HOME VISIT BY COMMUNITY HEALTH WORKERS TO IMPROVE DETECTION OF NEW CASES OF TUBERCULOSIS

Joko Sapto Pramono; Edi Purwanto; Asnah Asnah

Joko Sapto Pramono Doctoral Program Faculty of Public Health, Hasanuddin University, Makassar, Indonesia
Edi Purwanto Department of Nursing, Health Polytechnic East Borneo, Samarinda, Indonesia
Asnah Asnah Department of Nursing, Health Polytechnic East Borneo, Samarinda, Indonesia

Abstract

Abstract
One of the problems in controlling tuberculosis is the delay in diagnosis, this is at risk of increasing the possibility of transmission in the household and community. Community-based Active Case Finding (ACF) is an effective method for detecting new cases of tuberculosis by empowering Community Health Workers (CHWs). The purpose of this study is analyze the relationship between home visit with detection of new cases tuberculosis among household contacts by CHWs. The design of this study was cross-sectional descriptive survey, using a quantitative approach, carried out from July to September 2021 at 26 Public Health Centers in Samarinda. The research sample were 304 CHWs using purposive sampling. Bivariate analysis test using chi square showed a significant relationship between home visits and detection of new cases of tuberculosis in household contacts (p-value = 0.000) and OR = 3.685 (95% CI). ACF by CHWs through home visits is very effective in finding new cases tuberculosis of household contacts. It is necessary to increase CHWs participation, improve coordination among CHWs and Health Center Personnel, certified training and adequate facilities.
Keywords: Home visit, active case finding, tuberculosis, Community Health Workers (CHWs)