Abstract
Indonesia has the highest number of dengue fever cases in Southeast Asia and the second highest TB cases in the world. Both diseases are related to behavior. Social marketing focuses on changes in health behaviors. This study aimed to apply social marketing on dengue mosquito vector control and TB case finding and to analyze the effect of social marketing training on the knowledge and skills of community health workers (CHWs). A mixed method design was conducted in Pati, Central Java, Indonesia. First, a case study was conducted using field observation, in-depth interviews, focus group discussions (FGD), and document review. In-depth interviews and FGD were conducted on 55 participants including 40 community leaders and 15 CHWs. Data were analyzed using content analysis. Second, intervention study was conducted on social marketing training of 30 CHWs. The independent variable was social marketing training. The dependent variables were knowledge and skill of dengue mosquito vector control and TB case finding. The effect of training was analyzed by paired t test. The results showed that knowledge (p<0.001) and skill (p<0.001) in dengue mosquito vector control and TB case finding increased significantly after training. Qualitative assessment showed that CHWs were more able to identify health problems in the community and to perform TB case finding and dengue mosquito breeding place eradication. After training they also became more knowledgeable in applying social marketing approach to address the health problem. In conclusion, social marketing strategy can be used to address community health problem.
Highlights
In Indonesia, the DHF and TB patients tend to increase in its number and to spread more widely
The results showed that knowledge (p
Incidence Rate (IR is the number of new cases of a disease occurring in an area over a period of time) of 39.80 in 2014 to 129.650 with mortality rate of 1.071 people in 2015 (IR = 50.75 per 100,000 populations, and Case Fatality Rate (CFR is the proportion of people dying of dengue disease among people suffering from the disease) 0.83%, compared to 2014 with cases of 100.347 and IR 39.80 (Ministry of Health Republic of Indonesia 2016)
Summary
In Indonesia, the DHF and TB patients tend to increase in its number and to spread more widely. World Health Organization (2015) reported Indonesia as the state with highest DHF case in South East Asia. In 2015, the number of DHF patients reported increased by 129.650 cases with 1.071 deaths. Incidence Rate (IR is the number of new cases of a disease occurring in an area over a period of time) of 39.80 in 2014 to 129.650 with mortality rate of 1.071 people in 2015 (IR = 50.75 per 100,000 populations, and Case Fatality Rate (CFR is the proportion of people dying of dengue disease among people suffering from the disease) 0.83%, compared to 2014 with cases of 100.347 and IR 39.80 (Ministry of Health Republic of Indonesia 2016). Case Notification Rate (CNR is the number of all TB cases were treated and reported in every 100,000 of the population in a particular area) of new pulmonary TB cases is 74/100.000 populations in 2015, decreasing from 77/100.000 populations in 2014.
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