Empowering Health Cadres to Support Drug-Resistant Tuberculosis (DR-TB) Patient to Enroll in Treatment

Esty Febriani, Adik Wibowo, Neeraj Kak, Hala Jassim Al Mossawi

Abstract


Tuberculosis (TB) remains a big challenge globally, while the involvement of health cadres’ constitutes one of the key strategies for the TB program in Indonesia. These roles were further expanded to providing support to DR-TB patients. This study was a qualitative study, conducted in 2015 to explore the various factors which influence the performance of health cadres’ in supporting DR-TB patients to enroll in treatment. A total of 39 informants consisting of 24 health cadres, three nurses, four DR-TB patients, and three family members, two peer support, a head of primary health care, and two TB staffs from the District Health Office were recruited for this study. Meanwhile, a refresher training for health cadres was conducted regarding knowledge on TB, community support, effective communication, as well as patient tracing. There was no significant difference in the pre and post-test results; however the health cadres showed great capability in communicating and assessing the condition of patients. In addition, the health cadres assisted in carrying out patient tracing process, an important initial step to better understand patients' overall condition and identify problems faced while seeking treatment. Health cadres need to work with various parties such as family members, close relative to the patient, peer support groups, and nurses to encourage patients to enroll in treatment.

Keywords


default patient, drug resistant-tuberculosis, health cadres, patient tracing

Full Text:

PDF

References


 1. World Health Organization. Global tuberculosis report 2015. Cataloguing-in-Publication; 2015.

 2.World Health Organization. Global tuberculosis report. Cataloguing-in-Publication; 2018.

 3.Menteri Kesehatan Republik Indonesia. Peraturan Menteri Kesehatan Republik Indonesia nomor 13 tahun 2013 tentang pedoman manajemen terpadu pengendalian tuberkulosis resisten obat. 2013. p. 130.

 4.Kementerian Kesehatan Republik Indonesia. Pedoman nasional pengendalian tuberkulosis. Jakarta: Kementerian RI; 2011.

 5.World Health Organization. WHO consolidated guidelines on drug-resistant tuberculosis treatment. Geneva: WHO Library Cataloguing-in-Publication Data; 2019.

 6.Maeve L, Jane G, Sholpan A, Sandy A, Zinaida T, Atadjan K, et al. Risk factors associated with default from multi and extensively drug-resistant tuberculosis treatment Uzbekistan: a retrospective cohortanalysis. PLOS ONE. 2014; 8(11).

 7.Hirpa S, Medhin G, Girma B, Melese M, Mekonen A. Determinants of multidrug-resistant tuberculosis in patients who underwent first-line treatment in Addis Ababa: a case control study. BMC Public Health.2013; 13: 782.

 8.Muture, Keraka, Kimuu, Kabiru, Ombeka. Factors associated with default from treatment among tuberculosis patients in Nairobi Province,Kenya: a case control study. BMC Public Health. 2011; 11: 696.

 9.Matebesi Z, Timmerman C. The TB patient qualitative evidence of percieved factors affecting treatment compliance. University of the Free State; 2013.

 10.Burhan E. DR-TB in Persahabatan Hospital. A slide presentation; 2014.

 11.Mission JEM. Joint External Monitoring Mission (JEMM) 2020-Debrief to honourable Minister; 2020.

 12.Kementerian Kesehatan Republik Indonesia. Petunjuk teknis manajemen terpadu pengendalian tuberculosis resistan obat. Jakarta. 2014.

 13.Kaliakbarova G, Pak S, Zhaksylykova N, Raimova G, Temerbekova B,van den Hof S. Psychosocial support improves treatment adherence among MDR-TB patients: experience from East Kazakhstan. The Open Infectious Diseases Journal. 2013; 7: 60-4.

 14.Akhanda W. Management of MDR & XDR TB in Bangladesh. A slide presentation; 2013.

 15.Naimoli J, Frymus DE, Tana W, Franco LMF, Newsome MH. A community health worker “logic model”: towards a theory of enhanced performance in low and middle-income countries. Biomed Central.2014; 12: 56.

 16.H Schneider UL. From community health workers to community health systems: time to widen the horizon?; 2016.

 17.H Ormel MK, S Kane, R Ahmed, K Chikaphupha, S F Rashid, DGemechu LO, M Sidat, S Theobald, M Taegtmeyer and K d Koning. Salaried and voluntary community health workers: exploring how incentives and expectation gaps influence motivation. Human Resources for Health. 2019; 17: 59.

 18.Haq Z, Hafeez A. Knowledge and communication needs assessment of community health workers in a developing country: a qualitative study. Human Resources for Health. 2009; 7: 59.

 19.United States Agency for International Development. Factors impacting the effectiveness of community health worker behavior change2015; 2015.




DOI: http://dx.doi.org/10.21109/kesmas.v16i2.3307

Refbacks

  • There are currently no refbacks.