Knowledge, Attitudes, And Home Conditions Among Tuberculosis Patients at Kamonji Public Health Center, Palu, Indonesia
Keywords:
Tuberculosis, Knowledge, Attitude, Home environmental conditions, VentilationAbstract
Background: Tuberculosis remains a major public health problem in Indonesia. Beyond clinical management, community knowledge, attitudes, and household physical conditions are important entry points for prevention because transmission often occurs in close indoor settings. This study described the knowledge, attitudes, and physical home environment of tuberculosis patients in the working area of Kamonji Public Health Center.
Methods: This quantitative descriptive study was conducted in June 2024 in the working area of Kamonji Public Health Center, Palu Barat District. The study population consisted of 110 tuberculosis patients, and 52 respondents were included based on Slovin's sample size calculation with a 10% margin of error. Data were collected using a questionnaire for knowledge and attitudes, and an observation checklist for home lighting, ventilation, and humidity. Data were analyzed descriptively using frequencies and percentages.
Results: Most respondents were aged 19-40 years (40.4%), male (67.3%), and worked as private employees (38.5%). Good knowledge was found in 39 respondents (75.0%), while 37 respondents (71.2%) had a positive attitude. Regarding home physical conditions, 35 houses (67.3%) met lighting standards, 30 houses (57.7%) met ventilation standards, and 33 houses (63.5%) met humidity standards. The largest environmental gap was ventilation, with 22 houses (42.3%) failing to meet the standard.
Conclusion: Most tuberculosis patients in the Kamonji Public Health Center area had good knowledge and positive attitudes, and most houses met the observed physical environmental standards. However, inadequate ventilation remained common and should be prioritized in home-based environmental health counseling, routine home visits, and community tuberculosis prevention activities.
References
Abu-Humaidan, A. H. A., Tarazi, A., Hamadneh, S., Awwad, S., Al-Zyoud, W., Alnasser, F., … Alzoubi, K. H. (2022). Knowledge, attitudes, and practices toward tuberculosis among Jordanian university students. Frontiers in Public Health, 10, 1055037. https://doi.org/10.3389/fpubh.2022.1055037
Akhmalnihar, Fahdhienie, F., & Azwar, E. (2024). Faktor risiko kualitas lingkungan fisik rumah dengan kejadian tuberkulosis di wilayah kerja Puskesmas Ingin Jaya Kabupaten Aceh Besar tahun 2023. J-KESMAS: Jurnal Kesehatan Masyarakat, 10(1), 79–92. https://doi.org/10.35329/jkesmas.v10i1.5067
Amelia, A. R., Agustina, N., Azmiyannoor, M., & Rifaldi, M. (2023). Asosiasi lingkungan fisik rumah sebagai faktor risiko kejadian TB paru di Indonesia. Jurnal Kesehatan Tambusai, 4(3), 2314–2322. https://doi.org/10.31004/jkt.v4i3.15481
Derny, A., Murwanto, B., & Helmy, H. (2023). Hubungan kondisi lingkungan fisik rumah dengan kejadian tuberkulosis paru di wilayah kerja Puskesmas Bukit Kemuning tahun 2022. Ruwa Jurai: Jurnal Kesehatan Lingkungan, 17(1), 24–30. https://doi.org/10.26630/rj.v17i1.3766
Du, G., Li, C., Liu, Y., Tu, F., Yang, R., Li, R., & Lu, W. (2022). Study on the influencing factors of knowledge, attitudes and practice about tuberculosis among freshmen in Jiangsu, China: A cross-sectional study. Infection and Drug Resistance, 15, 1235–1245. https://doi.org/10.2147/IDR.S351541
Essar, M. Y., Tahir, M. J., Zafari, P., Sanaullah, A., Kamal, M. A., Hashimi, A., … Nemat, A. (2022). Knowledge, attitude, and practices toward tuberculosis among hospital outpatients in Kabul, Afghanistan. Frontiers in Public Health, 10, 933005. https://doi.org/10.3389/fpubh.2022.933005
Fahdhienie, F., Husna, C. A., Kurniawan, D., & Zulfikar, T. (2024). Risk factors of pulmonary tuberculosis in Indonesia: A case-control study in a high disease prevalence region. Narra J, 4(2), e943. https://doi.org/10.52225/narra.v4i2.943
Hasan, M., Nurmaladewi, N., & Saktiansyah, L. O. A. (2023). Pengaruh lingkungan fisik rumah dan perilaku terhadap kejadian tuberkulosis paru BTA positif: Sebuah studi kasus kontrol. IKESMA, 19(1), 39–47. https://doi.org/10.19184/ikesma.v19i1.30255
Holden, K. A., Abrams, E. M., Agache, I., & Davis, M. F. (2023). The impact of poor housing and indoor air quality on respiratory health in children. Breathe, 19(2), 230058. https://doi.org/10.1183/20734735.0058-2023
Kandasamy, G., Jerah, A. A., Alosaimi, D., Alsowayigh, R., & Alghamdi, A. (2024). Knowledge, attitude and practice towards tuberculosis among healthcare and non-healthcare students at a public university in Saudi Arabia. Frontiers in Public Health, 12, 1348975. https://doi.org/10.3389/fpubh.2024.1348975
Kazaura, M., & Kamazima, S. R. (2021). Knowledge, attitude and practices on tuberculosis infection prevention and associated factors among rural and urban adults in northeast Tanzania: A cross sectional study. PLOS Global Public Health, 1(12), e0000104. https://doi.org/10.1371/journal.pgph.0000104
Kementerian Kesehatan Republik Indonesia. (2022). Laporan Program Penanggulangan Tuberkulosis Tahun 2021. Jakarta. Retrieved from https://tbindonesia.or.id/pustaka_tbc/laporan-tahunan-program-tbc-2021/
Kementerian Kesehatan Republik Indonesia. (2023). Peraturan Menteri Kesehatan Republik Indonesia Nomor 2 Tahun 2023 tentang Peraturan Pelaksanaan Peraturan Pemerintah Nomor 66 Tahun 2014 tentang Kesehatan Lingkungan. Retrieved June 19, 2026, from https://peraturan.bpk.go.id/Details/245563/permenkes-no-2-
Kementerian Kesehatan Republik Indonesia. (2025). Indonesia’s movement to end TB. Retrieved from https://kemkes.go.id/eng/indonesias-movement-to-end-tb
Kementerian Kesehatan Republik Indonesia and World Health Organization Indonesia. (2025). Laporan Hasil Studi Inventori Tuberkulosis Indonesia 2023--2024. Retrieved from https://www.who.int/indonesia/id/publications/m/item/laporan-hasil-studi-inventori-tb-indonesia-2023-2024
Lee, J.-Y., Kwon, N., Goo, G.-Y., & Cho, S.-I. (2022). Inadequate housing and pulmonary tuberculosis: a systematic review. BMC Public Health, 22(1), 622. https://doi.org/10.1186/s12889-022-12879-6
Lygizos, M., Shenoi, S. V., Brooks, R. P., Bhushan, A., Brust, J. C. M., Zelterman, D., … Friedland, G. H. (2013). Natural ventilation reduces high TB transmission risk in traditional homes in rural KwaZulu-Natal, South Africa. BMC Infectious Diseases, 13(1), 300. https://doi.org/10.1186/1471-2334-13-300
Nardell, E. A. (2016). Indoor environmental control of tuberculosis and other airborne infections. Indoor Air, 26(1), 79–87. https://doi.org/10.1111/INA.12232
Osibona, O., Solomon, B. D., & Fecht, D. (2021). Lighting in the home and health: A systematic review. International Journal of Environmental Research and Public Health, 18(2), 609. https://doi.org/10.3390/ijerph18020609
Pitaloka, D. A. E., Jati, S. P., Nisa, A. A. K., Ningrum, V., & Seweng, A. (2023). Development and validation of assessment instrument for the perception and attitude toward tuberculosis among the general population in Indonesia: A Rasch analysis of psychometric properties. Frontiers in Public Health, 11, 1143120. https://doi.org/10.3389/fpubh.2023.1143120
Puspitasari, I. M., Sinuraya, R. K., Aminudin, A. N., Kamilah, R. R., Taufik, R. R., & Abdulah, R. (2022). Knowledge, attitudes, and preventative behavior toward tuberculosis in university students in Indonesia. Infection and Drug Resistance, 15, 4721–4733. https://doi.org/10.2147/IDR.S365852
Rianto, S., Sari, D. P., Pitaloka, D. A. E., & Jati, S. P. (2024). Development and validation of a structured questionnaire for assessing risk factors of medication non-adherence among pulmonary tuberculosis patients in Indonesia. Frontiers in Pharmacology, 14, 1257353. https://doi.org/10.3389/fphar.2023.1257353
Sari, M. L. N., Fikri, A., Murwanto, B., & Yushananta, P. (2022). Analisis Faktor Lingkungan Fisik Dan Kejadian Tuberkulosis Di Wilayah Kerja Puskesmas Kedaton Kota Bandar Lampung. Ruwa Jurai Jurnal Kesehatan Lingkungan, 16(3), 152. https://doi.org/10.26630/rj.v16i3.3629
Wimalasena, N. N., Chang-Richards, A., Wang, K. I.-K., & Dirks, K. (2021). Housing risk factors associated with respiratory disease: A systematic review. International Journal of Environmental Research and Public Health, 18(6), 2815. https://doi.org/10.3390/ijerph18062815
World Health Organization. (2023). WHO Operational Handbook on Tuberculosis. Module 1 : Prevention - Infection Prevention and Control. Retrieved June 19, 2026, from World Health Organization website: https://www.who.int/publications/i/item/9789240078154
World Health Organization. (2025). Global tuberculosis report 2025. Geneva. Retrieved from https://www.who.int/teams/global-programme-on-tuberculosis-and-lung-health/tb-reports/global-tuberculosis-report-2025
Zhang, Z., Xie, H., Li, W., Xie, J., Hao, X., Song, R., & others. (2024). Knowledge, attitude, and practice toward tuberculosis prevention and management among household contacts in Suzhou Hospital, Jiangsu province, China. Frontiers in Public Health, 12, 1249971. https://doi.org/10.3389/fpubh.2024.1249971
Published
How to Cite
Issue
Section
Copyright (c) 2026 Maryam Maryam, Rini Yulianti

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.


