Relationship Environmental Sanitation With the Incident of Pulmonary Tuberculosisin Public Health Center Sikakap Mentawai Islands

Abstract

Background:The achievement of countermeasures for tuberculosis treatment in Mentawai Islands District is still very low. This can be seen from the cure rate for new smear positive cases in 2016, which has not reached the target of 84.44%. While the data shows that of the 10 existing Puskesmas in Mentawai Islands District, the highest incidence of pulmonary Tuberculosis in Sikakap Health Center is 51 people. This study aims to determine the relationship between environmental sanitation with the incidence of pulmonary TB in Sikakap Health Center Mentawai Islands District in 2018. Methodology:This type of research is descriptive with a cross sectional study method. The population was all patients who visited the Sikakap Health Center who were examined by doctors the last 3 months (January to March 2018) totaling 315 people. A sample of 42 people was taken by simple random sampling method. Data collection was carried out through interviews using interview guidelines in the form of a questionnaire. Data analysis was univariate and bivariate using chi-square test. Results:Based on the results of the study found 59.5% of respondents experienced pulmonary Tuberculosis, 64.3% of respondents had environmental sanitation that did not meet the requirements. Statistically obtained the relationship between environmental sanitation with the incidence of pulmonary TB in Sikakap Public Health Center in Mentawai Islands District in 2018 (p = 0,024). Conclusion:Thereisasignificantcorrelationbetweenenvironmental sanitation with the incidence of pulmonary Tuberculosis. It is expected that health workers through the holder of the Pulmonary TB program to better screen patients who drop out of medication and improve counseling about prevention of pulmonary Tuberculosis.

The relationship between the physical home environment and the event of tuberculosis

“…Tuberculosis is closely related to the home environment. Home sanitation significantly affects mycobacterium tuberculosis bacteria [15]. These bacteria can survive up to 1-2 hours and even days to weeks depending on the presence or absence of sunlight, ventilation, the density of occupants of the house, temperature, and floor [16].…”