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ANALISIS KESIAPAN SDM KESEHATAN DALAM MENCAPAI TARGET ELIMINASI TUBERKULOSIS DI PROVINSI NUSA TENGGARA TIMUR Yustins Rindu; Dominggus Gonsalves; Sabinus Bungaama Kedang; Simon Sani Kleden; Febtian Cendradevi Nugroho; Maria Agustina Making; Yakobus Beda Kleden; Christina Grasia Kellen
Journal of Innovation Research and Knowledge Vol. 6 No. 2 (2026): Juli 2026
Publisher : Bajang Institute

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Abstract

This study aims to analyze the readiness of health human resources (HRH) in East Nusa Tenggara (NTT) Province to achieve the tuberculosis (TB) elimination target by 2030. A descriptive analytic design with quantitative and qualitative approaches was applied, using secondary data from the Global Tuberculosis Report 2023 (WHO), National TB Control Program Report 2023 (Ministry of Health, Indonesia), and NTT Health Profile 2023 (BPS). Results show that HRH ratios in NTT remain below national standards, with TB drug-sensitive treatment success at 84% and drug-resistant TB treatment success at 56%. Preventive therapy coverage for household contacts reached only 37%. The study concludes that strengthening HRH through recruitment, redistribution, continuous training, and community cadre empowerment is essential to achieve TB elimination by 2030.
The Effectiveness of Swanson's Caring Behavioral Approach on Tuberculosis Treatment Compliance in Families with Children with Tuberculosis at the Children's Clinic of Ende Regional General Hospital Agnes Ervina Satya Pota; Roswita Victoria Rambu Roku; Margareta Teli; Domianus Namuwali; Febtian Cendradevi Nugroho
Journal of Tropical Diseases and Health Science Vol. 5 No. 1 (2025): Journal of Tropical Diseases and Health Science
Publisher : Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/jtdhs.v5i1.2225

Abstract

Tuberculosis (TB) in children is a public health challenge that requires special attention, especially due to low levels of family compliance with treatment. This non-compliance risks treatment failure, recurrence, and drug resistance, which are dangerous for children. The role of the family as the primary caregiver is significant in ensuring optimal treatment. Swanson's caring theory, which emphasizes empathy and emotional support, is considered capable of increasing family compliance in accompanying children during TB treatment. This study aims to determine the effectiveness of Swanson's caring behavioral approach on TB treatment compliance in families with children suffering from TB at the Ende Regional General Hospital Pediatric Clinic. The method is quantitative, with a quasi-experimental design featuring a one-group pre-test and post-test design. A total of 30 families were selected using purposive sampling. The intervention was carried out for 12 days through the five dimensions of Swanson's caring, namely maintaining belief, knowing, being with, doing for, and enabling. The measurement instrument uses the Morisky Medication Adherence Scale (MMAS-8) questionnaire to assess treatment adherence before and after the intervention. Data analysis used the Wilcoxon Signed Rank Test. The study showed a significant increase in the level of family adherence in providing TB treatment to children after the Swanson caring intervention (p < 0.05). The application of the Swanson caring behavioral approach was effective in increasing TB treatment adherence in children, so it can be recommended as a family-based intervention strategy to improve the success of TB therapy in children at health facilities.