Background: Tuberculosis (TB) was a chronic infection disease with the number
of cases in 2003 were 9.5 million. Half of million people died of TB in the world
in 2009. Indonesia was in the fifth rank of TB sufferers in the world (Kemenkes
RI, 2011). The problem faced in TB the treatment of pediatric TB were diagnosis
problem, medical treatment, prevention, and TB on HIV infection. An efforts to
improve medical adherence was by improving knowledge of patients or their care
givers (families). Community Based Interactive Approach (CBIA) has been
reported to be an effective approach in this regard.
Aims: This research aimed to analyze the effectiveness of CBIA method towards
the increase of patient family’s knowledge and adherence of pediatric TB.
Research methods: This research was quasi experimental research of control
group design with pre test and post test. In this research subjects were family of
pediatric TB patients in Maos Public Health Center at the time of data collection,
got OAT (Anti Tuberculosis Drug) and registered on December 2013- March
2014. This research subjects were divided into two group, 28 respondents got
CBIA intervention whereas 30 respondents served as control group who only
received information through leafleats. Measurement was done through three
steps: pre-test, post-test 1(2 weeks post CBIA intervention), post-test 2 (4 weeks
post CBIA intervention). In this research, measurement of knowledge was done
by questionnaire and adherence was determined through Morisky Scale and pill
count. The research analysis was carried out through simple paired and Mc Nemar
test.
Result: The implementation of intervention CBIA method could significantly
increase knowledge of the respondents (P<0,05). Adherence of pediatric TB
medical treatment was improved significantly for the experimental group, and did
not affect to the control group.
Conclusion: Training on CBIA method for patient’s family who accompained
pediatric TB patients could improve knowledge and adherence towards medical
treatment.