Analysis of Factors Affecting the Success of Sociocultural Education Approach in Preventing Tuberculosis in Tapanuli Selatan Regency

  • Edy Sujoko Nursing Department, Faculty of Health, Universitas Aufa Royhan, Padangsidimpuan, North Sumatera, Indonesia
  • Anto J. Hadi Public Health Department, Faculty of Health, Universitas Aufa Royhan, Padangsidimpuan, North Sumatera, Indonesia
  • Dewani Harahap Public Health Department, Faculty of Health, Universitas Aufa Royhan, Padangsidimpuan, North Sumatera, Indonesia
  • Matius Rantesalu Department of Health Promotion and Behavioral Sciences, Sinar Kasih Toraja Health Academy, Tana Toraja, Indonesia
  • Edwinn Sallipadang Midwifery Department, Sinar Kasih Toraja Health Academy, Tana Toraja, Indonesia
  • Farida Utaminingtyas Midwifery Department, Ar-Rum College of Health Sciences, Salatiga, Indonesia
  • Juni Andriani Rangkuti Public Health Department, Faculty of Health, Universitas Aufa Royhan, Padangsidimpuan, North Sumatera, Indonesia
  • Asdi Lastari Health and Occupational Safety Study Program, Sentral College of Health Sciences, Padangsidimpuan, Indonesia
DOI: https://doi.org/10.56338/jphp.v5i2.6266
Keywords: Sociocultural Education, Social Media in Education Campaign, Tuberculosis

Abstract

Introduction: Tuberculosis is still becoming one of the deathliest infectious diseases in the entire world and has become the most urgent public health challenge globally. This study aims to analyze the factors affecting the success of the sociocultural education approach in preventing Tuberculosis in Tapanuli Selatan Regency.

Methods: Using a cross-sectional study approach, data were collected from the local community using purposive sampling. Data analysis was conducted to evaluate the influence of certain variables, including public education level, health service access, community participation in education programs, the use of social media in education campaigns, and health workers' support on the success of sociocultural education approach in preventing Tuberculosis through univariate, bivariate, and multivariate analyses.

Results: The findings showed that community education level (p=0.001), health service access (p=0.001), community participation in education programs (p=0.001), social media use in education campaigns (p=0.001), health workers support (p=0.001) had a significant effect on the success of the sociocultural education approach in preventing Tuberculosis. Meanwhile, the variable of social media use in educational campaigns significantly influences public awareness and participation in efforts to prevent Tuberculosis, with an Exp value (B)=15.581 and a p=0.001 < ?=0.05 value.

Conclusion: This research concludes that the tuberculosis prevention strategy in Tapanuli Selatan Regency needs to be supported with an integrated sociocultural education approach that accommodates the roles of social media, health service access, community participation, and health workers' support. This research suggests an increase in investment in health infrastructure, health workers' training, and a more intensive and guided education campaign to improve the community's awareness and participation in preventing Tuberculosis in the area.

References

Syafriyanti, Anita OWB, Hadi AJ. Analisis Faktor Risiko TB Paru pada Ibu Hamil di Puskesmas Kecamatan Padangsidimpuan Utara Kota Padangsidimpuan. Media Publ Promosi Kesehat Indones. 2023;6(4):753–61.

Lee S, Nguyen NHT, Takaoka S, Do AD, Shirayama Y, Nguyen QP, et al. A Study on the Health-Related Issues and Behavior of Vietnamese Migrants Living in Japan: Developing Risk Communication in the Tuberculosis Response. Int J Environ Res Public Health. 2023;20(12):6150.

Health TLP. Taking tuberculosis out of the shadows. Lancet Public Heal. 2023;8(4):e247.

Endalamaw A, Gilks CF, Ambaw F, Chatfield MD, Assefa Y. Satisfaction of tuberculosis patients to healthcare services at the global level: A systematic review. Health Soc Care Community. 2022;30(6):e3435–46.

Iskandar D, Suwantika AA, Pradipta IS, Postma MJ, van Boven JFM. Clinical and economic burden of drug-susceptible tuberculosis in Indonesia: national trends 2017–19. Lancet Glob Heal. 2023;11(1):e117–25.

Harimurti P, Pradhan E, Cheikh N, Hafez R, Fraser-Hurt N, Farid MN, et al. Tuberculosis in Indonesia: epidemic projections and opportunities to accelerate control: findings from an optima TB analysis. 2020;

Kaaffah S, Kusuma IY, Renaldi FS, Lestari YE, Pratiwi ADE, Bahar MA. Knowledge, Attitudes, and Perceptions of Tuberculosis in Indonesia: A Multi-Center Cross-Sectional Study. Infect Drug Resist. 2023;1787–800.

Pesona D. Analisis Survival Pada Pasien TB-MDR (Multi-Drug Resistant Tuberculosis) Di Provinsi Sumatera Utara Tahun 2020-2022. Universitas Andalas; 2023.

Siregar FA, Hasan W. Association of Knowledge, Contact History and Ventilation on the Risk of Pulmonary Tuberculosis in Padangsidimpuan City, North Sumatera. Malaysian J Med Heal Sci. 2019;15.

Ritonga IL, Setyowati S, Handiyani H, Nursasi AY. Exploring the tuberculosis medication program in Indonesia as perceived by patients and their families: A qualitative study. Belitung Nurs J. 2023;9(2):124–31.

Tombeg Z, Hadi AJ. Hubungan Sosial Budaya Dengan Upaya Pencegahan TBC di Puskesmas Makale Kabupaten Tana Toraja. J Ners. 2023;7(2):1364–73.

Nagarajan K, Kumarsamy K, Begum R, Panibatla V, Reddy R, Adepu R, et al. A Dual Perspective of Psycho-Social Barriers and Challenges Experienced by Drug-Resistant TB Patients and Their Caregivers through the Course of Diagnosis and Treatment: Findings from a Qualitative Study in Bengaluru and Hyderabad Districts of South India. Antibiotics. 2022;11(11):1586.

Simbolon DR, Mutiara E, Lubis R. Analisis spasial dan faktor risiko tuberkulosis paru di Kecamatan Sidikalang, Kabupaten Dairi-Sumatera Utara tahun 2018. Ber Kedokt Masy. 2019;35(2):65–71.

Fuady A, Arifin B, Yunita F, Rauf S, Fitriangga A, Sugiharto A, et al. Stigma towards people with tuberculosis: a cross-cultural adaptation and validation of a scale in Indonesia. BMC Psychol. 2023;11(1):112.

Enticott G. ‘Good farmers’ and ‘real vets’: social identities, behaviour change and the future of bovine tuberculosis eradication. Ir Vet J. 2023;76(Suppl 1):17.

Pratama MY, Gurning FP, Suharto S. Implementasi Penanggulangan Tuberkulosis di Puskesmas Glugur Darat Kota Medan. J Kesmas Asclepius. 2019;1(2):196–205.

Coorey NJ, Kensitt L, Davies J, Keller E, Sheel M, Chani K, et al. Risk factors for TB in Australia and their association with delayed treatment completion. Int J Tuberc Lung Dis. 2022;26(5):399–405.

Adiutama NM, Fauzi AK, Ellina AD. Intervensi Edukasi Berbasis Theory Of Planned Behavior Untuk Meningkatkan Kepatuhan Pengobatan, Nutrisi, Dan Pencegahan Penularan Pada Pasien Tuberkulosis: Educational Intervention Based on Theory of Planned Behavior to Improve Compliance with Treatment, . J Ilm Keperawatan (Scientific J Nursing). 2021;7(1):117–26.

Astari C, Zahran I, Mursyid M, Hurria H. Informasi dan Edukasi Obat Tuberculosis (TB) Sebagai Upaya Pencegahan Pada Masyarakat. Epic J Pendidik Pengabdi Masy. 2022;1(1):29–33.

Wati N, Husin H, Ramon A. Edukasi Kesehatan Tentang Pencegahan Tuberkulosis Di Taba Melintang Wilayah Kerja Puskesmas Bentiring. Sambulu Gana J Pengabdi Masy. 2022;1(1):23–8.

Saftarina F, Fitri H. Edukasi Online tentang Keterampilan Perawatan Mandiri pada Pasien Tuberculosis Paru di Masa Pandemi Covid-19. JPM (Jurnal Pengabdi Masyakat) Ruwa Jurai. 2020;5(1):26–30.

Putri VS, Apriyali A, Armina A. Pengaruh Pendidikan Kesehatan terhadap Pengetahuan dan Tindakan Keluarga dalam Pencegahan Penularan Tuberkulosis. J Akad Baiturrahim Jambi. 2022;11(2):226–36.

Tombeg Z, Hadi AJ, Hasibuan AS, Rate S, Handayani FR, Permayasa N. Determinants of the Incidence of Acute Respiratory Infections (ARIs) in Children Under Five at the Getengan Community Health Center, Tana Toraja Regency. J Public Heal Pharm. 2024;4(1):10–8.

Tombeg Z, Hadi AJ. Predisposisi Tuberkulosis Paru: A Cross Sectional Study. J Public Heal Pharm. 2021;1(1):9–13.

Aia P, Viney K, Kal M, Kisomb J, Yasi R, Wangchuk LZ, et al. The economic burden of TB faced by patients and affected families in Papua New Guinea. Int J Tuberc Lung Dis. 2022;26(10):934–41.

Vericat-Ferrer M, Ayala A, Ncogo P, Eyene-Acuresila J, García B, Benito A, et al. Knowledge, Attitudes, and Stigma: The Perceptions of Tuberculosis in Equatorial Guinea. Int J Environ Res Public Health. 2022;19(14):8227.

Malede A, Taye B, Legesse M, Debie A, Shibabaw A. Pulmonary tuberculosis preventive practices among Anibessa bus users at Addis Ababa, Ethiopia: a cross-sectional study. BMC Res Notes. 2019;12(1):104.

Redwood L, Mitchell EMH, Viney K, Snow K, Nguyen TA, Dung LAT, et al. Depression, stigma and quality of life in people with drug-susceptible TB and drug-resistant TB in Vietnam. Int J Tuberc Lung Dis. 2021;25(6):461–7.

Palacios CF, Hough MA, Shrestha R, Moll AP, Kompala T, Andrews L, et al. Perceived stigma related to TB preventive therapy. Int J Tuberc Lung Dis. 2023;27(3):209–14.

Hasibuan AS, Manggabarani S, Maulana I, Hadi AJ. Determinan Model Karakteristik Budaya Kesehatan pada Pemanfaatan Pelayanan Pencegahan Covid-19 di Puskesmas Padangmatinggi Kota Padangsidimpuan. Media Publ Promosi Kesehat Indones. 2022;5(12):1641–7.

Rokhmah D. Gender dan Penyakit Tuberkulosis: Implikasinya Terhadap Akses Layanan Kesehatan Masyarakat Miskin yang Rendah. Kesmas J Kesehat Masy Nas (National Public Heal Journal). 2013;7(10):447–52.

Pratiwi NL, Roosihermiatie B, Hargono R. Faktor determinan budaya kesehatan dalam penularan penyakit TB Paru. Bul Penelit Sist Kesehat. 2012;15(1):21324.

Anggraini FDP, Aryani L, Nurmandhani R. Hubungan antara Akses Informasi Tuberculosis dengan Health Literacy Petugas Puskesmas Bandarharjo Semarang. J Dunia Kesmas. 2020;9(3):312–9.

Syukur SB, Pakaya AW. Faktor-faktor Yang Berhubungan Dengan Kejadian TBC Paru di Wilayah Kerja Puskesmas Bolangitang. Zaitun (Jurnal Ilmu Kesehatan). 2021;4(1).

Depkes RI. Peduli TBC Indonesia Sehat. Diakses dari http://www. depkes. go. id/article/view/18032100002/peduli …; 2018.

Mashuri SA, Asrina A. Perilaku pencarian pengobatan (studi pada pasien suspek tuberkulosis (tb) paru) di kecamatan bajeng, kabupaten gowa, sulawesi selatan. J Muslim Community Heal. 2020;1(2):107–18.

Hanum F, Yanuarita HA. Pelayanan Kesehatan dalam Program Community TB Care Aisyiyah Kabupaten Kediri. J Mediasosian J Ilmu Sos Dan Adm Negara. 2020;4(2).

Reviono R, Sulaeman ES, Murti B. Modal Sosial dan Partisipasi Masyarakat dalam Penemuan Penderita Tuberkulosis. Kesmas J Kesehat Masy Nas (National Public Heal Journal). 2013;7(11):495–501.

Dilla AZ, Sidiq R, Silaban EML, Widdefrita W, Nadira NA. Strategi Advokasi Dalam Meningkatkan Partisipasi Warga Korong Pauh Sicincin Untuk Memeriksakan Dahak. J Ilm Mns Dan Kesehat. 2023;6(2):281–91.

Napitupulu TF, Prasetyo S. Akses Pelayanan Pengobatan Tuberkulosis Pada Masa Pandemi Covid-19 Di Puskesmas Abadijaya Kota Depok Tahun 2021. NERSMID J Keperawatan dan Kebidanan. 2021;4(2):207–26.

Zhu QQ, Wu Q, Wang AM, Bao FJ, Zhang YZ, Liu J, et al. Epidemiological characteristics of pulmonary tuberculosis in Anhui Province, Eastern China from 2013 to 2018. PLoS One. 2020;15(8):e0237311.

Bakare AM, Udunze OC, Bamidele JO, Omoniyi A, Osman E, Daniel OJ. Outcome of community-initiated treatment of drug-resistant tuberculosis patients in Lagos, Nigeria. Trans R Soc Trop Med Hyg. 2021;115(9):1061–5.

Sukirawati S. Partisipasi Keluarga Menggunakan Family Folder Dalam Pengawasan Menelan Obat Pada Penderita TB Paru di wilayah Kerja Puskesmas Parigi Kabupaten Gowa. J Kesehat Yamasi Makassar. 2020;4(1).

Sarwar G, Khan SM, Irfan SD, Khan MNM, Reza MM, Rana AKMM, et al. Community based peer-led TB screening intervention: an innovative approach to increase TB knowledge, presumptive case identification, and referral among sexual minority people in urban Bangladesh. BMC Health Serv Res. 2023;23(1):810.

Bao Y, Wang C, Xu H, Lai Y, Yan Y, Ma Y, et al. Effects of an mHealth intervention for pulmonary tuberculosis self-management based on the integrated theory of health behavior change: randomized controlled trial. JMIR public Heal Surveill. 2022;8(7):e34277.

Nailius IS, Anshari D. Hubungan Karakteristik Sosial Demografi dan Literasi Kesehatan Dengan Kepatuhan Minum Obat Pada Penderita Tuberkulosis di Kota Kupang. Perilaku dan Promosi Kesehat Indones J Heal Promot Behav. 2022;4(2):43–56.

Jain M, Rath S, Mohanty Sr M, Mishra B, Mohapatra PR, Mohanty M. Knowledge, Attitude, and Practices Among Healthcare Practitioners in the Context of Multidrug Resistance Tuberculosis: An Appraisal to Disease Elimination. Cureus. 2023;15(3).

Mahmud S, Mohsin M, Irfan SH, Muyeed A, Islam A. Knowledge, attitude, practices, and determinants of them toward tuberculosis among social media users in Bangladesh: A cross-sectional study. PLoS One. 2022;17(10):e0275344.

Ramasubramani P, Kar SS, Sarkar S, Negi VS, Satheeh S, Mohapatra MM, et al. Association of selected cardiovascular markers with tuberculosis: community-based exploratory cross-sectional analytical study in Puducherry. Cureus. 2023;15(7).

Puspitasari IM, Sinuraya RK, Aminudin AN, Kamilah RR. Knowledge, attitudes, and preventative behavior toward tuberculosis in university students in Indonesia. Infect Drug Resist. 2022;4721–33.

Puchalski Ritchie LM, Van Lettow M, Barnsley J, Chan AK, Joshua M, Martiniuk ALC, et al. Evaluation of lay health workers’ needs to effectively support anti-tuberculosis treatment adherence in Malawi. Int J Tuberc lung Dis. 2012;16(11):1492–7.

Warsi S, Elsey H, Boeckmann M, Noor M, Khan A, Barua D, et al. Using behaviour change theory to train health workers on tobacco cessation support for tuberculosis patients: a mixed-methods study in Bangladesh, Nepal and Pakistan. BMC Health Serv Res. 2019;19:1–14.

Herawati C, Abdurakhman RN, Rundamintasih N. Peran dukungan keluarga, petugas kesehatan dan perceived stigma dalam meningkatkan kepatuhan minum obat pada penderita tuberculosis paru. J Kesehat Masy Indones. 2020;15(1):19–23.

Houghton C, Meskell P, Delaney H, Smalle M, Glenton C, Booth A, et al. Barriers and facilitators to healthcare workers’ adherence with infection prevention and control guidelines for respiratory infectious diseases: a rapid qualitative evidence synthesis. Emergencias Rev la Soc Esp Med Emergencias. 2021;33(1):62–4.

Sinha P, Shenoi S V, Friedland GH. Opportunities for community health workers to contribute to global efforts to end tuberculosis. Glob Public Health. 2020;15(3):474–84.

Adu PA, Yassi A, Ehrlich R, Spiegel JM. Perceived health system barriers to tuberculosis control among health workers in South Africa. Ann Glob Heal. 2020;86(1).

Qader GQ, Seddiq MK, Rashidi KM, Manzoor L, Hamim A, Akhgar MH, et al. Prevalence of latent tuberculosis infection among health workers in Afghanistan: a cross-sectional study. PLoS One. 2021;16(6):e0252307.

Published
2025-07-01
How to Cite
Sujoko, E., J. Hadi, A., Harahap, D., Rantesalu, M., Sallipadang, E., Utaminingtyas, F., Andriani Rangkuti, J., & Lastari, A. (2025). Analysis of Factors Affecting the Success of Sociocultural Education Approach in Preventing Tuberculosis in Tapanuli Selatan Regency. Journal of Public Health and Pharmacy, 5(2), 250-261. https://doi.org/10.56338/jphp.v5i2.6266
Issue
Vol. 5 No. 2: JULY 2025
Section
Articles

Copyright (c) 2025 Journal of Public Health and Pharmacy

Creative Commons License

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Authors who publish with Journal of Public Health and Pharmacy retain the copyright of their work. The journal applies a Creative Commons Attribution-ShareAlike 4.0 International License (CC BY-SA 4.0), which grants the following rights:

  1. Copyright Retention: Authors retain the copyright of their work, maintaining full control over their intellectual property without restrictions.

  2. Right of First Publication: Authors grant the journal the right of first publication of their work. This ensures that the work is initially published and credited in Journal of Public Health and Pharmacy.

  3. License to Share and Reuse: The work is licensed under CC BY-SA 4.0, allowing others to copy, distribute, remix, and build upon the work for any purpose, even commercially, as long as proper credit is given to the authors, and any new creations are licensed under the same terms.