Prevention Of Tuberculosis Transmission Research Articles

Healthcare professionals perspectives on tuberculosis barriers in Portuguese prisons-a qualitative study.

Tuberculosis (TB) remains a significant public health concern, particularly within prison settings, where the confluence of adverse health factors and high-risk behaviors contribute to a heightened risk of transmission. This study delves into the perspectives of medical doctors, regarding the implementation of the 2014 TB protocol in Portugal. The study has a qualitative, descriptive design. Individual semi-structured interviews with medical doctors from TB outpatient centers in Porto and Lisbon were used for data collection. For the analysis thematic analysis method was used. The study population comprised 21 medical doctors with the majority being female (61.9%) and 57.1% specializing in pulmonology. The results indicate varied perceptions of the protocol's usefulness, with positive impacts on coordination reported by some participants. Improved communication and evolving collaboration between TB outpatient centers and prisons were highlighted, although challenges in contact tracing and resource constraints were acknowledged. The study also sheds light on the role of nurses in patient education. Despite overall positive perceptions, challenges such as sustaining therapy post-symptomatic improvement and delays in diagnostic methods were identified. The findings underscore the importance of continuous collaboration between prisons and TB control programs to address challenges, improve disease control and prevent TB transmission.

Relationship between nutritional status and the incidence of tuberculosis transmission in the family in Batusumur Village, Manonjaya Subdistrict Tasikmalaya Regency

Tuberculosis is the second infectious disease that causes the most deaths in the world according to WHO. Indonesia is a high TB burden country which currently ranks third in the world, with an incidence of 845.000 or 320/100.000 population with a mortality rate of 98.000 or 40/100.000 population and 3,6/100.000 TB-HIV population. The risk factor that can cause tuberculosis disease is malnutrition. The aim of the study was to determine the relationship between nutritional status and the incidence of tuberculosis transmission in the family. The purpose of this study was to determine the relationship between nutritional status and the incidence of tuberculosis. The research design used cross sectional study. The research was conducted in December 2023 in Batusumur Village, Manonjaya District, Tasikmalaya Regency. The research sample was 39 respondents of tuberculosis patients. Inclusion criteria: patients actively communicate and are easy to talk to, patients live with family members and are still in the initial phase of treatment in the first 2 months. The independent variable was nutritional status. The dependent variable was the incidence of pulmonary tuberculosis transmission in family members. The instrument was an observation sheet. Data were analyzed by chi square test using SPSS. This research applies the principles of confidentiality, useful information and scientific development. The results showed that there was a relationship between nutritional status (p=0,026) and the incidence of tuberculosis transmission in the family. The conclusion is that there is a relationship between nutritional status and the incidence of tuberculosis. Tuberculosis patients and their families can make preventive efforts to prevent tuberculosis transmission.

Investigating socio-ecological factors influencing implementation of tuberculosis infection prevention and control in rural Papua New Guinea.

Tuberculosis (TB) is a highly transmissible infectious disease killing millions of people yearly, particularly in low-income countries. TB is most likely to be transmitted in healthcare settings with poor infection control practices. Implementing TB infection prevention and control (TB-IPC) is pivotal to preventing TB transmission in healthcare settings. This study investigated diverse stakeholders' perspectives relating to barriers and strategies for TB-IPC in rural hospitals in Papua New Guinea. Multiple qualitative case studies were conducted with 32 key stakeholders with experience in TB services. Data collection drew on three primary sources to triangulate data: semi-structured interviews, document reviews and field notes. The data were analyzed using hybrid deductive-inductive thematic analysis. Our results reveal that key stakeholders perceive multiple interdependent factors that affect TB-IPC practice. The key emerging themes include strategic planning for and prioritizing TB-IPC guidelines; governance, leadership and accountability at the provincial level; community attitudes towards TB control; institutional capacity to deliver TB care, healthcare workers' safety, and long-term partnership and integration of TB-IPC programmes into the broad IPC programme. The evidence suggests that a multi-perspective approach is crucial for TB-IPC guidelines in healthcare institutions. Interventions focusing on addressing health systems strengthening may improve the implementation of TB-IPC guidelines.

Pendidikan Kesehatan tentang Tuberkulosis terhadap Peningkatan Pengetahuan dan Sikap Penderita dalam Pencegahan Penularan Tuberkulosis

This study aims to evaluate the effect of health education on increasing patient knowledge and attitudes to prevent tuberculosis transmission at the Nabire District Health Center, Nabire Regency. This research method uses a Quasi-Experimental Pre-Post design with case and control groups. The research showed that the experimental group experienced a significant increase in their knowledge (an average of 50.48 on the pre-test to 77.14 on the post-test). The control group also experienced a rise, although smaller (an average of 49.02 on the pre-test to an average of 50.40 on the post-test). Changes in the attitudes of respondents in both groups also occurred, with a significant increase in the experimental group (average of 47.72 in the pre-test to 72.70 in the post-test) and a minor increase in the control group (average of 47.96 in the pre-test to 51.60 on post-test). Based on the results of the bivariate analysis, it was found that the P-value was 0.000, which means that there was an influence of health education about tuberculosis on increasing the knowledge and attitudes of sufferers in preventing the transmission of tuberculosis. In conclusion, the health education approach effectively increases patient knowledge and attitudes toward avoiding tuberculosis. These results indicate the need to integrate health education to control tuberculosis in the Nabire District Health Center and similar areas.
 Keywords: Health Education, Knowledge, Attitude, Tuberculosis

Peer group support and motivational interviewing interventions impact parents’ behavior in preventing tuberculosis among children

Background: Tuberculosis (TB) serves as a key indicator for assessing public health at the population level. The infection of children and toddlers with TB often stems from the lack of involvement by family members in adhering to proper hygiene practices aimed at preventing TB transmission.Objective: This study aimed to assess the impact of peer group support and motivational interviewing on parental behaviors in preventing TB transmission among children residing in the same household as a TB patient. Methods: Employing a quasi-experimental design (pre-post test with a single group), this study involved 30 parents selected through accidental sampling. The independent variables included peer group support and motivational interviewing, while the dependent variable was parental behavior concerning TB prevention in children. Data collection utilized a questionnaire assessing parents’ behaviors in preventing TB in children, which was then analyzed using the paired t-test.Results: The implementation of peer group support and motivational interviewing significantly influenced the enhancement of parental behaviors in preventing TB in children (p < 0.001).Conclusion: Both peer group support and motivational interviewing demonstrated their efficacy in altering parental behavior to prevent TB in children residing with a TB patient. These interventions could be effectively incorporated by nurses to complement ongoing tuberculosis treatment therapies.

Sulam Project: Tuberculosis (TB) Health Education for Primary School Students as a community service collaboration between the Department of Biology FMIPA UNP and UPSI Malaysia

Tuberculosis (TB) is a global issue that is a priority in both Indonesia and Malaysia. Since being designated by WHO at 1993 as a global public health threat, Tuberculosis (TB) has become one of the top 10 leading causes of death worldwide. Recently, the number of Tuberculosis (TB) patients in Indonesia has increased, especially paediatric TB cases. In addition, Tuberculosis (TB) cases also increased in Malaysia. For the West Sumatra region, the highest number of TB patients is in Padang City. Since Tuberculosis (TB) is a disease that can affect anyone including children, the school environment as one of the places where children gather and interact has the opportunity to be a place for the spread of TB cases as well as having an important role in preventing TB transmission. However, in reality, the role of schools in early prevention efforts related to Tuberculosis (TB) disease in children, especially elementary school students, is still not optimal. In line with this, Tuberculosis (TB) disease is closely related to the human respiratory system which is one of the topics discussed in the human anatomy and physiology course in the MBKM activity between the Department of Biology FMIPA UNP and the Department of Biology UPSI. Therefore, it is necessary to make preventive efforts in the form of Tuberculosis prevention education. The results of community service are that several stages of community service activities have been carried out regarding Tuberculosis (TB) prevention education for elementary school students, namely the students involved are enthusiastic about the activities held, then pre-service biology teacher are also actively engaged in preparing and carrying out this activity and students' knowledge related to general knowledge, symptoms, their relationship with the respiratory system and prevention efforts are classified as good.

EDUKASI TUBERKULOSIS (TB) KEPADA KADER PEMBERDAYAAN KESEJAHTERAAN KELUARGA (PKK) KELURAHAN DUREN SAWIT

Tuberculosis (TB) is an infectious disease caused by Mycrobacterium Tuberculosis that enters the body through inhaling the droplets, such as saliva or phlegm as the media, containing pulmonary tuberculosis of the infected person. Based on the data from the Central Statistics Agency (BPS) in 2020, East Jakarta is the location with the most TB patients in the entire Jakarta with a total of 12,334 patients. As the most populous administrative city in the Special Capital Region of Jakarta, East Jakarta is resided by 28.76% or around 3.04 million people out of 10.56 million people residing in the entire province. The total population in 2019 in Duren Sawit District alone reached 399,595 people with a population density per square kilometer is of 17.64, that makes the area one of the districts with a high population density in the administrative area of East Jakarta. This is what motivated us to conduct TB education counseling to the Woman of Family Welfare Empowerment Program in Duren Sawit Village. Statistical tests show an increase of knowledge of the respondent after TB education was carried out. This increase in knowledge falls into the medium category. The highest increase occurred in the question number 10 related to the role of the family in preventing TB transmission.

Disentangling wildlife–cattle interactions in multi‐host tuberculosis scenarios: systematic review and meta‐analysis

Abstract Ecological interactions involving wildlife (wild mammals) and cattle Bos taurus are considered fundamental drivers of animal tuberculosis (TB) caused by Mycobacterium bovis at the wildlife–livestock interface. Despite recent insights about the role of direct and indirect interactions on TB dynamics, a mechanistic evaluation of studies addressing patterns of wildlife–cattle interaction at the global level is lacking, and the most likely factors explaining interaction rates under different epidemiological scenarios remain poorly understood. We began by reviewing the main criteria used to define a wildlife–cattle interaction relevant to Mycobacterium bovis transmission under different methodological approaches (camera‐trapping, proximity loggers and Global Positioning System collars). Secondly, we applied a generic framework to estimate and characterise interaction patterns between susceptible wildlife and cattle hosts worldwide, testing the effect of potential ecological and methodological factors on interaction rates. We synthesise two main criteria to define direct interactions and five criteria to define indirect interactions between wildlife and cattle. Using data from 31 studies, our meta‐analysis showed that wildlife–cattle direct interaction rates were low (mean = 0.03 interactions/month per species pair, range: 0.00–0.12). In contrast, indirect interaction rates were 154 times higher than the mean of direct interaction rates (mean = 4.63 interactions/month per species pair, range: 0.16–30.00). To prevent TB transmission to cattle, attention should be given to indirect interactions between wildlife and cattle in shared environments. Indirect interactions significantly increase with increasing wildlife density, which, hypothetically, could result in a higher TB transmission risk for cattle. We outline recommendations to achieve harmonised integration and comparison of results in future studies. Consolidation of knowledge in this field will contribute towards guiding control and biosecurity measures, also applicable to other infectious diseases at the wildlife, domestic species and human interfaces.

Relationship between family support and tuberculosis transmission prevention behavior

Introduction: Mycobacterium tuberculosis is the disease-causing agent in pulmonary tuberculosis (TB). One of the infectious diseases that still pose a threat to public health is pulmonary tuberculosis. Support from the family will lead to better TB transmission prevention practices. In the working environment of the Sidotopo Wetan Public Health Center in Surabaya City, this study was undertaken to examine the link between family support and the behavior of avoiding the spread of tuberculosis. Methods: TB patients in the working area of the Sidotopo Wetan Health Center were the subject of a correlational and cross-sectional study with up to 65 respondents using simple random sampling, with the criteria for respondents being TB patients in the Sidotopo Wetan Health Center area in 2021 and undergoing treatment until May 2022. The research tool is a closed questionnaire that has undergone validity and reliability testing. Data analysis was tested by the spearman correlation test (α = 0.05). Results: Our analysis showed that family support influenced the behavior of preventing TB transmission by 99.1%. Based on statistical tests, it can be seen that the p-value <0.001 is smaller than the alpha (0.05). Conclusion: In the working environment of the Sidotopo Wetan Public Health Center, Surabaya City, there is a substantial correlation between family support and the behavior of avoiding TB transmission, according to this study.

Systematic contact investigation: An essential infection prevention skill to prevent tuberculosis transmission in healthcare settings

A systematic approach to contact investigations has long been a cornerstone of interrupting the transmission of tuberculosis in community settings. This paper describes the implementation of a systematic 10-step contact investigation within an acute care setting during a multistate outbreak of healthcare-associated tuberculosis. A systematic approach to contact investigations might have applicability to the prevention of other communicable infections within healthcare settings.

Implementation of the Family Health Promotion Model (FHPM) on Family Commitment in TB Transmission Preventive Action among the Heads of Familiesof TB Patients: A Structural Model

Tuberculosis (TB) transmission prevention centering on family is an effective strategy to suppress the emergence of new clusters of pulmonary TB transmission. The commitment of family heads and several factors are related to this action. This study was conducted to identify, examine, and analyze the determinants of family commitment in preventing the transmission of pulmonary TB. This study applied a quantitative cross-sectional approach to 170 family heads of pulmonary TB patients using proportionate simple random sampling. The family health promotion model (FHPM) was used to analyze family commitment determinants in preventing TB transmission. Data were collected using a questionnaire. SEM analysis was utilized to determine the paths and the relationship between family function, perception of the disease transmission risk, as well as family support, and commitment to action to prevent TB transmission. This study recorded that 50.6% of respondents were male with an average age of 46.75 ± 46 and an age range of 36-55 years, 53% had a high school education; 25.9% were self-employed; had an average decent living need of 1.93 ± 0.85, 75.3% had nuclear family, and 47.1% were from patriarchal family. Model fit was achieved in the structural equation (Chi-square (χ2) = 173.44; df = 71, RMSEA = 0.072≤ 0.08; GFI = 0.90≥ 0.90; RMR = 0.019≤ 0.05; NFI = 0.98≥ 0.90; CFI = 0.99≥ 0.90; TLI = 0.98≥ 0.95; IFI = 0.99≥ 0.90; PGFI = 0.59; PNFI = 0,76). All dimensions and item scales are significantly related to their respective latent constructs. All factors forming the FHPM framework have a significant positive direct effect between latent variables. Factors from the FHPM framework significantly (family function t = 8.74, perception t = 4.46, and family support t = 7.37) have an influence on commitment to action to prevent pulmonary TB transmission. Family function is the most powerful factor explaining commitment to preventive action. This study reveals the paths and influences of family function, perception, and support on a commitment to prevent pulmonary TB transmission through structural model analysis.

Edukasi Pencegahan Penularan Tuberkulosis di Desa Borisallo

Tuberculosis (TB) is a hypersensitive infectious disease caused by Mycobacterium Tuberculosis. The bacteria infects the lungs (pulmonary TB), but can also infect other parts of the body (extrapulmonary TB). About 5-10% of the 1.7 billion people infected with TB will develop TB disease in their lifetime. The level of knowledge that is lacking will have an impact on increasing TB transmission and delaying the healing period or not maximizing TB treatment. Another impact of the lack of knowledge about TB is that it can lead to non-adherence during treatment. So that the success of TB treatment is largely determined by the high level of patient knowledge. This is a problem for partners, so it is important to provide counseling regarding the prevention of TB transmission. The service method is lecture/counseling, accompanied by simulations and questions and answers. This community service was held in January in Borisallo Village, Parangloe District, Gowa Regency, to be precise in the courtyard area of the Borisallo village office. The expected results are in accordance with the plan where participants are able to understand how to prevent transmission of TB disease and are enthusiastic during the counseling process.

Gambaran Pengetahuan, Sikap, dan Perilaku Pencarian Pelayanan Kesehatan Orang Tua yang Memiliki Anak dengan TB pada Masa Pandemi COVID-19 di Wilayah Puskesmas Kabupaten Tegal

Situation of handling COVID-19 has an impact on child Tuberculosis (TB) services. Children are a vulnerable group for contracting Tuberculosis disease. Poor health care seeking behavior can lead to delays in Tuberculosis treatment in children. This research method is descriptive quantitative. The criteria are the population of parents who have children with Tuberculosis, are recorded in medical records for 2020-2022, are currently or have been taking Tuberculosis treatment during the COVID-19 pandemic and live in Tegal Regency. The sampling technique is total sampling with 77 respondents. Data analysis used is descriptive analysis. The results showed that half of the respondents had good knowledge, the attitude of parents about the seriousness of Tuberculosis children, some respondents chose to be very serious, some others had reactions of fear, surprise, feeling sad and hopeless, respondents preferred to consult doctors and other health workers. Most the respondents denied that Tuberculosis consultation is quite expensive. The most the respondents prefer chose go to the health service immediately when child had symptoms of Tuberculosis, the other half did not go to the health service because of medical expensive. Health workers need to provide health education related to Tuberculosis and pressure for early detection so that Tuberculosis in children is treated immediately, bearing in mind that prevention of Tuberculosis transmission is still not good.

DETERMINANT FACTORS TUBERCULOSIS TRANSMISSION PREVENTION BEHAVIOR AMONG CHILDREN AT KOTABUMI II COMMUNITY HEALTH CENTER, NORTH LAMPUNG, INDONESIA

Tuberculosis is one of the causes of death. One of the reasons for that is people’s behavior that does not prevent Tuberculosis transmission. A source of TB transmission in children is adult TB with positive Acid Fast Bacilli test. The behavior of preventing pulmonary TB transmission to children is influenced by predisposing, enabling and reinforcement factors. To prevent the occurrence of transmission is to cut the transmission of these factors off. The purpose was to determine the factors with the behavior of pulmonary TB transmission to children. This study uses an analytical survey with a cross-sectional design. The population is pulmonary TB patients who are married and live with their children, total population. There are 38 respondents which their data are analyzed by unvaried, bivariable and multivariable. In order to complete the data we do a qualitative method by doing deep interviews with 5 health officers, they are head of the community health center, officer of health promotion, surveillance, sanitarian and pulmonary TB program. Factors related to the behavior of preventing the transmission of pulmonary tuberculosis to children are socioeconomic and room ventilation. Education, access to health services, and residential density are factors that are not related to the behavior of preventing the transmission of pulmonary tuberculosis to children. The results of statistical tests show that socioeconomic factor is the most determining factor for the behavior of preventing pulmonary tuberculosis transmission to children. The research implies that seminars, workshops and training for health officers to improve their capacities are needed to help patients dan their families understand the importance of preventing the transmission of tuberculosis to their children

Transmissibility of tuberculosis among students and non-students: an occupational-specific mathematical modelling

BackgroundRecently, despite the steady decline in the tuberculosis (TB) epidemic globally, school TB outbreaks have been frequently reported in China. This study aimed to quantify the transmissibility of Mycobacterium tuberculosis (MTB) among students and non-students using a mathematical model to determine characteristics of TB transmission.MethodsWe constructed a dataset of reported TB cases from four regions (Jilin Province, Xiamen City, Chuxiong Prefecture, and Wuhan City) in China from 2005 to 2019. We classified the population and the reported cases under student and non-student groups, and developed two mathematical models [nonseasonal model (Model A) and seasonal model (Model B)] based on the natural history and transmission features of TB. The effective reproduction number (Reff) of TB between groups were calculated using the collected data.ResultsDuring the study period, data on 456,423 TB cases were collected from four regions: students accounted for 6.1% of cases. The goodness-of-fit analysis showed that Model A had a better fitting effect (P < 0.001). The average Reff of TB estimated from Model A was 1.68 [interquartile range (IQR): 1.20–1.96] in Chuxiong Prefecture, 1.67 (IQR: 1.40–1.93) in Xiamen City, 1.75 (IQR: 1.37–2.02) in Jilin Province, and 1.79 (IQR: 1.56–2.02) in Wuhan City. The average Reff of TB in the non-student population was 23.30 times (1.65/0.07) higher than that in the student population.ConclusionsThe transmissibility of MTB remains high in the non-student population of the areas studied, which is still dominant in the spread of TB. TB transmissibility from the non-student-to-student-population had a strong influence on students. Specific interventions, such as TB screening, should be applied rigorously to control and to prevent TB transmission among students.Graphical

Correlation Between Demographic Factors and Tuberculosis Prevention: A Literature Review

Tuberculosis (TB) is a major cause of ill health in the world. The population infected by pulmonary TB worldwide estimated one-third of the population. TB is transmitted by droplets produced by infected source. The main goal of TB prevention is to prevent TB transmission other than curative purposes. The preventive behavior of pulmonary TB can be affected by several factors. This article aims to review previous studies discussing the correlation of age and gender with the prevention of pulmonary TB.

Home contact support in prevention of transmission of tuberculosis in west Lombok based on the theory of the health belief model

Introduction: The high incidence of infectious Tuberculosis in the community is closely related to family and community participation. Prevention of transmission is an essential factor in controlling the spread of Tuberculosis. The purpose of this study was to find out the knowledge of household contacts in preventing tuberculosis transmission in West Lombok. Methods: This type of research is descriptive exploratory with a cross-sectional study design and sampling technique using purposive sampling. Data collection was carried out from July to September 2019 with 165 respondents. Data analysis was carried out descriptively using licensed SPSS software to identify respondents’ knowledge and prevention efforts.

Pengaruh Pendidikan Kesehatan terhadap Pengetahuan dan Tindakan Keluarga dalam Pencegahan Penularan Tuberkulosis

Indonesia is a country with the third highest burden of tuberculosis (TB) in the world, after India and China. In 2018, an estimated 845,000 people fell ill and 93,000 died from tuberculosis. Based on 2017 data, 116,000 people died from tuberculosis and 98,000 people died in 2018. It is necessary to know and be aware that 75% of TB patients are in the productive group, meaning that they are in productive ages 15 to 55. The purpose of this study was to determine the effect of health education on family knowledge and actions in preventing tuberculosis transmission at the UPTD Puskesmas Payo Selincah Jambi City. This research is a quasi-experimental study with one group pre-post test. The study was carried out at the Payo Selincah Health Center UPTD, Jambi City and was carried out on January 15 to 22, 2022. The population in this study was 35 families with TB and the number of samples was 35 people with total sampling technique. Collecting data in this study using a questionnaire by filling out a questionnaire. Data analysis in this study is univariate and bivariate analysis using paired t-test. This study shows that there is a significant difference between the knowledge of respondents before and after being given health education as indicated by the p value of 0.000 and there is a significant difference between family actions on preventing tuberculosis transmission before and after being given health education with a p value of 0.000. From the research, it is hoped that health workers will carry out health education regarding the prevention of tuberculosis transmission and for further researchers.

A Cross-sectional Study of Patients With Extrapulmonary Tuberculosis and Normal Chest Radiographs - What Characteristics Were Associated With Sputum Culture Positivity?

Recognizing pulmonary involvement in tuberculosis (TB) patients is necessary to prevent TB transmission. We describe frequency and characteristics of patients with extrapulmonary TB (EPTB), normal chest radiographs, and positive sputum culture. We analyzed data of patients ≥15 years of age with EPTB reported to the California TB registry during 2011-2017 with cultured sputum and normal chest radiographs using generalized linear modeling to estimate prevalence ratios associated with positive sputum culture. Demographic, behavioral, clinical characteristics, and testing were compared for patients with positive and negative sputum culture. Of 1635 patients with EPTB and normal chest radiographs, 937 (57%) had sputum culture performed, and 127 (13%) patients had positive results for Mycobacterium tuberculosis complex. Patients with positive results were more likely to: be male, experience homelessness, use substances, have HIV, and have >1 disease site. Among 85 patients with HIV co-infection, 54% had positive culture results compared with 9.5% among 852 patients without HIV co-infection. Patients with EPTB in more than 1 site were also more likely to have a positive sputum culture. Culturing sputum from patients with EPTB identified pulmonary cases not detected by chest radiograph, particularly among patients with HIV or >1 disease site.

Tentang Upaya Pencegahan Penularan Tuberculosis Paru Hubungan Tingkat Pengetahuan dengan Sikap Masyarakat

Tuberculosis (TB) is an infectious disease caused by Mycobacterium tuberculosis. Tuberculosis is still a global public health problem that is a worldwide challenge. One of the causes of the lack of general knowledge in efforts to prevent the transmission of Tuberculosis is the lack of information and education from health workers or posyandu cadres about Tuberculosis, resulting in a lack of public knowledge about Tuberculosis. This study aims to explain "Correlation Between Knowledge Level And Attitude Of The Community About The Prevention Of Transmission Of Lung Tuberculosis" based on data through the Literature Review method. They are using the Literature Review method. Journal searches use an academic database, namely Google Scholar, published in 2017-2020 using Indonesian and English. Cross-sectional study design. Of the six journals, three journals state a relationship between knowledge and public attitudes about efforts to prevent Tuberculosis transmission p value = 0.05). At the same time, three journals say that there is no relationship between knowledge and measures to avoid Tuberculosis, but there is a relationship between attitudes and Tuberculosis prevention efforts. One of the causes of the lack of public knowledge in efforts to prevent the transmission of Tuberculosis is the lack of information and education from health workers or posyandu cadres about Tuberculosis, causing a lack of public knowledge about Tuberculosis. Other factors that can influence a person's attitude such as family, the influence of friends, personal experience, and information obtained from various sources.