OPTIMALISASI KUALITAS LINGKUNGAN RUMAH SEHAT PADA KELUARGA PASIEN TUBERKULOSIS
DOI:
https://doi.org/10.36656/jpmph.v6i4.3283Keywords:
tuberculosis, ventilation, humidity, lighting, family empowermentAbstract
Tuberculosis (TB) remains one of the major infectious diseases and continues to be a significant public health concern. TB transmission is influenced not only by individual factors but also by residential environmental conditions, particularly the quality of ventilation, humidity, and lighting. Families of TB patients are at higher risk of exposure due to close and prolonged contact with patients; therefore, empowering families to create a healthy home environment is essential as part of TB prevention efforts. This community service activity aimed to improve the knowledge and awareness of TB patients’ families regarding the optimization of healthy home environmental quality to support TB transmission prevention. The activity was conducted in the working area of Glugur Darat Primary Health Center, Medan Perjuangan District, Medan City, using an approach involving health education, observation of home environmental conditions, and family assistance for TB patients. Evaluation was carried out using pre-test and post-test methods to measure participants’ knowledge improvement regarding the role of ventilation, humidity, and lighting in TB control. The results showed an increase in the average knowledge score from 78.67 before the education session to 96.58 after the intervention, representing an improvement of 17.91 points or 22.77%. This activity demonstrated that environmental health education and family assistance were effective in improving TB patients’ families’ understanding of the importance of implementing a healthy home environment. This program is expected to support family-based TB control efforts and contribute to sustainable improvement in community health quality.
References
Aditama, T. Y., & Subuh, M. (2011). Pedoman nasional pengendalian tuberkulosis. Kementerian Kesehatan Republik Indonesia.
Baker, M., Das, D., Venugopal, K., & Howden-Chapman, P. (2008). Tuberculosis associated with household crowding in a developed country. Journal of Epidemiology and Community Health, 62(8), 715–721. https://doi.org/10.1136/jech.2007.063610
Bates, M. N., Khalakdina, A., Pai, M., Chang, L., Lessa, F., & Smith, K. R. (2007). Risk of tuberculosis from exposure to tobacco smoke: A systematic review and meta-analysis. Archives of Internal Medicine, 167(4), 335–342. https://doi.org/10.1001/archinte.167.4.335
Escombe, A. R., Moore, D. A. J., Gilman, R. H., Navincopa, M., Ticona, E., Mitchell, B., Noakes, C., Martínez, C., Sheen, P., Ramirez, R., Quino, W., Gonzalez, A., Friedland, J. S., & Evans, C. A. (2009). The infectiousness of tuberculosis patients coinfected with HIV. PLoS Medicine, 6(9), e1000104. https://doi.org/10.1371/journal.pmed.1000104
Escombe, A. R., Oeser, C. C., Gilman, R. H., Navincopa, M., Ticona, E., Pan, W., Martínez, C., Chacaltana, J., Rodriguez, R., Moore, D. A. J., Friedland, J. S., & Evans, C. A. (2007). Natural ventilation for the prevention of airborne contagion. PLoS Medicine, 4(2), e68. https://doi.org/10.1371/journal.pmed.0040068
Kementerian Kesehatan Republik Indonesia. (1999). Keputusan Menteri Kesehatan Republik Indonesia Nomor 829/Menkes/SK/VII/1999 tentang Persyaratan Kesehatan Perumahan. Kementerian Kesehatan Republik Indonesia.
Kementerian Kesehatan Republik Indonesia. (2011). Peraturan Menteri Kesehatan Republik Indonesia Nomor 1077/Menkes/Per/V/2011 tentang Pedoman Penyehatan Udara dalam Ruang Rumah. Kementerian Kesehatan Republik Indonesia.
Kurniasih, S., & Widodo, S. (2017). Faktor risiko lingkungan rumah terhadap kejadian tuberkulosis paru. Jurnal Kesehatan Lingkungan Indonesia, 16(1), 1–7.
Lönnroth, K., Jaramillo, E., Williams, B. G., 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
Nuraini, N., & Rahayu, S. (2020). Hubungan kondisi fisik rumah dengan kejadian tuberkulosis paru di wilayah kerja puskesmas. Jurnal Kesehatan Masyarakat, 15(2), 89–96.
Rahayu, S., & Haryoto, P. (2019). Hubungan ventilasi, pencahayaan, kelembapan rumah dengan kejadian tuberkulosis paru. Jurnal Kesehatan Lingkungan, 11(2), 120–128.
Sari, N. P., & Putra, I. W. G. A. E. (2021). Environmental factors associated with pulmonary tuberculosis incidence: A systematic review. International Journal of Public Health Science, 10(3), 530–538.
World Health Organization. (2009). WHO policy on TB infection control in health-care facilities, congregate settings and households. World Health Organization.
World Health Organization. (2025). Global tuberculosis report 2025. World Health Organization.
