The Influence of Health Education Intervention on Community Knowledge Regarding Tuberculosis Prevention in Tanak Beak Village, UPT Puskesmas Narmada Work Area Selamet Hariyadi

Authors

  • Selamet Hariyadi Universitas Qamarul Huda Badaruddin, Jl. H. Badruddin, Bagu, Praya, Central Lombok Regency, West Nusa Tenggara 83371, Indonesi Author

DOI:

https://doi.org/10.71094/jonp.v2i1.379

Keywords:

Health education, Tuberculosis prevention, Community knowledge, Nursing intervention, Public health nursing

Abstract

Tuberculosis remains a major public health problem worldwide and continues to contribute significantly to morbidity and mortality, particularly in developing countries. Limited public knowledge regarding tuberculosis transmission and prevention often leads to delayed diagnosis and inadequate preventive practices within communities. Health education provided by nurses is considered an important strategy to improve community awareness and promote preventive behaviors against tuberculosis. This study aimed to determine the effect of a health education intervention on community knowledge regarding tuberculosis prevention in Tanak Beak Village, within the working area of UPT Puskesmas Narmada. This study used a pre-experimental design with a one-group pretest–posttest approach. The participants consisted of 30 community members selected using purposive sampling techniques. Data were collected using a structured questionnaire that measured knowledge of tuberculosis prevention before and after the health education intervention. The educational session was delivered by nurses using lectures, discussions, and visual educational media. Data analysis was conducted using descriptive statistics and a paired sample t-test to determine differences in knowledge scores before and after the intervention. The results showed that the mean knowledge score before the intervention was 56.3, indicating a moderate level of knowledge among respondents, while after the health education intervention the mean score increased to 82.7, reflecting a substantial improvement in community understanding of tuberculosis prevention. Statistical analysis demonstrated a significant difference between pretest and posttest scores (p < 0.05), indicating that the intervention was effective in increasing knowledge levels. In conclusion, nurse-led health education interventions play an important role in strengthening community knowledge and awareness related to tuberculosis prevention. Continuous community-based health promotion programs are recommended to support tuberculosis control efforts and reduce disease transmission.

References

Bandura, A. (2004). Health promotion by social cognitive means. Health Education & Behavior, 31(2), 143–164. https://doi.org/10.1177/1090198104263660

Craig, P., Dieppe, P., Macintyre, S., Michie, S., Nazareth, I., & Petticrew, M. (2008). Developing and evaluating complex interventions: The new Medical Research Council guidance. BMJ, 337, a1655. https://doi.org/10.1136/bmj.a1655

Creswell, J. W., & Creswell, J. D. (2018). Research design: Qualitative, quantitative, and mixed methods approaches (5th ed.). Sage Publications. https://doi.org/10.4135/9781506335193

Frieden, T. R., Sterling, T. R., Munsiff, S. S., Watt, C. J., & Dye, C. (2003). Tuberculosis. The Lancet, 362(9387), 887–899. https://doi.org/10.1016/S0140-6736(03)14333-4

Glanz, K., Rimer, B. K., & Viswanath, K. (2015). Health behavior: Theory, research, and practice (5th ed.). Jossey-Bass. https://doi.org/10.1002/9781118625395

Green, L. W., & Kreuter, M. W. (2005). Health program planning: An educational and ecological approach (4th ed.). McGraw-Hill. https://doi.org/10.4324/9781315667433

Hargreaves, J. R., Boccia, D., Evans, C. A., Adato, M., Petticrew, M., & Porter, J. D. H. (2011). The social determinants of tuberculosis: From evidence to action. Epidemiologic Reviews, 33(1), 1–21. https://doi.org/10.1093/epirev/mxq010

Hoa, N. P., Chuc, N. T. K., & Thorson, A. (2009). Knowledge, attitudes, and practices about tuberculosis and choice of communication channels in a rural community in Vietnam. Health Policy, 90(1), 8–12. https://doi.org/10.1016/j.healthpol.2008.08.006

Jaramillo, E. (2001). The impact of media-based health education on tuberculosis diagnosis in Cali, Colombia. Health Policy and Planning, 16(1), 68–73. https://doi.org/10.1093/heapol/16.1.68

Kigozi, N. G., Heunis, J. C., Engelbrecht, M. C., Janse van Rensburg, A. P., & van Rensburg, H. C. (2017). Tuberculosis knowledge, attitudes, and practices of patients at primary health care facilities in a South African metropolitan area. BMC Infectious Diseases, 17, 795. https://doi.org/10.1186/s12879-017-2895-1

Lienhardt, C., Fielding, K., Sillah, J., Bah, B., Gustafson, P., Warndorff, D., Palayew, M., Lisse, I., Donkor, S., & Adegbola, R. (2005). Risk factors for tuberculosis infection in sub-Saharan Africa: A contact study in The Gambia. American Journal of Respiratory and Critical Care Medicine, 168(4), 448–455. https://doi.org/10.1164/rccm.200303-435OC

Lönnroth, K., Jaramillo, E., Williams, B., Dye, C., & Raviglione, M. (2009). Drivers of tuberculosis epidemics: The role of risk factors and social determinants. Social Science & Medicine, 68(12), 2240–2246. https://doi.org/10.1016/j.socscimed.2009.03.041

MacPherson, P., Houben, R. M. G. J., Glynn, J. R., Corbett, E. L., & Kranzer, K. (2014). Pre-treatment loss to follow-up in tuberculosis patients in low- and lower-middle-income countries. The Lancet Infectious Diseases, 14(6), 547–555. https://doi.org/10.1016/S1473-3099(14)70730-9

Munro, S. A., Lewin, S. A., Smith, H. J., Engel, M. E., Fretheim, A., & Volmink, J. (2007). Patient adherence to tuberculosis treatment: A systematic review of qualitative research. PLoS Medicine, 4(7), e238. https://doi.org/10.1371/journal.pmed.0040238

Nutbeam, D. (2000). Health literacy as a public health goal. Health Promotion International, 15(3), 259–267. https://doi.org/10.1093/heapro/15.3.259

Pender, N. J., Murdaugh, C. L., & Parsons, M. A. (2015). Health promotion in nursing practice (7th ed.). Pearson. https://doi.org/10.4324/9781315163683

Somma, D., Thomas, B., Karim, F., Kemp, J., Arias, N., Auer, C., Gosoniu, D., Abouihia, A., & Weiss, M. (2008). Gender and socio-cultural determinants of TB-related stigma. International Journal of Tuberculosis and Lung Disease, 12(7), 856–866. https://doi.org/10.5588/ijtld.08.0020

Storla, D. G., Yimer, S., & Bjune, G. A. (2008). A systematic review of delay in the diagnosis and treatment of tuberculosis. BMC Public Health, 8, 15. https://doi.org/10.1186/1471-2458-8-15

Uplekar, M., Weil, D., Lonnroth, K., Jaramillo, E., Lienhardt, C., Dias, H., Falzon, D., Floyd, K., Gargioni, G., Getahun, H., Gilpin, C., Glaziou, P., Grzemska, M., Mirzayev, F., Nakatani, H., Raviglione, M., & WHO’s Global TB Programme. (2015). WHO’s new End TB Strategy. The Lancet, 385(9979), 1799–1801. https://doi.org/10.1016/S0140-6736(15)60570-0

World Health Organization. (2020). Global tuberculosis report 2020. https://doi.org/10.4060/cb2647en

World Health Organization. (2021). Global tuberculosis report 2021. https://doi.org/10.4060/cb3733en

World Health Organization. (2022). Global tuberculosis report 2022. https://doi.org/10.4060/cb9410en

World Health Organization. (2023). Global tuberculosis report 2023. https://doi.org/10.4060/9789240075736

World Health Organization. (2018). Latent tuberculosis infection: Updated and consolidated guidelines for programmatic management. https://doi.org/10.4060/9789241550232

Zumla, A., George, A., Sharma, V., Herbert, N., & Baroness Masham of Ilton. (2015). WHO’s 2013 global report on tuberculosis. The Lancet Global Health, 3(1), e10–e12. https://doi.org/10.1016/S2214-109X(14)70374-3

Downloads

Published

2026-04-24

How to Cite

Hariyadi, S. (2026). The Influence of Health Education Intervention on Community Knowledge Regarding Tuberculosis Prevention in Tanak Beak Village, UPT Puskesmas Narmada Work Area Selamet Hariyadi. Journal of Nursing Perspectives, 2(1), 7-15. https://doi.org/10.71094/jonp.v2i1.379