Dionysius Sumenge
Poltekkes Kemenkes Manado

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Empowering Community Leaders to Prevent and Control Lung Tuberculosis in Manado City: A Quasi-experimental Study Dionysius Sumenge
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 10 No. 2 (2022): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educatio
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V10.I2.2022.164-170

Abstract

Background: Lung tuberculosis (TB) is a global public health problem as it continues to be a major cause of morbidity and mortality worldwide. According to WHO, as many as 44% of lung TB cases were in the Southeast Asian region. A previous study showed the importance of the support of community leaders and health cadres in increasing knowledge and improving public attitudes towards the prevention and control of lung TB. Objective: This study aims to determine the effectiveness of health education in empowering community leaders to prevent and control lung TB in four Public Health Centres in Manado City. Methods: A quasi-experiment with pre and post-design was used to answer the research hypothesis. With cluster sampling, four Public Health Centres in Manado City were selected based on their geographical location. Community leaders were selected according to the inclusion criteria using a convenience sampling technique. One hundred community leaders from the four Public Health Centres agreed to participate. Health education used the newly developed printed and e-posters accessed through YouTube. The health education was conducted once for each group according to the respondents’ convenient time. Questionnaires collected knowledge and attitudes data before and after the educational program from July to August 2021. Results: Sixty percent of respondents were women, and most of their education level was Senior High School. Wilcoxon signed-rank test results for the knowledge variable and paired t-test for the attitude variable showed a significant difference (P-value < 0.05). Results indicated an increase in knowledge and a positive change in attitudes of the community leaders after the health education. Conclusion: Findings from this study showed that the educational program was highly effective in empowering community leaders to prevent and control lung TB in four Public Health Centers in Manado.
Group Discussion and Booklet for Tuberculosis Prevention in Manado Elne Vieke Rambi; Ketrina Konoralma; Dionysius Sumenge
Jurnal Kesehatan Masyarakat Vol 18, No 4 (2023)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v18i4.40228

Abstract

The purpose of the study was to determine the effect of using focus group discussions and booklets for the prevention of tuberculosis in Manado. Type of Research "A quasy experimental design with Pre and Post Test Group ". The population is tuberculosis patients who seek treatment at the Public Health Center as many as 200 cases. Samples were taken using the Slovin formula and met the inclusion criteria of 113 respondents. Collecting data by providing counseling using booklets, and Group Disccussion. The data was processed using the "Wilcoxon Test" statistical test. The results showed that the gender of women was 69(61%), high school education 66(58,4%), housewife occupation 43(38,1%), average age 43,75+Std.15,095. Result of research: cause of pre test 96(85%), post test 105(92,92%) p0,000, pre test 63(55,8%) post test 90(79,64%), p0,000; source of pre-test transmission 75(66.4%) post-test 91(80.53%), p0.000, risk of pre-test transmission 67(53.9%), post-test 93(82.30%) p0.000, seeking treatment pre test 97(85.8%, post test 109(96.46%), p0.000, prevention pre test 75(66.4%), post test 101(89.38%), p0.000, recovery pre test 109(96.5%) post test 107(94.7%) p0.000, treatment 107(94.7%), post test 110(97.34%), p0.000, nutritious food pre test 100(88.5%) post test 105(92.92%), p0.000.- Conclusion: There is a very significant effect between the use of focus group discussions and booklets in improving the knowledge, attitudes and behavior of respondents. Suggestion: Continue to carry out health education to improve the knowledge, attitudes and behavior of patients.