Abstract
Indonesia is the fifth country in the world's related TB cases. This study used the theory of ACSM (McKee 1992), a multitrack model (Tufte and Mefalopulos 2009) to analyze structural and social issues, and Health Believe Model (Rosenstock et al. 1988) to explain the behavior of the patient-level health. The research used qualitative approach with case study method of advovacy, communication and social mobilization (ACSM) of TB control program in the poor region by community TB Care 'Aisyiyah KPT West Jakarta in Kelurahan Kalianyar, Tambora, West Jakarta. A total of 18 informants as the source of data, was obtained by the snowball technique. The result shows Community TB Care 'Aisyiyah successfully gained political and social leadership acceptance in the city, district or village level that became the basis of social mobilization that generates participation by donating the treatment of citizens or economically disadvantaged groups to the poor. Credibility of cadres and treatments supporter not only shaped by good knowledge about the disease and treatment of tuberculosis acquired through training, but also the sincerity of cadres and treatment supporter as family members. It is evident that much of its claimed success has depended on interpersonal communication and the participation of volunteers, community leaders and TB drugs observer (PMO).
Highlights
Indonesia is the fifth country in the world's related TB cases
This study used the theory of ACSM
district or village level that became the basis of social mobilization that generates participation by donating the treatment
Summary
Data statistik World Health Organization (WHO) menunjukkan kondisi kesehatan masyarakat Indonesia yang memprihatinkan. Di tambah lagi bagi penderita miskin keterbatasan pendapatan untuk biaya pengobatan juga adanya hambatan sosial seperti stigma dari masyarakat, keterbatasan pelayanan kesehatan (jangkauan pelayanan yang luas dan keterbatasan fasilitas Puskesmas) belum ada jaminan penyediaan obat, yang kesemuanya terkait dengan anggaran kesehatan yang berkurang sejak sistem desentralisasi pemerintahan (Putri, 2008). Dengan disadarinya oleh para praktisi dan akademisi akan kompleksitas masalah penyakit TB, peran intervensi komunikasi menjadi sangat penting dalam praktek pengobatan TB, sehingga tuntutan terhadap pengembangan teori komunikasi kesehatan juga semakin tinggi. Dalam penelitian ini, digunakan teori ACSM yakni advocacy, communication and social mobilization (Mc Kee, 1999), multitrack model (Mefalopulos dan Tufte, 2009) untuk menganalisis masalahmasalah struktural dan sosial serta Health Believe Model (Rosenstock, Strecher & Becker, 1988) untuk menjelaskan perilaku kesehatan di tingkat penderita.
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