Factors Related To The Role Of Community Figure In Tuberculosis Disease Prevention Measures In The community Health centers Tuminting Working Area Manado City
Tuberculosis has become an important health problem in the world for a long time which is still difficult to control. Indonesia is in the third position with the highest number of tuberculosis sufferers in the world. DOTS (Directly observed treatment short course) as a strategy in controlling tuberculosis since 1995, is seen as not yet effective enough in efforts to tackle transmission of tuberculosis. It requires the participation of all components of society, especially community leaders in areas with high tuberculosis cases. The purpose of this study was to determine the factors associated with the role of community leaders in efforts to prevent transmission of tuberculosis in the working area of Tuminting Community Health Center, Manado. Research is an analytical survey with quantitative methods using cross sectional approach. The research instrument used a questionnaire. This research was conducted on the entire population of community leaders in the Tuminting Community Health Center, with a total sampling technique of 60 respondents. Data analysis used univariate analysis with frequency distribution, bivariate analysis with chi-square test and multivariate analysis with multiple logistic regression tests. The results of this study indicate that the variables significantly related to the role of community leaders are knowledge (p = 0.021), attitude (p = 0.003). Multivariate test results showed the most influential variables were attitude (OR = 7.31 and p = 0.002), for knowledge (OR = 5.13 and p = 0.012). The results of this study are expected to be a recommendation for health service providers and community leaders to further enhance collaboration in efforts to control tuberculosis through the accessibility of information, education and promotion to the general public as an effort to break the chain of tuberculosis transmission so that the morbidity and mortality rates due to disease tuberculosis can be inherited.