Pulmonary Tuberculosis Transmission and Family-Based Prevention Efforts: Evidence from Samarinda, Indonesia
DOI:
https://doi.org/10.69855/mgj.v2i4.235Keywords:
Pulmonary Tuberculosis, Family Role, Prevention, Family-Based InterventionAbstract
Background: Pulmonary tuberculosis (TB) remains a major public health concern in Indonesia, including Samarinda, where transmission often occurs within families due to close contact with patients. Family-based interventions are essential to strengthen preventive behaviors and reduce transmission risk; however, limited family participation continues to hinder their effectiveness. Purpose: This study aimed to analyze the relationship between family roles and pulmonary TB prevention behavior in the working areas of Karang Asam, Wonorejo, and Loa Bakung Health Centers, Samarinda. Methods: A cross-sectional quantitative design was employed involving 80 respondents selected through purposive sampling. Data on family participation in TB prevention were collected via questionnaires and analyzed using the Chi-Square test. Results: A significant relationship was found between family roles and TB prevention behavior (p = 0.001 < 0.05). Families actively involved in prevention demonstrated better practices, including consistent mask use, maintaining ventilation, and treatment adherence. Conclusion: Family-based interventions play a vital role in TB prevention. Strengthening family education, counseling, and empowerment—alongside collaboration among health workers, community cadres, and policymakers—is crucial. Implementing structured psychoeducation and community engagement strategies can effectively reduce stigma, improve adherence, and enhance TB prevention efforts.
References
Alis Setiyadi, N. & Setyowati, M. (2022). Needs assessment for an information system to support a TB control program in Indonesia, KnE Life Sciences, International Conference in Nursing, pp. 863–871. https://doi.org/10.18502/kls.v7i2.10387.
Arini, M., Puspitosari, W.A. & Ferawati, B.I. (2024). Initiation of increasing tuberculosis medication supervisors roles: An action research approach, Journal of Family Medicine and Public Health, 18(2), pp. 123–131. https://doi.org/10.33860/jik.v18i2.2200
Cahyawati, E. et al. (2023). Psychoeducation helps reduce the burden on families experiencing stigma as tuberculosis clients and those with a history of treatment interruption, Jurnal Telenursing, 5(1). https://doi.org/10.31539/joting.v5i1.5679
Chee Cheong, K., Mohd Ghazali, S., Md Zamri, A. S. S., Cheong, Y. L., Md. Iderus, N. H., Nagalingam, T., ... & Yusoff, A. F. (2022). Gender differences in factors associated with the total delay in treatment of pulmonary tuberculosis patients: a cross-sectional study in Selangor, Malaysia. International Journal of Environmental Research and Public Health, 19(10), 6258. https://www.mdpi.com/1660-4601/19/10/6258#
Chen, X. et al. (2020). The effects of family, society and national policy support on treatment adherence among newly diagnosed tuberculosis patients: A cross-sectional study, BMC Infectious Diseases, 20(1). https://doi.org/10.1186/s12879-020-05354-3
Deniati, E. N., Riono, P., & Farid, M. N. (2022). District characteristics: Household economic status of families diagnosed with tuberculosis in Indonesia. Journal of public health in Africa, 13(Suppl 2), 2401. doi: 10.4081/jphia.2022.2401
Fuady, A. et al. (2024). Stigma, depression, quality of life, and the need for psychosocial support among people with tuberculosis in Indonesia: A multi-site cross-sectional study. PLOS Global Public Health. https://doi.org/10.1371/journal.pgph.0002489
Ghanaiee, R.M. et al. (2022). Household contact investigation for the detection of active tuberculosis and latent tuberculosis: A comprehensive evaluation in two high-burden provinces in Iran, New Microbes and New Infections, 45, p. 100958. https://doi.org/10.1016/j.nmni.2022.100958.
Heri, M. et al. (2020). Self-efficacy enhancement in families with pulmonary TB disease through psychoeducational therapy, Jurnal Keperawatan Silampari, 3(2), pp. 436–445. DOI: https://doi.org/10.31539/jks.v3i2.1053
Izumi, K. et al. (2019). Transmission of tuberculosis and predictors of large clusters within three years in an urban setting in Tokyo, Japan: A population-based molecular epidemiological study, BMJ Open, 9(5), p. e029295. https://doi.org/10.1136/bmjopen-2019-029295.
Jufrizal, Hermansyah & Mulyadi (2016). The Role of Families as Treatment Supervisors (PMO) in the Success Rate of Pulmonary Tuberculosis Therapy, Jurnal Ilmu Keperawatan, 4(2), pp. 1–10. http://repository.unusa.ac.id/6111/
Mariani, H. et al. (2022). Tuberculosis family support trainings (TB FaST) influence on encouraging TB treatment compliance, Open Public Health Journal, 15(1). https://doi.org/10.2174/18749445-v15-e2208041
Maryatun, S. (2020). Therapeutic effect of psychoeducation on knowledge and anxiety levels in families caring for family members with pulmonary tuberculosis disease, Jurnal Ilmu Kesehatan Masyarakat, 3(1). https://www.neliti.com/publications/57901/therapeutic-effect-of-psychoeducation-on-knowledge-and-anxiety-levels-in-familie#cite
Mia, M.M., Hasan, M. & Pory, F.S. (2022). Occupational exposure to livestock and risk of tuberculosis and brucellosis: A systematic review and meta-analysis, One Health, 15. https://doi.org/10.1016/j.onehlt.2022.100432.
Msoka, E.F. et al. (2021). Qualitative assessment of the impact of socioeconomic and cultural barriers on uptake and utilisation of tuberculosis diagnostic and treatment tools in East Africa: A cross-sectional study, BMJ Open, 11(7). https://doi.org/10.1136/bmjopen-2021-050911
Nasution, S.Z. et al. (2020). Family support perceived among pulmonary tuberculosis (TB) patients in Medan, Indonesia, Jurnal Ilmu Kesehatan Masyarakat, 3(3), pp. 188–195. https://doi.org/10.5220/0008788701880195.
Nidoi, J., Muttamba, W., Walusimbi, S. et al. (2021). Impact of socio-economic factors on Tuberculosis treatment outcomes in north-eastern Uganda: a mixed methods study. BMC Public Health 21, 2167. https://doi.org/10.1186/s12889-021-12056-1
Nurliani, N., Solikin, S. & Sukarlan, S. (2024). Family attitudes and behaviors in preventing pulmonary tuberculosis transmission at the Pekapuran Raya Health Center, Banjarmasin City, Jurnal Keperawatan Suaka Insa, 9(1), pp. 35–42. https://doi.org/10.51143/jksi.v9i1.590.
Paneo, S.A.R.S. & Nursasi, A.Y. (2019). Pencegahan tuberkulosis paru dalam keluarga: Kajian literatur, Jurnal Penelitian Kesehatan Suara Forikes, 10(2), pp. 270–274. DOI: https://doi.org/.33846/sf10405.
Pramono, J.S. (2021). A Literature Review: Risk Factors Associated with the Increased Incidence of Tuberculosis, Jurnal Ilmiah Pannmed, 16(1), pp. 106–113. https://download.garuda.kemdikbud.go.id/article.php?article=2597541&val=16414&title=A%20LITERATUR
Pramono, J.S., Ridwan, A. et al. (2024). Active case finding for tuberculosis in migrants: A systematic review, Medical Archives, 78(1), pp. 60–64. doi: 10.5455/medarh.2024.78.60-64
Pramono, J.S., Sudding, R. & Tini, T. (2023). Relationship between side effects of anti-tuberculosis drugs (ATDs) and adherence to medication in elderly patients with tuberculosis, Poltekita: Jurnal Ilmu Kesehatan, 17(2), pp. 326–333. https://doi.org/10.33860/jik.v17i2.2020
Rachmawati, D.S. et al. (2018). Family factors associated with quality of life in pulmonary tuberculosis patients in Surabaya, Indonesia, Indian Journal of Public Health Research and Development, 9(11), pp. 1772–1776. https://doi.org/10.5958/0976-5506.2018.01701.1
Sejie, G.A., Mahomed, O.H. (2023). Mapping the effectiveness of the community tuberculosis care programs: a systematic review. Syst Rev 12, 135. https://doi.org/10.1186/s13643-023-02296-0
Setiyaningrum, I.P. & Alfian, T. (2023). The Effect of Family Psychoeducation on Knowledge and Anxiety of Families Caring for Members with Tuberculosis, Mahesa: Malahayati Health Student Journal, 3(4). DOI: https://doi.org/10.33024/mahesa.v3i4.10218
Soleman, R.P.H., Sukartini, T. & Qonaah, A. (2021). Patient adherence to tuberculosis treatment: A relation between family support and patient behavior, Critical Medical and Surgical Nursing Journal, 10(2). https://e-journal.unair.ac.id/CMSNJ
Stang, R. et al. (2021). Collaborative model of family and health workers support to improve the success of tuberculosis treatment: A qualitative study, Review of International Geographical Education Online, 11(5). http://repository.unhas.ac.id:443/id/eprint/8967
Stang, S. et al. (2023). Successful treatment of tuberculosis using a collaborative approach between family and health workers, Journal of Public Health Africa, 14(12). https://doi.org/10.4081/jphia.2023.2455
Sunaryo, N.K., Haryanto, J. & Sustini, F. (2020). The relationship between trust and family empowerment to prevent transmission of pulmonary tuberculosis, International Journal of Nursing and Health Services, 3(1). https://doi.org/10.35654/ijnhs.v3i1.166
Tri Wahyuni, Parliani et al. (2020). Intervention supportive educative system based on self-care and family-centered nursing model to family support in teaching cough ethics and correct sputum disposal of TBC patients, Britain International Exact Sciences Journal, 2(3). DOI: https://doi.org/10.33258/bioex.v2i3.301
Wen, S., Yin, J., & Sun, Q. (2020). Impacts of social support on the treatment outcomes of drug-resistant tuberculosis: a systematic review and meta-analysis. BMJ open, 10(10), e036985. https://doi.org/10.1136/bmjopen-2020-036985
WHO (2023). Global Tuberculosis Report 2023. Geneva: World Health Organization. https://eng.phwr.org/journal/view.html?doi=10.56786/PHWR.2025.18.11suppl.5
Yuantari, M. G. C., Manglapy, Y. M., Nurmandhani, R., & Jaya, E. (2024). Level of Knowledge, Stigma, and Community Literacy on TB Disease Prevention Behavior. In Proceedings of the International Seminar and Workshop Public Health (ISWHOPHA 2023) (Vol. 75, p. 80). Springer Nature. https://doi.org/10.2991/978-94-6463-421-1_10
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Miracle Get Journal
This work is licensed under a Creative Commons Attribution 4.0 International License.
