Kader Kesehatan Menggunakan Pendekatan PAR di Kelurahan Legok
DOI:
https://doi.org/10.36565/jak.v8i1.1065Keywords:
cadres, community, elimination, empowerment, health, pumonary TBAbstract
Pulmonary tuberculosis is a chronic disease that spreads very easily and quickly, posing a national and global health threat. Indonesia ranks second in the world for the highest number of pulmonary TB cases, after India. Low public knowledge, stigma, access to healthcare services, and the long duration of treatment for pulmonary TB are contributing factors to the increase in pulmonary TB cases in Indonesia. The importance of empowering communities and health cadres to prevent transmission and supervise medication intake in pulmonary TB patients aligns with the National Pulmonary TB Elimination Program 2030. This community service aims to increase the knowledge and skills of communities and health cadres in recognizing risk factors, preventing transmission, and supervising treatment for pulmonary TB. The service activity was held on July 17, 2025, and was attended by 22 participants from the community and health cadres. Using a Participatory Action Research (PAR) approach with pre and post tests. Subsequently, education was conducted using interactive face-to-face lectures, discussions, practical demonstrations of effective coughing and cough etiquette, and the distribution of informative leaflets. The follow-up session for the patients' families will be held on July 20, 2025, to conduct direct monitoring at one of the homes of patients with pulmonary TB. The empowerment activities significantly improved the knowledge (p-value 0.004) and behavior (p-value 0.003) of the community and pulmonary TB cadres. The average knowledge score before the activity was 68 (66-74) and increased to 85 (79-91) after the activity. Similarly, the average behavior score increased from 63 (56-74) to 76 (67-87). Health empowerment through education, counseling, and training, as well as the direct use of brochures, proved highly effective in increasing awareness and competence in controlling pulmonary TB. The empowerment activities successfully increased the contribution of health cadres in preventing and early detecting transmission, as well as monitoring the treatment of pulmonary TB patients. There needs to be increased active participation from the community, health cadres, and community leaders so that pulmonary TB elimination can be achieved, especially in the Legok Village.
References
1. World Health Organization. (2025). Global tuberculosis report 2025.
2. World Health Organization. (2024). Global tuberculosis report 2024. Geneva: World Health Organization.
3. Kementerian Kesehatan Republik Indonesia. (2020). Strategi Nasional Penanggulangan Tuberkulosis di Indonesia 2020-2024.
4. Kementerian Kesehatan Republik Indonesia. (2024). Laporan program penanggulangan tuberkulosis tahun 2023.
5. Zulhayati, Z. (2025). Hubungan kondisi fisik rumah dan kontak serumah dengan kejadian TB paru di wilayah kerja Puskesmas Putri Ayu Kota Jambi tahun 2024. Repository Universitas Jambi. https://repository.unja.ac.id/89081/
6. Artama, S., Tokan, P. K., & Rifa’tunnisa. (2023). Pemberdayaan masyarakat melalui program promotif dan preventif risiko kejadian penyakit tuberkulosis paru (TB Paru). Borneo Community Health Service Journal, 3(2), 86–93. http://jurnal.borneo.ac.id/index.php/NEOTYCE/article/view/4098.
7. Pradipta, I. S., Idrus, L. R., Probandari, A., Lestari, B. W., Diantini, A., Alffenaar, J.-W. C., & Hak, E. (2021). Barriers and strategies to successful tuberculosis treatment in a high-burden tuberculosis setting: A qualitative study from the patient’s perspective. BMC Public Health, 21(1), Article 1903. https://doi.org/10.1186/s12889-021-12005-y.
8. McCreesh, N., & White, R. G. (2018). An explanation for the low proportion of tuberculosis that results from transmission between household and known social contacts. Scientific Reports, 8(1), Article 5382. https://doi.org/10.1038/s41598-018-23797-2.
9. Alotaibi B, Yassin Y, Mushi A, Maashi F, Thomas A, et al. (2019) Tuberculosis knowledge, attitude and practice among healthcare workers during the 2016 Hajj. PLOS ONE 14(1): e0210913. https://doi.org/10.1371/journal.pone.0210913
10. Mustaming, M. (2022). HUBUNGAN KEPATUHAN DAN DUKUNGAN KELUARGA DENGAN CLINICAL OUTCOME PASIEN TB. Meditory: The Journal of Medical Laboratory, 10(1), 16-24. doi: https://doi.org/10.33992/m.v10i1.1924
11. Marhamah, E. (2019). Beberapa faktor yang mempengaruhi praktik pencegahan penularan TB paru pada penderita TB paru positif di Balai Kesehatan Masyarakat Wilayah Magelang. Berita Kedokteran Masyarakat, 35(4).
12. Boy, E. (2015). Efektivitas pelatihan kader kesehatan dalam penanganan tuberkulosis di wilayah binaan. Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education, 4(2), 83–89. https://doi.org/10.22146/jpki.25274.
13. Aprindo, Y. R., Sari, M. T., Yesni, M., & Daryanto. (2023). Dukungan Keluarga dan Peran Pengawas Minum Obat dengan Kepatuhan Minum Obat pada Penderita TB Paru. Jurnal Akademika Baiturrahim Jambi, 12(2), 344-354. https://doi.org/10.36565/jab.v12i2.678.
14. Afandi, A., Sucipto, M. H., & Muhid, A. (2016). Modul participatory action research (PAR) untuk pengorganisasian masyarakat (community organizing). Lembaga Penelitian dan Pengabdian kepada Masyarakat, UIN Sunan Ampel Surabaya.
15. Andriani, D., & Sukardin, S. (2020). Pengetahuan dan sikap keluarga dengan pencegahan penularan penyakit tuberculosis (TBC) di wilayah kerja Puskesmas Penana’e Kota Bima. Jurnal Ilmiah Ilmu Keperawatan Indonesia, 10(03), 72–80. https://doi.org/10.33221/jiiki.v10i03.589
16. Kaka, M. P. (2021). Hubungan tingkat pengetahuan dan sikap keluarga dengan perilaku pencegahan penularan penyakit tuberkulosis (TBC). Media Husada Journal of Nursing Science, 2(2), 6–12. https://doi.org/10.33475/mhjns.v2i2.40
17. Sari, M. T., Efni, N., Daryanto, Putri, M. E., & Fajri, J. A. (2025). Eliminasi TB paru dengan deteksi dini menggunakan self screening di Kelurahan Legok Kota Jambi. Jurnal Pengabdian Harapan Ibu (JPHI), 7(3), 324–331.
18. Hanye, M. L., Pramono, J. S., & Nulhakim, L. (2023). Optimalisasi peran kader kesehatan dalam upaya promotif dan preventif tuberkulosis paru pada kehamilan. Aksiologiya: Jurnal Pengabdian Kepada Masyarakat, 6(3), 488. https://doi.org/10.30651/aks.v6i3.12201
19. Jauhar, M., Rohana, I. G. A. P. D., Rachmawati, U., Kusumawardani, L. H., & Rasdiyanah, R. (2019). Empowering community health volunteer on community-based tuberculosis case management programs in lower-income countries: A systematic review. Journal of Community Empowerment for Health, 2(2), 172. https://doi.org/10.22146/jceh.
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