Cultural and Religious Belief Approaches of a Tuberculosis Program for Hard-to-Reach Populations in Mentawai and Solok West Sumatera, Indonesia

Rizanda Machmud, Irvan Medison, Finny Fitry Yani

Abstract


Tuberculosis (TB) is a leading public health concern in Indonesia. It ranks second on the list of high-burden TB countries. In West Sumatra, 47% of TB cases are undetected, late diagnosed, and received incomplete treatment because of low-level awareness and knowledge and stigma, especially among the hardest to reach populations. The study aims to identify the best communication channel to reach those who live in vulnerable and remote areas. This study was a qualitative study applying in-depth interviews to the informal leaders, health officers, cultural artists, and religious leaders across districts in Mentawai and Solok Districts, which are remote and had the lowest case detection rates compared with other districts. The questionnaire was prepared with the perception of the channel to identify TB cases. The data were analyzed using the content analysis technique. Involving religious and informal leaders and using traditional music as a communication channel improved the population's awareness of TB symptoms and access to TB testing and treatment, as well as reduced TB-related stigma. This study found that the cultural and religious contexts play a major role in health communication on TB control for hard-to-reach populations in West Sumatera, Indonesia.


Keywords


channel, religious belief, stigma, traditional party, tuberculosis

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References


 1. World Health Organization. Global Tuberculosis Report 2015. 20th ed. Geneva: World Health Organization; 2015. 192 p.

 2. Health IMo. National Tuberculosis Program: Annual Report 2016. Jakarta: Indonesia Ministry of Health; 2015.

 3. Abebe G, Deribew A, Apers L, Woldemichael K, Shiffa J, Tesfaye M, et al. Knowledge, health seeking behavior and perceived stigma towards tuberculosis among tuberculosis suspects in a rural community in southwest Ethiopia. PLoS One. 2010;5(10):e13339.

 4. Khan JA, Irfan M, Zaki A, Beg M, Hussain SF, Rizvi N. Knowledge, attitudes and misconceptions regarding tuberculosis in Pakistani patients. Journal of the Pakistan Medical Association. 2006;56(5):211.

 5. Enwuru C, Idigbe E, Ezeobi N, Otegbeye A. Care-seeking behavioural patterns, awareness and diagnostic processes in patients with smear-and culture-positive pulmonary tuberculosis in Lagos, Nigeria. Transactions of the Royal Society of Tropical Medicine and Hygiene. 2002;96(6):614-6.

 6. Jit M, Stagg HR, Aldridge RW, White PJ, Abubakar I. Dedicated outreach service for hard to reach patients with tuberculosis in London: observational study and economic evaluation. British Medical Journal. 2011;343:d5376.

 7. Maher D. The role of the community in the control of tuberculosis. Tuberculosis. 2003;83(1):177-82.

 8. Poudel KC, Jimba M, Poudel-Tandukar K, Wakai S. Reaching hard-to-reach migrants by letters: An HIV/AIDS awareness programme in Nepal. Health & Place. 2007;13(1):173-8.

 9. Sengupta S, Pungrassami P, Balthip Q, Strauss R, Kasetjaroen Y, Chongsuvivatwong V, et al. Social impact of tuberculosis in southern Thailand: views from patients, care providers and the community. International Journal of Tuberculosis and Lung Disease. 2006;10(9):1008-12.

 10. Simmons D, Voyle JA. Reaching hard-to-reach, high-risk populations: piloting a health promotion and diabetes disease prevention programme on an urban marae in New Zealand. Health Promotion International. 2003;18(1):41-50.

 11. Minetti A, Hurtado N, Grais RF, Ferrari M. Reaching hard-to-reach individuals: nonselective versus targeted outbreak response vaccination for measles. American Journal of Epidemiology. 2014;179(2):245-51.

 12. DeHaven MJ, Hunter IB, Wilder L, Walton JW, Berry J. Health programs in faith-based organizations: are they effective? American Journal of Public Health. 2004;94(6):1030-6.

 13. Trinitapoli J, Ellison CG, Boardman JD. US religious congregations and the sponsorship of health-related programs. Social Science & Medicine. 2009;68(12):2231-9.

 14. Toni-Uebari TK, Inusa BP. The role of religious leaders and faith organisations in haemoglobinopathies: a review. BMC Blood Disorders. 2009;9:6.

 15. Pirkani GS, Qadeer E, Ahmad N, Razia F, Khurshid Z, Khalil L, et al. Impact of training of religious leaders about tuberculosis on case detection rate in Balochistan, Pakistan. Journal of the Pakistan Medical Association. 2009;59(Suppl 1):s114-7.

 16. Green EC. The impact of religious organizations in promoting HIV/AIDS prevention. Challenges for the church: AIDS, malaria & TB. 2001.

 17. Houston HR, Harada N, Makinodan T. Development of a culturally sensitive educational intervention program to reduce the high incidence of tuberculosis among foreign-born Vietnamese. Ethnicity and Health. 2002;7(4):255-65.

 18. Dutta-Bergman MJ. Theory and practice in health communication campaigns: A critical interrogation. Health Communication. 2005;18(2):103-22.




DOI: http://dx.doi.org/10.21109/kesmas.v15i4.3374

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