gidado M, Daniel OJ, Mitchell EM. Community health care workers in pursuit of TB: Discourses and dilemmas. Social Science & Medicine. 2020 Feb 1;246:112756.

Dinas Kesehatan Kab. Sleman 2020. “Profil Kesehatan Kab. Sleman tahun 2019”. https://dinkes.slemankab.go.id/wp-content/uploads/2020/09/Profil-Kesehatan- Sleman-2020.pdf. Accessed on 11th February 2022.

Dinas Kesehatan Yogyakarta. 2019. “Profil Kesehatan Kab. Sleman tahun 2018”. https://dinkes.slemankab.go.id/wp-content/uploads/2019/12/PROFIL-2019- DINKES.pdf. Accessed on 17th February 2022.

Kementerian Kesehatan Republik Indonesia. 2009. “KMK Nomor 364/MENKES/SK/V/2009, Kementerian Kesehatan Republik Indonesia, Jakarta”.

HDSS. 2022. “Prevalensi penyakit menular berdasarkan kecamatan”. https://hdss.fk.ugm.ac.id/visualisasi-penyakit-menular/. Accessed on 19th February 2022.

Dinas Kesehatan Provinsi Jawa Tengah. 2013. “Buku Saku Kesehatan Triwulan 3 tahun 2013”, Dinas Kesehatan Provinsi Jawa Tengah, Semarang.

Castro KG, LoBue P, 2011. Bridging implementation, knowledge, and ambition gaps to eliminate tuberculosis in the United States and globally. Emerg Infect Dis 17: 337–342.

Kementerian Kesehatan Republik Indonesia. 2021. “Prinsip dan Strategi Program Tuberkulosis tahun 2015-2020”. Accessed from: https://tbindonesia.or.id/profil/prinsip-dan-strategi-program/ on 3rd Juni 2022.

Islam, S., Harries, A.D., Malhotra, S., Zaman, K., Husain, A., Islam, A. and Ahmed, F. 2013. Training of community healthcare providers and TB case detection in Bangladesh. International health, 5(3), pp.223-227.

Xu M, Markstrom U, Lyu J, Xu L. Detection of Low Adherence in Rural Tuberculosis Patients in China: Application of Morisky Medication Adherence Scale. Int J Environ Res Public Health. 2017;14(3):248

Theron G, Peter J, Zijenah L, Chanda D, Mangu C, Clowes P, Rachow A, Lesosky M, Hoelscher M, Pym A, et al. Psychological distress and its relationship with non-adherence to TB treatment: a multicentre study. BMC Infect Dis. 2015;15:253.

Yuda, D. R. M., & Asmuji. 2016. “Analisis faktor dominan yang mempengaruhi kinerja kader posyandu di Wilayah Kerja Puskesmas Ledokombo Jember”. Jurnal Fikes, 2(1).

Pakasi, A.M., Korah, B.H., & Imbar, H.S. 2016. “Hubungan pengetahuan dan sikap kader kesehatan dengan pelayanan posyandu”. Jurnal Ilmiah Bidan, 4(1), 15-21.

Nasution N. 2020. “Tesis: Peran Kader Tuberkulosis Dalam Program Penanggulangan Tuberkulosis Di Kota Medan”. Medan: Universitas Sumatera Utara.

Tobin, E.A., Okojie, P-W, Isah, E.C. 2013. Community knowledge and attitude to pulmonary tuberculosis in rural Edo state, Nigeria. Ann Afr Med 12: 148–154

Yared Merid, Yimtubezinash Woldeamanuel Mulate, Mesay Hailu, Tsegaye Hailu, Getnet Habtamu, Markos Abebe, Daniel G. Datiko, Abraham Aseffaa. Population-based screening for pulmonary tuberculosis utilizing community health workers in Ethiopia. International Journal of Infectious Diseases, 89 (2019) 122–127

Rowe AK, Rowe SY, Peters DH, Holloway KA, Chalker J, Ross-Degnan D. Effectiveness of strategies to improve health-care provider practices in low-income and middle-income countries: a systematic review. Lancet Glob Health. 2018;6(11):e1163–e1175. doi: 10.1016/S2214-109X(18)30398-X

Bandura, Albert. Social Cognitive Theory: An Agentic Perspective. Asian Journal of Social Psychology. 1999; 2:21-41.

Mohammadi K, Tavafian S-S, Ghofranipoor F, Amin-Shokravi F. Health education program and tuberculosis preventive behaviors. Zahedan J Res Med Sci. 2012;14(10):97–99. Available at: http://zjrms.ir/article-1-1211- en.html.

Siti Rabaah H, Turiman S, Maimunah I, Zulaiha M. Association of the personal factors of culture, attitude and motivation with health behavior among adolescents in Malaysia. Int J Adolesc Youth. 2019;24(2):149–159. https://doi.org/10.1080/02673843.2018.1482772

Shatat H, Deghedi B, Shama M, Koura M, Loutfy N. An intervention program for strengthening tuberculosis control in Alexandria. Part II: raising awareness of secondary school students. Bull High Inst Public Health. 2005;35:675–688

Panaligan R, Guiang J. Impact of health education on the knowledge and awareness of tuberculosis among high school students. Eur Respir J Suppl. 2012;40(Suppl 56). Available at: http://erj. ersjournals.com/content/erj/40/Suppl_56/ P2655.full.pdf



DOI: https://doi.org/10.22146/jcoemph.77331

Article Metrics

Abstract views : 908 | views : 986

Refbacks

  • There are currently no refbacks.


Copyright (c) 2023 Journal of Community Empowerment for Health

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.