JOURNAL OF COMMUNITY MEDICINE AND PUBLIC HEALTH RESEARCH
Vol. 7 No. 1 (2026): Journal Community Medicine and Public Health Research

Improvement of the Knowledge and Attitudes of Health Cadres in Eliminating Stigma and Discrimination Regarding HIV and or Tuberculosis

Linda Dewanti dr., M.Kes., MHSc., Ph.D ((SCOPUS ID: 14031211400
H-Index: 6) Department of Public Health-Preventive Medicine, Faculty of Medicine, Universitas Airlangga, Surabaya)

Heny Arwati (Department of Medical Parasitology, Faculty of Medicine, Universitas Airlangga)
Shafira Meidyana (Department of Public Health and Preventive Medicine, Faculty of Medicine, Universitas Airlangga)
Raudia Faridah Humaidy (Department of Public Health and Preventive Medicine, Faculty of Medicine, Universitas Airlangga)
Soraya Isfandiary Iskandar (Department of Public Health and Preventive Medicine, Faculty of Medicine, Universitas Airlangga, Surabaya)
Adikara Pagan Pratama (Department of Public Health and Preventive Medicine, Faculty of Medicine, Universitas Airlangga, Surabaya)
Rabhindra Javier Hariri Darussalam (Medical Student, Faculty of Medicine, Universitas Airlangga)
Ayu Nazilla Fatimahtuz Zahra (Medical Student, Faculty of Medicine, Universitas Airlangga)



Article Info

Publish Date
13 Apr 2026

Abstract

HIV and or TB-related stigma frequently discourages people from seeking healthcare, which can lead to delayed diagnosis and poor health outcomes. The aim of this study is to analyze cadres' knowledge and attitudes regarding diseases to eliminate stigma in their community. Thirty health cadres in a primary healthcare setting in Surabaya were recruited as participants after getting informed consent. Participants were trained in the transmission, prevention, and treatment of diseases, followed by a role-play and a Focus Group Discussion. Pre- and post-tests were conducted to assess cadres' knowledge and attitudes. After the intervention, understanding of HIV and TB among cadres increased significantly (p < 0.001), from pre-test scores of 82.7 ± 17.9 (HIV) and 81.1 ± 6.6 (TB) to 95.7 ± 4.9 (post-HIV test) and 89.3 ± 10.5 (post-TB test). After interventions, cadres understand that HIV transmission can occur from mother to fetus, during childbirth, and through breast milk; and that HIV is not transmitted through air, water, eating utensils, toilet seats, sweat, tears, shaking hands, and hugging. They also understand that most TB patients are no longer contagious after 2 months of treatment and can be cured after 6 months. In the focus group discussion, cadres shared about cases of stigma and discrimination that they had encountered. Finally, together with primary healthcare, they plan to disseminate these results within their community through various activities (sub-district, district, and school) to stop stigma and discrimination.

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Journal Info

Abbrev

JCMPHR

Publisher

Subject

Health Professions Medicine & Pharmacology Public Health

Description

Public Health Research (JCMPHR) publishes articles in the field of community medicine and public health focusing on family health care, epidemiology, biostatistics, public health administration, management of health, national health problems, social medicine, nutrition and enviromental and ...