Abstract
Tuberculosis (TB) is an infectious disease that remain a serious health problem. Seventy five percent of TB cases in developing countries are found in people of productive age. Delay in case finding and handling will lead to disability and death and hamper TB control program. The objective of this study was to evaluate how far the role of health cadres in detecting new case of TB in Tirtomoyo, Wonogiri. The study design was a cross-sectional and data was collected from February to April 2019. The population of the study was all health cadres in Tirtomoyo numbering 465 cadres from 9 villages. Sample of the study was the cadres in Tirtomoyo who met inclusion criteria set by the researchers with total number of 202 cadres. The sampling technique was purposive sampling, and the inclusion criteria included: active person, in a healthy state, not currently receiving inpatient care in hospital, and agree to participate in the study. Subjects completed the questionnaire consisting of sociodemographic data, knowledge, behavior, and the role of cadre. The data was analyzed using SPSS version 22. The behavior of the health cadres was found to significantly correlate to the role of cadres in early detection of new TB cases with p value of 0.039 (OR 0.121– 0.946). The health cadres play an essential role, and active screening for TB detection was more effective than passive screening. Early diagnosis would affect the success of the TB treatment program.
Highlights
Tuberculosis (TB) is a communicable disease which remain a serious health problem worldwide until present
Several factors causing the low in Case Detection Rate (CDR) included the Passive Case Finding (PCF) of the TB control program to encompass cases and the case screening was less strict (Musyafa, Rahayujati, & Indriyanti, 2017b)
This study aimed to evaluate the role of the health cadres in the early detection of TB cases
Summary
Tuberculosis (TB) is a communicable disease which remain a serious health problem worldwide until present. In TB eradication effort, World Health Organization (WHO) stated the need of participation from several stakeholders besides the government (Harahap, Amelia, Wahyuni, & S, 2018) Those support included effort on behavior change and community reinforcement (A.Korobitsyn et al, 2013). A study from Tajikistan in 2013 presented interesting results, among others was that the knowledge of TB in community generally increased, but TB related stigma persist, obstructing effective detection of TB cases (A.Korobitsyn et al, 2013). This study aimed to evaluate the role of the health cadres in the early detection of TB cases. This determination was crucial because of the abundant negative stigmatization in community related to TB infection.
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