Analysis of factors influencing pulmonary tuberculosis examination of household contacts of pulmonary tuberculosis patients in the working area of Nambo Public Health Center Kendari City
DOI:
https://doi.org/10.54957/ijhs.v6i2.2204Keywords:
Household Contacts, Screening, TuberculosisAbstract
Tuberculosis (TB) remains a major global public health problem with a high disease burden, including in Indonesia, which ranks second worldwide. Active case finding through household contact screening is an essential strategy for TB control; however, its implementation is influenced by various factors. This study aimed to analyze the factors influencing pulmonary TB screening among household contacts of TB patients in the working area of Nambo Primary Health Center, Kendari City, in 2025. This study employed an analytic survey with a case-control design. The sample consisted of 54 respondents, including 27 cases and 27 controls, selected using total sampling. Data were analyzed using the chi-square test and binary logistic regression. The findings revealed a significant association between healthcare worker support (p=0.002; Exp(B)=6.525) and knowledge (p=0.015; Exp(B)=5.292) with pulmonary TB screening. Meanwhile, family support (p=0.406), were not significantly associated. Multivariate analysis indicated that healthcare worker support was the most dominant factor influencing TB screening among household contacts. The results highlight the crucial role of healthcare workers in improving screening compliance through education, assistance, and motivation. In addition, enhancing the knowledge of household contacts is essential to support early TB detection. Therefore, strengthening health promotion strategies and increasing the active involvement of healthcare workers in TB control programs at the primary healthcare level are highly recommended.
References
Abongo, T., Ulo, B., & Karanja, S. (2020). Community health volunteers’ contribution to tuberculosis patients notified to National Tuberculosis program through contact investigation in Kenya. BMC Public Health, 1184(20). https://doi.org/https://doi.org/10.1186/s12889-020-09271-7
Alya, L. N. (2025). Pola komunikasi kesehatan antara perawat dan pasien tuberkulosis. Universitas Pasundan.
Arhani, S., Pelawi, A. M., & Agustina, L. (2024). Hubungan komunikasi interpersonal perawat dengan kepatuhan pasien menjalankan pengobatan tuberkulosis di UPTD Puskesmas Kali Baru Bekasi. Jurnal Medicare, 3(4), 228–236.
Barroso, E. G. (2020). Factors associated with household contacts’ tuberculosis testing and evaluation. Public Health Nursing, 37(5), 705–714. https://doi.org/https://doi.org/10.1111/phn.12788
Chilala, S. B., Silumbwe, A., Zulu, J. M., Tetui, M., Bulawayo, M., Chewe, M., & Hangoma, P. (2024). Individual, community and health systems factors influencing time to notification of tuberculosis: Situating software and hardware bottlenecks in local health systems. BMC Health Services Research, 24. https://doi.org/https://doi.org/10.1186/s12913-024-11697-3
Deswita, R., Andreani, L., Sekarsari, R., & Haerani, B. (2024). Pengetahuan keluarga pasien dalam pencegahan tubercolosis paru: Studi cross-sectional. Journal of Pubnursing Sciences, 2(4), 119–124. https://doi.org/https://doi.org/10.69606/jps.v2i04.192
Dinkes Kota Kendari. (2024). Profil Dinas Kesehatan Kota Kendari. Dinas Kesehatan Kota Kendari.
Give, C., Morris, C., Murray, J., José, B., Machava, R., & Wayal, S. (2024). Sociocultural understanding of tuberculosis and implications for care-seeking among adults in the province of Zambezia, Mozambique: Qualitative research. PLoS ONE, 19(1). https://doi.org/https://doi.org/10.1371/journal.pone.0289928
Hotip, M. A., & Widati, S. (2024). Perilaku pengobatan pasien TBC berdasarkan teori health belief model: Literatur review. Jurnal Kesmas Asclepius, 6(2), 289–296. https://doi.org/https://doi.org/10.31539/jka.v6i2.11388
Islamiyah, A. N., Syarifuddin, S., Akhsa, M., & Rukmawati, I. (2024). Karakteristik, klasifikasi dan pemantauan terapi pasien tuberkulosis paru sensitif obat di salah satu puskesmas Kota Bandung. Majalah Farmasetika, 9(1), 58–72. https://doi.org/10.24198/mfarmasetika.v9i7.58602
Isnawati, I., & Ririanty, M. (2023). Peran peer educator Sekawan’s dalam pendampingan kepatuhan minum obat pasien TBC RO di wilayah Jember. Health Promotion and Community Engagement Journal, 1(2), 26–34. https://doi.org/https://doi.org/10.70041/hpcej.v1i2.39
Kemenkes RI. (2025). Buku panduan tenaga medis dan tenaga kesehatan tuberkulosis: Langkah dalam pencegahan, deteksi dini, dan pendampingan pasien TBC di masyarakat.
Korshakova, E., Marsh, J. K., & Kleinberg, S. (2022). Health information sourcing and health knowledge quality: Repeated cross-sectional survey. JMIR Formative Research, 6(9). https://doi.org/https://doi.org/10.2196/39274
Lestari, A., & Vita, N. I. (2024). Studi fenomenologi tentang pengalaman komunikasi interpersonal tenaga kesehatan dalam menyampaikan informasi penyakit tuberculosis di UPT Puskesmas Kecamatan Tanjung Morawa. Jurnal JUDIKA (Jurnal Ilmiah Universitas Medan Area), 2(2), 45–51.
Mandal, S., Rao, R., & Joshi, R. (2023). Estimating the Burden of Tuberculosis in India: A Modelling Study. Indian Journal of Community Medicine, 42(1), 147–150. https://doi.org/10.4103/ijcm.IJCM
Mu’tamaroh, I. (2023). Kemiskinan sebagai determinan sosial terhadap kejadian tuberkulosis (TBC) di perkotaan: Studi kasus pasien tuberkulosis (TBC) di wilayah kerja Puskesmas Kelurahan Pejaten Barat. Universitas Nahdlatul Ulama Indonesia.
Nursasi, A. Y., Huda, M. H., & Rahmasari, S. W. (2022). Impact of instrumental support from family on medication adherence among tuberculosis patients. Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal), 17(4), 251–256. https://doi.org/https://doi.org/10.21109/kesmas.v17i4.5927
Pralambang, S. D., & Setiawan, S. (2021). Faktor Risiko Kejadian Tuberkulosis di Indonesia. Jurnal Biostatistik, Kependudukan, dan Informatika Kesehatan, 2(1). https://doi.org/10.7454/bikfokes.v2i1.1023
Pulungan, A. F., Khairunnisa, C., & Herlina, N. (2025). Hubungan stigma dengan kepatuhan pengobatan tuberkulosis paru di Kota Lhokseumawe. OBAT: Jurnal Riset Ilmu Farmasi dan Kesehatan, 3(4), 142–151. https://doi.org/https://doi.org/10.61132/obat.v3i4.1529
Rahmadani, L., Erwin, & Lestari, W. (2023). Gambaran tingkat pengetahuan dan persepsi keluarga pasien tentang pencegahan penularan TB paru. Jurnal Kesehatan Ilmiah Indonesia (Indonesian Health Scientific Journal), 8(2), 125–131. https://doi.org/https://doi.org/10.51933/health.v8i2.1164
Rahmawati, A., Wulandari, S. M., Milanti, A., Efendi, F., Maryuni, M., Mutia, J., & Aprilia, N. R. (2024). Knowledge, perception, and stigma in the Jakarta community toward tuberculosis prevention. The Indonesian Journal of Public Health, 19(3), 453–465. https://doi.org/https://doi.org/10.20473/ijph.v19i3.2024.453-465
Rangkuti, B. Z., Fatimah, N. M., & Sabda, G. I. A. (2025). Peran komunikasi terapeutik dalam program pengendalian TB paru di Puskesmas Selasari. Media Kesehatan Masyarakat Indonesia, 24(1), 89–93. https://doi.org/https://doi.org/10.14710/mkmi.24.1.89-93
Selvaraju, S., Velayutham, B., Rao, R., Rade, K., Thiruvengadam, K., Asthana, S., Balachandar, R., Bangar, S. D., Bansal, A. K., Bhat, J., Chopra, V., Das, D., Dutta, S., Devi, K. R., Dwivedi, G. R., Kalliath, A., Laxmaiah, A., Madhukar, M., Mahapatra, A., … Bhargava, B. (2023). Prevalence and factors associated with tuberculosis infection in India. Journal of Infection and Public Health, 16(12), 2058–2065. https://doi.org/10.1016/j.jiph.2023.10.009
Shiferaw, D. A., Mekonnen, H. S., & Abate, A. T. (2019). Household contact tuberculosis screening adherence and associated factors among tuberculosis patients attending health facilities in Gondar Town, Northwest Ethiopia. BMC Infectious Diseases, 19, 199.
Sofiani, R., Pramudho, K., & Fitriadi, R. (2025). Optimalisasi pelaksanaan investigasi kontak serumah dalam pencegahan tuberkulosis di Kabupaten Serang tahun 2024. PREPOTIF: Jurnal Kesehatan Masyarakat, 9(1), 69–85. https://doi.org/https://doi.org/10.31004/prepotif.v9i1.40174
Tadjeje, I., Arifin, S., Nugroho, A., Noor, Z., & Marlinae, L. (2025). Hubungan dukungan keluarga dan petugas kesehatan serta persepsi keparahan penyakit dengan kepatuhan skrining kontak erat tuberkolosis. Jurnal Ners: Research & Learning in Nursing Science, 9(1), 298–304. https://doi.org/https://doi.org/10.31004/jn.v9i1.32384
Telaumbanua, I. N. (2024). Hubungan pengetahuan penderita tuberkulosis paru dengan kepatuhan dalam melaksanakan strategi directly observed treatment shortcourse (DOTS) pada penderita tuberkulosis paru di UPTD Puskesmas Kecamatan Gunungsitoli. Poltekkes Kemenkes Medan.
Wahyudi, Sembiring, A. B., Salsabilla, A. Z., Tengku, N. A. H., Dawamah, N., & Cantika, S. P. (2025). Faktor risiko tuberkulosis paru pada remaja di Indonesia: Studi literatur. JUKEJ: Jurnal Kesehatan Jompa, 4(1), 393–404. https://doi.org/https://jurnal.jomparnd.com/index.php/jkj
WHO. (2024a). Asymptomatic tuberculosis and implications for programmatic action.
WHO. (2024b). Global tuberculosis report.
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