Developing Cadres' Personal Skills in TB Prevention through Communication Training and E-TIBI

Shrimarti Rukmini Devy (Department of Epidemiology, Biostatistics, Population Studies, and Health Promotion, Faculty of Public Health, Universitas Airlangga, Surabaya, East Java, Indonesia, 60115)
Sulvy Dwi Anggraini (Head of Disease Prevention and Control Division, East Java Provincial Health Office, Surabaya, East Java, Indonesia, 60231)
Waritsah Sukarijah (Head of Health Resources Division, East Java Provincial Health Office, Surabaya, East Java, Indonesia, 60231)
Najma Sofie (Head of Communicable and Non-Communicable Disease Control Section, East Java Provincial Health Office, Surabaya, East Java, Indonesia, 60231)
Faridha Cahyani (East Java Provincial Health Office, Surabaya, East Java, Indonesia, 60231)
Dini Yulia Restuti (East Java Provincial Health Office, Surabaya, East Java, Indonesia, 60231)
Yeny Kusumaning Ayu (East Java Provincial Health Office, Surabaya, East Java, Indonesia, 60231)
Ayu Ferdani (East Java Provincial Health Office, Surabaya, East Java, Indonesia, 60231)
Zhafirah Ramadhani Arimurti (East Java Provincial Health Office, Surabaya, East Java, Indonesia, 60231)
Nurul Jannatul Firdausi (East Java Provincial Health Office, Surabaya, East Java, Indonesia, 60231)
Rizki Rahmawati (Magister of Public Health, Faculty of Public Health, Universitas Airlangga, Surabaya, East Java, Indonesia, 60115)

Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education
Vol. 14 No. SI2 (2026): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat

Background: Tuberculosis (TB) remains a global public health challenge and is a key priority under Sustainable Development Goal (SDG) 3. In 2024, 17 suspected cases and 4 confirmed cases of TB were identified in Menang Village, Kediri Regency. Health cadres play an important role in TB control and need adequate communication skills and digital competence. In line with the Ottawa Charter for Health Promotion, particularly Develop Personal Skills, strengthening cadres’ knowledge and skills is important to support TB prevention and early detection in the community. Therefore, effective communication training and initial socialization of the E-TIBI application were implemented to develop cadres’ personal skills.  Objective: This study aimed to analyze the outcomes of effective communication training and initial socialization of the E-TIBI application in developing the personal skills of health cadres. Methods:  This study utilized a quasi-experimental one-group pretest-posttest design involving 23 health cadres in Menang Village, Kediri Regency. The intervention consisted of effective communication training and the initial socialization of the E-TIBI application. Cadres’ knowledge regarding E-TIBI was analyzed using the paired-samples t-test, whereas effective communication skills were analyzed using the Friedman test, followed by the Wilcoxon signed-rank test with Bonferroni correction. Results: Effective communication training significantly improved cadres’ communication skills (p < 0.001). Significant differences were found between the pre-test and all post-test measurements, while no significant differences were observed among the post-test measurements. Initial socialization of the E-TIBI application also significantly increased cadres’ knowledge (t = -2.285; p = 0.032). Conclusion: The integration of effective communication training and initial socialization of the E-TIBI application significantly improves health cadres' personal skills and knowledge retention in tuberculosis prevention in Menang Village, Kediri Regency.