Analysis of influence factors the behavior of cadres on the discovery of suspected pulmonary TB at Panombeian Panei health centre, Simalungun Regency in 2020 / Analisis faktor-faktor yang mempengaruhi perilaku kader terhadap penemuan suspek TB paru di Puskesmas Panombeian Panei Kabupaten Simalungun tahun 2020

Introduction: According Global TB Report in 2018, there were 842,000 new cases of pulmonary TB (319/100,000 people) and 116,000 fatalities from pulmonary TB (44/100,000 people), including those who were HIV-positive. Objective: The stuay aimed to determine the most important characteristics that will affect the detection of TB suspects at Panombeian Panei Health Centre in 2020, including age, education, occupation, knowledge, attitudes, distance, family support, counseling, and cadre compensation. Method: This stuay was analytic study. The sample was 132 health centre cadres from population of 196 by using proportional and random sampling methods. Univariate, bivariate with chi-square test, and multivariate with logistic regression test were utilized in the data analysis. The Result: The p-value of age (0.059 OR 1.426), occupation (0.008 OR 0.055), knowledge (0.026 OR 2.899), attitude (0.821 OR 1.756), distance (0.041 OR 2.593), family support (0.038 OR 2.617), counseling (0.620 OR 1.297), compensation (0.004 OR 6,475). Conclusion: The findings showed that identification of TB suspects was influenced by employment, knowledge, distance, family support, and compensation but not by age, education, attitude, or counseling. It is advised that the local government improve the dedication to collaboration with connected parties such health agencies, sub-districts, business sector, non-governmental organizations, health and religious groups.
 

Pendahuluan: Berdasarkan Global TB Report 2018, diperkirakan di Indonesia pada tahun 2017 terdapat 842.000 kasus TB Paru (319 per 100.000) dan kematian akibat TB Paru sebesar 116.000 (44 per 100.000) termasuk TB-HIV positif. Tujuan: Untuk menganalisis pengaruh umur, pendidikan, pekerjaan, pengetahuan, sikap, jarak, dukungan keluarga, penyuluhan, kompensasi kader dan menganalisis faktor yang paling berpengaruh terhadap penemuan suspek TB di Puskesmas Panombeian Panei Tahun 2020. Metode: Penelitian ini merupakan penelitian survei analitik. Populasi adalah kader Puskesmas sebanyak 196 orang dengan sampel sebanyak 132 menggunakan teknik proporsi dan random sampling. Analisa data menggunakan univariat, bivariat dengan uji chi-square dan multivariat dengan uji uji regresi logistic. Hasil: Nilai p-value umur (0,059 OR 1,426), pekerjaan (0,008 OR 0,055), pengetahuan (0,026 OR 2,899), sikap (0,821 OR 1,756), jarak (0,041 OR 2,593), dukungan keluarga (0,038 OR 2,617), penyuluhan (0,620 OR 1,297), kompensasi (0,004 OR 6,475). Kesimpulan: Ada pengaruh pekerjaan, pengetahuan, jarak, dukungan keluarga, kompensasi dan tidak ada pengaruh umur, pendidikan, sikap, penyuluhan terhadap penemuan suspek TB. Disarankan pemerintah daerah meningkatkan komitmen kerjasama dengan pihak-pihak terkait seperti instansi kesehatan, kecamatan, pihak swasta, lembaga swadaya masyarakat, organisasi kesehatan dan keagamaan dalam mencapai keberhasilan strategi penanggulangan TB Paru.