The Implementation of Comprehensive Health Education to Improve Household Contacts' Participation in Early Detection of Tuberculosis

Autor/inn/en	Artawan Eka Putra, I. Wayan Gede; Purnama Dewi, Ni Putu Eka; Probandari, Ari Natalia; Notobroto, Hari Basuki; Wahyuni, Chatarina Umbul
Titel	The Implementation of Comprehensive Health Education to Improve Household Contacts' Participation in Early Detection of Tuberculosis
Quelle	In: Health Education & Behavior, 50 (2023) 1, S.136-143 (8 Seiten) PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Artawan Eka Putra, I. Wayan Gede)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1090-1981
DOI	10.1177/10901981211001829
Schlagwörter	Health Education; Identification; Communicable Diseases; Foreign Countries; Family (Sociological Unit); Participation; Public Health; Program Implementation; Program Effectiveness; Intervention; Indonesia + Suchen Sie Ihr Suchwort? Gesundheitsaufklärung; Gesundheitsbildung; Gesundheitserziehung; Identifikation; Identifizierung; Contagious disease; Contagious diseases; Communicable disease; Infektionskrankheit; Ausland; Familie; Teilnahme; Gesundheitswesen; Indonesien
Abstract	Lack of participation of household contacts is the main problem of early detection of tuberculosis (TB) in Indonesia. A comprehensive health education (CHE) program has been developed to encourage the participation of household contacts. This study aimed to assess the implementation of the CHE to improve participation of household contacts in early detection of TB. This was a quasi-experimental study conducted between November 2018 and June 2019 in Badung District, Bali, Indonesia. Twelve public health centers (PHCs) were randomly allocated to six PHCs implementing the CHE and six PHCs implementing standard health education (SHE). The CHE was developed through a pilot study using the health belief model supplemented with perceived stigma and social support to identify the factors that influence participation. The participation was measured using a TB register with a cross-check to the health care officer until 2 months after health education was provided. Four hundred and twenty-eight household contacts enrolled in this study--216 in the CHE group and 212 in the SHE group. The CHE group's participation was 28.2%, with 10 new TB cases found; in the SHE group, the participation was 15.6%, with 3 new TB cases found. The CHE increased the household contact participation by 1.83-fold (95% confidence interval [1.19, 2.81]) and case findings by 3.13-fold (95% confidence interval [0.85, 11.56]). The CHE implementation should be scaled up to other areas with a high level of TB transmission. The content and technique of the CHE could also be incorporated in contact investigation guidelines and materials for the TB campaign. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01