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Jurnal Keperawatan Indonesia
Articles
VIEWS: 277
10.7454/jki.v23i2.1050
Submitted: 2023-02-14
Published: 2020-07-31

Tuberculosis Cases Finding Practice: The Intention of Cadres

Sint Carolus School of Health Sciences, Jakarta 10440
Sint Carolus School of Health Sciences, Jakarta 10440
Sint Carolus School of Health Sciences, Jakarta 10440
attitude intention perceived behavior control public health cadre subjective norm Tuberculosis case finding

Abstract

Tuberculosis (TB) is a difficult health problem to overcome. Active case finding is an important step in managing this infectious disease. However, the prevalence of TB case finding among cadres at the community level is low because of the stigma attached to TB, difficulty in geographical coverage, low public awareness, and social economic barriers. In addition, the empowerment and intention of cadres to perform community-based TB case finding are not optimal yet. This cross-sectional study aimed to determine the intention of TB case finding among 162 public health cadres at one district. Convenient sampling technique was employed in this study. Relationship analyses were performed using Chi-Square test. Results suggested that three factors, namely, attitude, subjective norm, and perceived behavior control influenced the intention to practice TB case finding among cadres. Public health care providers must encourage cadres to practice active TB case finding and understand the benefits and burdens encountered by cadres during TB case finding.

 

Abstrak 

Praktik Penemuan Kasus Tuberkulosis: Niat Kader di Nusa Tenggara Timur, Indonesia. Tuberkulosis (TB) masih menjadi masalah kesehatan yang sulit diatasi. Penemuan kasus TB secara aktif merupakan langkah awal yang menjadi kunci keberhasilan dalam penanganan kasus TB, namun angka penemuan kasus TB masih rendah. Kader belum dapat melakukan pendeteksian dini kasus TB secara optimal. Selain itu sebagai penemu kasus TB di masyarakat, kader memiliki berbagai tantangan dalam upaya menemukan kasus TB, salah satunya adalah niat untuk menemukan kasus TB mengingat banyak stigma yang muncul terkait penyakit TB, keadaan geografi yang sulit dijangkau, rendahnya kesadaran masyarakat, dan kendala biaya. Tujuan dari penelitian ini adalah untuk mengetahui intensi atau niat kader dalam menemukan kasus TB. Penelitian ini menggunakan desain cross sectional dengan melibatkan 162 kader kesehatan di sebuah kecamatan. Metode pengambilan sampel menggunakan convenient sampling. Analisa hubungan menggunakan uji statistik Chi Square. Hasil penelitian menunjukkan ketiga faktor yaitu sikap, norma subjektif, dan kendali perilaku yang dirasakan memiliki hubungan dengan intensi dalam menemukan kasus TB. Maka dapat disimpulkan, dukungan tenaga kesehatan sangat penting dalam meningkatkan praktik penemuan kasus TB dan penting untuk memperhatikan manfaat dan tantangan yang ditemui oleh kader dalam menemukan kasus TB.

Kata Kunci: kader kesehatan, kontrol kendali yang dirasakan, niat, norma subjektif, sikap, penemuan kasus Tuberkulosis

References

  1. Aderita, N.I., & Chotimah, C. (2018). Peran kader kesehatan dalam tindakan penemuan kasus tuberkulosis dengan pendekatan theory planned of behaviour di wilayah kerja Puskesmas Bendosari. IJMS-Indonesian Journal On Medical Science, 5 (2), 160–167. http://www.ejournal.ijmsbm.org/index.php/ijms/article/view/156/153.
  2. Chaisson, L.H., Katamba, A., Haguma, P., Ochom, E., Ayakaka, I., Mugabe, F., Miller, C., Vittinghoff, E., Davis, J.L., Handley, M.A., & Cattamanchi, A. (2015). Theory-informed interventions to improve the quality of tuberculosis evaluation at Ugandan health centers: A quasi-experimental study. PLoS ONE, 10 (7), 1–13. https://doi.org/10.1371/journal.pone.0132573.
  3. Craig, G.M., Daftary, A., Engel, N., O’Driscoll, S., & Ioannaki, A. (2017). Tuberculosis stigma as a social determinant of health: a systematic mapping review of research in low incidence countries. International Journal of Infectious Diseases, 56, 1–13. https://doi.org/10.1016/j.ijid.2016.10.011.
  4. Department of Health Republic of Indonesia. (2009). Buku saku kader program penanggulangan TB. Jakarta: Directorate General of Diseases Control and Environmental Health, Department of Health Republic of Indonesia.
  5. Evenblij, K., Verbon, A., & Van Leth, F. (2016). Intention of physicians to implement guidelines for screening and treatment of latent tuberculosis infection in HIV-infected patients in the Netherlands: A mixed-method design. BMC Public Health, 16 (1), 915–923. https://doi.org/10.1186/s12889-016-3539-2.
  6. Fishbein, M., & Ajzen, I. (2010). Predicting and changing behavior: The reasoned action approach. New York: Psychology Press.
  7. Khanal, S., Elsey, H., King, R., Baral, S.C., Bhatta, B.R., & Newell, J.N. (2017). Development of a patient-centred, psychosocial support intervention for multi-drug-resistant tuberculosis (MDR-TB) care in Nepal. PLoS ONE, 12 (1), 1–16. https://doi.org/10.1371/journal.pone.0167559.
  8. Kok, M.C., Broerse, J.E.W., Theobald, S., Ormel, H., Dieleman, M., & Taegtmeyer, M. (2017). Performance of community health workers: Situating their intermediary position within complex adaptive health systems. Human Resources for Health, 15 (1), 59–65. https://doi.org/10.1186/s12960-017-0234-z.
  9. Kumar, S., Bothra, V., & Mairembam, D. (2016). A dedicated public health cadre: Urgent and critical to improve health in India. Indian Journal of Community Medicine, 41 (4), 253–255. https://doi.org/10.4103/0970-0218.193336.
  10. Lembata Health Profile. (2017). Profil kesehatan tahun 2016 Kabupaten Lembata. Kupang: Dinas Kesehatan Provinsi Nusa Tenggara Timur. Retrieved from https://www.kemkes. go.id/resources/download/profil/PROFIL_KES_PROVINSI_2016/19_NTT_2016.pdf.
  11. Ministry of Health Republic of Indonesia. (2018). Current status of integrated community based TB Service delivery and the global fund work plan to find missing TB cases. Jakarta: Ministry of Health Republic of Indonesia, Indonesia National TB Program. Retrieved from https://www.who.int/tb/feat ures_archive/indonesia_11apr18.pdf?ua=1.
  12. Mundeva, H., Snyder, J., Ngilangwa, D.P., & Kaida, A. (2018). Ethics of task shifting in the health workforce: Exploring the role of community health workers in HIV service delivery in low- and middle-income countries. BMC Medical Ethics, 19 (1), 71–81. https://doi.org/10.1186/s12910-018-0312-3.
  13. Paul, S., Akter, R., Aftab, A., Khan, A.M., Barua, M., Islam, S., Islam, A., Husain, A., & Sarker, M. (2015). Knowledge and attitude of key community members towards tuberculosis: Mixed method study from BRAC TB control areas in Bangladesh. BMC Public Health, 15 (1), 52–59. https:// doi.org/10.1186/s12889-015-1390-5.
  14. Polit, D., & Beck, C.T. (2012). Nursing research: Generating and assessing evidence for nursing practice (9th Ed.). Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.
  15. Prasad, B.M., Satyanarayana, S., & Chadha, S.S. (2016). Lessons learnt from active tuberculosis case finding in an urban slum setting of Agra city, India. Indian Journal of Tuberculosis, 63 (3), 199–202. https://doi. org/10.1016/j.ijtb.2016.08.006.
  16. Putri, D.N.A. (2017). Hubungan antara norma subjektif dan persepsi kontrol diri dengan niat kader kesehatan dalam kegiatan case finding penanggulangan penyakit kusta di Wilayah Kerja Puskemas Larangan Kabupaten Brebes Tahun 2017. UDiNus Repository. Retrieved from http://eprints. dinus.ac.id/22551/
  17. Rachlis, B., Naanyu, V., Wachira, J., Genberg, B., Koech, B., Kamene, R., Akinyi, J., & Braitstein, P. (2016). Community Perceptions of Community Health Workers (CHWs) and their roles in management for HIV, Tuberculosis and Hypertension in Western Kenya. PLoS ONE, 11 (2), 2. https://doi. org/10.1371/journal.pone.0149412.
  18. Rawal, L.B., Mahmud, K., Islam, S.M.S., Mahumud, R.A., Nuruzaman, M., & Ahmed, S.M. (2016). Training mid-level health cadres to improve health service delivery in rural Bangladesh. Primary Health Care Research and Development, 17 (5), 503–523. https://doi.org/10.1017/S146342361600 0104.
  19. Sumartini, N.P. (2014). Penguatan peran kader kesehatan dalam penemuan kasus Tuber-kulosis (TB) BTA Positif melalui edukasi dengan pendekatan Theory of Planned Behaviour (TPB). Jurnal Kesehatan Prima, 8 (1), 1246–1263. https://doi.org/10.32807/jkp.v8i1.47.
  20. World Health Organization. (2017). Global Tuberculosis report. Executive Summary. Geneva: World Health Organization. Retrieved from https://www.who.int/tb/pub lications/global_report/MainText_13Nov2017.pdf.
  21. World Health Organization. (2018). Laten Tuberculosis infection: Updated and consolidated guidelines for programmatic management. Geneva: World Health Organization. Retrieved from https://apps. who.int/iris/bitstream/handle/10665/260235/WHO-CDS-TB-2018.9-eng.pdf?sequence=1 &isAllowed=y.

How to Cite

Lepuen, A. P., Bratajaya, C. N. A., & Rasmada, S. (2020). Tuberculosis Cases Finding Practice: The Intention of Cadres. Jurnal Keperawatan Indonesia, 23(2), 128–135. https://doi.org/10.7454/jki.v23i2.1050