MEDICA (International Medical Scientific Journal)
Vol. 8 No. 9 (2026): MEDICA (International Medical Scientific Journal)

Proxy-Based Classification of Care Patterns and Social Support Among TB Patients in Papua: A Routine Surveillance Data Analysis

Agustina Regina Yufuai (Faculty of Public Health, Cendrawasih University, Jayapura, Papua, Indonesia)
Dolfinus Yufu Bouway (Faculty of Public Health, Cendrawasih University, Jayapura, Papua, Indonesia)
Katarina Lodia Tururop (Faculty of Public Health, Cendrawasih University, Jayapura, Papua, Indonesia)
Inriyanti Assa (Faculty of Public Health, Cendrawasih University, Jayapura, Papua, Indonesia)
Lenny Lea Pangkali (Faculty of Public Health, Cendrawasih University, Jayapura, Papua, Indonesia)



Article Info

Publish Date
30 Sep 2026

Abstract

Tuberculosis (TB) remains a major public health challenge in Indonesia, particularly in Papua. However, routine TB surveillance systems do not directly measure caregiver characteristics, limiting evidence on care patterns and social support. This study aimed to construct a proxy-based typology of care patterns and social support from routine TB surveillance data and assess its association with TB treatment success. A retrospective cohort study using secondary data was conducted at Puskesmas Waibhu, Jayapura Regency, Papua. A total of 768 TB treatment episodes from 729 unique patients were included using total sampling. Because the typology was derived from administrative proxies rather than direct caregiver assessment, it was considered exploratory and hypothesis-generating. Data were analyzed using descriptive statistics, chi-square tests, Fisher’s exact test, and binary logistic regression. The Low Care–Low Support group was the largest typology. High social support was significantly associated with treatment success in bivariate analysis (p = 0.012) and multivariable analysis (adjusted OR = 2.22; 95% CI: 1.24–3.99; p = 0.007), whereas the care-pattern proxy was not significantly associated with treatment outcomes. Bacteriologically confirmed diagnosis and unknown diabetes mellitus status were independently associated with lower treatment success. These findings suggest the importance of family social support and the feasibility of a proxy-based typology from routine surveillance data. However, findings should be interpreted cautiously because some episodes originated from the same patients and model explanatory power was modest (pseudo-R² = 0.067). Prospective studies using direct caregiver assessment are needed for validation.

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Journal Info

Abbrev

medica

Publisher

Subject

Chemistry Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Veterinary

Description

MEDICA (International Medical Scientific Journal), with registered number ISSN 2622-6596 (Print), 2622-660X (Online) is an Open Access and peer-reviewed journal presenting timely research on all aspects of health that other media have not published. Managed by the Borneo Scientific Publishing, ...