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All Journal Journal of Tropical Diseases and Health Science Poltekita: Jurnal Pengabdian Masyarakat
Teli, Margareta
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Humanities Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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Comprehensive Approach to Accelerate Tuberculosis Case Finding among Women and Children Under Five in Rural Indonesia Teli, Margareta; Kleden , Simon Sani; Irfan; Mau , Aemilianus; Wanti; Selasa, Pius; Hilaria, Maria; Niron, Maria F. Vinsensia D.P. Kewa; Valensia, Yualeny; Liunokas, Oklan B.T.; Tangkelani, Marni; Huru, Matje M.
Poltekita: Jurnal Pengabdian Masyarakat Vol. 6 No. 2 (2025)
Publisher : Pusat Penelitian & Pengabdian Masyarakat Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/pjpm.v6i2.4209

Abstract

Tuberculosis (TB) continues to be a major worldwide health concern, with some regions in Indonesia facing challenges in achieving case detection objectives. This initiative sought to enhance tuberculosis case detection using mobile X-ray screening, the provision of preventative medication, and the identification of latent tuberculosis infections among household contacts and high-risk groups, especially stunting children. The results indicated that just 6.03% of participants had a history of tuberculosis contact, but 67.84% presented risk factors including malnutrition, exposure to smoking, previous tuberculosis diagnosis, and diabetes. Chest radiography revealed anomalies in 6.03% of individuals, requiring further diagnostic verification. Furthermore, stunting was widespread, with 48% categorized as moderately stunted and 27% as severely stunted. Post-intervention evaluations indicated an enhanced mother's understanding of tuberculosis. Initiatives to enhance tuberculosis case finding among women and children under five in rural regions must be expanded and strengthened to decrease transmission, enhance detection rates, bridge information gaps, mitigate stigma, and increase treatment coverage, ultimately leading to reduced tuberculosis transmission.
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 Pota, Agnes Ervina Satya; Rambu Roku, Roswita Victoria; Teli, Margareta; Namuwali, Domianus; Nugroho, Febtian Cendradevi
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.
Co-Authors Domianus Namuwali Huru, Matje M. Kleden , Simon Sani Liunokas, Oklan B.T. Maria F Vinsensia D P Kewa Niron Maria Hilaria Mau , Aemilianus MMSI Irfan ,S. Kom Nugroho, Febtian Cendradevi Pota, Agnes Ervina Satya Rambu Roku, Roswita Victoria Selasa, Pius Tangkelani, Marni Valensia, Yualeny Wanti