Analisis Sikap dan Partisipasi Masyarakat dalam Pelaksanaan Program Penemuan Kasus TB Berbasis Komunitas

La Ode Asrianto; Murti  Cendiani; Karlina Karlina; Asrin Asrin

Authors

La Ode Asrianto Prodi Kesehatan Masyarakat, Sekolah Tinggi Ilmu Kesehatan (STIKES) IST Buton Author
Murti Cendiani Prodi Kesehatan Masyarakat, Sekolah Tinggi Ilmu Kesehatan (STIKES) IST Buton Author
Karlina Karlina Prodi Kesehatan Masyarakat, Sekolah Tinggi Ilmu Kesehatan (STIKES) IST Buton Author
Asrin Asrin Prodi Kesehatan Masyarakat, Sekolah Tinggi Ilmu Kesehatan (STIKES) IST Buton Author

Keywords:

Community-Based TB Case , Finding, Community Participation, Social Attitudes, Tuberculosis Control

Abstract

Tuberculosis (TB) remains a major public health challenge, and low community participation continues to hinder the effectiveness of community-based case finding programs. This study aimed to analyze community attitudes and participation in the implementation of the Community-Based TB Case Finding program in Kecamatan Murhum, Kota Baubau, with particular attention to social and psychosocial determinants. A mixed methods approach with a sequential explanatory design was employed. The quantitative phase involved a cross-sectional survey of 300 adult community members selected through multistage cluster sampling, and data were analyzed using descriptive statistics, bivariate tests, and multivariate logistic regression with cluster adjustment. The qualitative phase consisted of in-depth interviews with community members, health cadres, and local leaders to further explain the quantitative findings. The results indicate that community participation was generally moderate, with higher involvement in TB education and screening activities compared to contact tracing and referral support. Multivariate analysis identified perceived benefits of TB screening, trust in health cadres and services, and low TB-related stigma as the main predictors of good community participation after controlling for demographic and socioeconomic factors. Qualitative findings revealed that low participation was strongly influenced by fear of social stigma, concerns about economic consequences following TB diagnosis, and negative past experiences with health services. Conversely, high participation was observed in communities with active and trusted health cadres, persuasive risk communication, and strong involvement of respected community leaders. In conclusion, the success of Community-Based TB Case Finding depends not only on technical aspects and service availability but also on social dimensions such as attitudes, trust, and community engagement. Strengthening socially driven strategies is essential to enhance participation and support sustainable TB control efforts at the community level

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