ANALYSIS OF COMMUNITY HEALTH VOLUNTEER (CHV) BEHAVIOR IN DETECTING PRESUMPTIVE PULMONARY TB IN BANJARNEGARA
Analisis Perilaku Kader Kesehatan dalam Penemuan Suspek TBC Paru di Kabupaten Banjarnegara
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Background: Pulmonary TB case detection in Banjarnegara Regency from 202 to 2023 has fallen short of the target. As of June 2024, only 21% of suspected pulmonary TB cases have been identified. The behavior of community health volunteers (CHV) who actively seek out TB cases in the community starting from conducting visits, providing basic education to at least 20 close contacts of the index TB case, screening symptoms through interviews using the National TB 16K form, to encouraging symptomatic contact to undergo sputum examination at the health center is closely linked to the detection of pulmonary presumptive TB. Purpose: To analyze the behavior of CHV and to identify the factors influencing CHV behavior to identify presumptive TB pulmonary. Methods: The research design used was quantitative with a cross-sectional and observational design. The sampling technique used was total sampling with a total of 136 respondents. Results: Based on research conducted, 77 demonstrated good behavior in presumptive identification, while 59 exhibited less favorable behavior. The majority of respondents had excellent knowledge (92.65%), a supportive attitude towards presumptive detection (65.44%), and good motivation (60.29%). There is a relationship between knowledge (P=0.015), attitude (P=0.006), and motivation (P=0.000) with the behavior of community health volunteers in identifying pulmonary TB presumptive in Banjarnegara Regency. Conclusion: 56.62% of respondents exhibited good behavior in detecting pulmonary TB presumptives. Further training with an interactive learning approach is necessary to enhance the capacity of community health volunteers.
Alsayed SSR, Gunosewoyo H. Tuberculosis: pathogenesis, current treatment regimens and new drug targets. Int J Mol Sci. 2023;24(6).
Patil SV, Toshniwal S, Acharya A, Gondhali G. Cardiac dysfunction in active pulmonary tuberculosis: Mysterious facts of TB’s pandora. Electron J Gen Med. 2023;20(2).
Long R, Divangahi M, Schwartzman K. Chapter 2: Transmission and pathogenesis of tuberculosis. Can J Respir Crit Care, Sleep Med. 2022;6(S1):22–32.
Ministry of Health of the Republic of Indonesia. Technical guidelines for tuberculosis (TB) case finding activities using x-ray screening and providing TB preventive therapy (TPT) to household and close contacts of TB patients in 25 districts/cities, stage 2. Kementeri Kesehat RI. 2023;
Rimache LC, Gil CU BM. The community as an active part in the implementation of interventions for the prevention and control of tuberculosis: a scoping review. Medrxiv Prepr Serv Heal Sci. 2023;1–18.
Jansen PW, de Barse LM, Jaddoe VW V, Verhulst FC, Franco OH, Tiemeier H. Bi-directional associations between child fussy eating and parents’ pressure to eat: Who influences whom? Physiol Behav. 2017;176:101–6.
Anasulfalah H, Tamtomo DG, Murti B. Effect of diabetes mellitus comorbidity on mortality risk in tuberculosis patients who received tuberculosis treatment: a meta-analysis. J Epidemiol Public Heal. 2022;7(4):441–53.
Chen X, Du L, Wu R, Xu J, Ji H, Zhang Y, et al. Tuberculosis-related stigma and its determinants in Dalian, Northeast China: a cross-sectional study. BMC Public Health. 2021;21(1):1–10.
Tabong PTN, Akweongo P, Adongo PB. Community beliefs about tuberculosis in Ghana: Implications for the end tuberculosis global agenda. Cogent Med. 2021;8(1).
Gill CM, Dolan L, Piggott LM, McLaughlin AM. New developments in tuberculosis diagnosis and treatment. Breathe. 2022;18(1):1–15.
Seid G, Alemu A, Dagne B, Sinshaw W, Gumi B. Tuberculosis in household contacts of tuberculosis patients in sub-Saharan African countries: A systematic review and meta-analysis. J Clin Tuberc Other Mycobact Dis. 2022;29(November):100337.
President of the Republic of Indonesia. Presidential Regulation Number 67 of 2021 concerning Tuberculosis Control. Kementeri Kesehat Re. 2021;67(069394):107.
Profile of the Banjarnegara Health Service. Banjarnegara Regency Health Office 2023. 2024;(8):46–8.
Central Java Provincial Health Office. Analysis of the Tuberculosis Situation in Central Java. Semarang; 2024.
Komunitas T. Sistem Informasi Tuberkulosis Komunitas. 2023.
Surya Hajar FD, Siregar YI, Afandi D, Nofrizal. Determinant factors that contribute to the increasing tuberculosis prevalence in Rokan Hilir, Indonesia. Casp J Environ Sci. 2023;21(1):13–34.
Sinha P, Shenoi S V., Friedland GH. Opportunities for community health workers to contribute to global efforts to end tuberculosis. Glob Public Health. 2020;15(3):474–84.
Ministry of Health of the Republic of Indonesia. Technical guidelines for investigating TB patient contacts for health workers and cadresr. Dirjen Pencegah dan Pengendali Penyakit Menular. 2019;1–2.
Burke RM, Nliwasa M, Dodd PJ, Feasey HRA, Khundi M, Choko A, et al. Impact of community-wide tuberculosis active case finding and human immunodeficiency virus testing on tuberculosis trends in Malawi. Clin Infect Dis. 2023;77(1):94–100.
Fetherman DL, Cebrick-Grossman J. Use of the precede–proceed model to pilot an occupational physical activity intervention: tailored through a community partnership. Work Heal Saf. 2023;71(8):367–74.
Ogutu MO, Kamui E, Abuya T, Muraya K. “We are their eyes and ears here on the ground, yet they do not appreciate us”—Factors influencing the performance of Kenyan community health volunteers working in urban informal settlements. PLOS Glob Public Heal. 2023;3(8):1–21.
Alo C, Okedo-Alex IN, Akamike IC, Agu AP, Okeke IM, Amuzie CI, et al. Utilising community volunteers can increase the detection and referral of Buruli ulcer cases in endemic communities in Southeast, Nigeria. Trop Dis Travel Med Vaccines. 2022;8(1):1–7.
Villar-Hernández R, Ghodousi A, Konstantynovska O, Duarte R, Lange C, Raviglione M. Tuberculosis: current challenges and beyond. Breathe. 2023;19(1):3–8.
Teibo TKA, Andrade RL de P, Rosa RJ, de Abreu PD, Olayemi OA, Alves YM, et al. Barriers that interfere with access to tuberculosis diagnosis and treatment across countries globally: a systematic review. ACS Infect Dis. 2024;10(8):2600–14.
Endo Y, Jaramillo J, Yadav RPH. Patient- and health-system-related barriers to treatment adherence for patients with drug-resistant tuberculosis in the Philippines: A Mixed-Methods Study. Tuberc Res Treat. 2022;2022:1–11.
Selasa P, Teli M, Kusmiyati, Israfil, Aty YMVB, Nurwela TS, et al. The impact of training on the knowledge, skill, motivation, and intentions of health cadres in finding suspicious cases of pulmonary tuberculosis in the community. Multidiscip Sci J. 2024;6(11):2019–23.
Putri SA, Viana N, Pou R. Active case finding of tuberculosis the relationship of cadre training with cadres training with cadres knowledge of active case finding tuberculosis case finding tuberculosis. 2024;9:330–40.
Fitriadi Y. Effort to control pulmonary tuberculosis (TB) in the community through tuberculosis alert health cadre training. J Community Empower Heal. 2023;6(3):133.
Gadsden T, Maharani A, Sujarwoto S, Kusumo BE, Jan S, Palagyi A. Does social capital influence community health worker knowledge, attitude and practices towards COVID-19? Findings from a cross-sectional study in Malang district, Indonesia. SSM - Popul Heal. 2022;19(June):101141.
Prihanti GS, Herwanto ES, Prakoso GB, Pandya GG, Ghesa CCA, Oktavin HL, et al. Factors affecting tuberculosis cadres’ motivation in the detection of tuberculosis cases in Kediri City, Indonesia. Public Heal Prev Med Arch. 2022;8(2):134–9.
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