1Department of Health Education and Behavioral Sciences, University of Sumatera Utara, Medan, 20155, Indonesia
2Department of Population and Biostatistics, University of Sumatera Utara, Medan, 20155, Indonesia
3Department of Epidemiology, Faculty of Public Health, University of Sumatera Utara, Medan, 20155, Indonesia
It is estimated that around one third of the world's population has been infected by Mycobacterium tuberculosis, about 95% of TB case and 98% of death from TB in the world occur in various developing countries. The Incidence Rate (IR) of TB in North Sumatera Province is 501/100.000. Moreover, the Prevalence of TB in Medan has been increasing for three consecutive years. In Strategy 5 of TB Prevention Strategy Plan, it is acclaimed the importance of the community's role in promoting, case discovering, and TB treatment support, as well as community empowerment through TB integration in family and communitybased health effort. To achieve it, the role of cadre as social capital is very essential in developing TB Care community, through mentoring from TB Care community in Higher Education as a Health Departement partnership in TB control. For this reason, a study is performed to discover the behavior of cadres after receiving training. The research method is Quasi-Experiment pre-test post-test group design. The population of the study is all health cadres in Helvetia sub-district of Helvetia Community Health Center and Sukaramai Village I of Medan Area Community Health Center of 15 cadres. The training is conducted at the Medan Area Community Health Center, the training methods are lecture, discussion, and role playing (simulation). The analysis or normally distributed data is performed through T test and for the abnormally distributed data, using the non-parametric statistics Wilcoxon signed Rank Test. The result shows that the majority respondents are above 40 years old, with high school diploma, and entrepreneurs, these characteristics will affect their activity as cadres. There is a significant relationship between knowledge before and after cadre training (p < 0.05). The mean value at the pre-test was 40.87 and after being given training, it increased to 50.67, thus the training methods of lecture, discussion, role playing can increase cadre knowledge in prevention, finding, and control of TB and TB RO. There is a significant relationship between attitudes before and after cadre training (p = 0.05). It can be concluded that cadres as potential social capital are used as the development of the TB Care community which will coordinate with the TB Care PT community, in order to improve case finding in the context of TOOS TB.
Cadre behavior, TB case finding, cadre empowerment, TB Care Community
