The Association of Family Characteristics and Local Support (Servant Leadership) in TB Case Finding Among People Living with HIV AIDS in East Nusa Tenggara, Indonesia


Imelda F.E. Manurung1), Chatarina Umbul Wahyuni2), Erni Astutik2)

 

1) Faculty of Public Health, Universitas Nusa Cendana

2) Department of Epidemiology, Biostatistics, Population Studies, and Health Promotion, Faculty of Public Health, Universitas Airlangga

                                                                      

ABSTRACT

Background: HIV still becomes major global public health problem in the world. People living with HIV AIDS can suffer opportunistic infection, for example Tuberculosis. The role of family and local support is important to prevent opportunistic infection. The study aimed to determine the association between family characteristics and local support (servant leadership) to find TB case in People Living with HIV AIDS.

Subjects and Method: We used a case control study design. This study was conducted in Kupang city, East Nusa Tenggara on July 2020. The sample size was 100 people consisting of 50 cases and 50 control. Cases were selected by total sampling and Control were selected by random sampling. We measured family characteristics and local support or servant leadership (altruistic calling, emotional healing, wisdom, persuasive or motivation). Data was analyzed by multivariate logistics regression.

Results: The study subjects who did not work had 4.76 times odds of having a higher perception of local support for altruistic calling domain (aOR= 4.76; 95% CI= 1.09 to 20.91; p= 0.039). The study subjects who did not work (aOR= 4.64; 95% CI= 1.07 to 20.03; p= 0.040), worked as entrepreneurs (aOR= 4.69; 95% CI= 1.17 to 18.82; p= 0.029), had a junior high school education (aOR= 6.41; 95% CI= 1.33 to 30.94, p= 0.021), had a senior high school education (aOR= 3.47; 95% CI= 1.16 to 10.41; p= 0.0260) had higher local support for emotional healing domain. The unemployed study subjects had 5.04 times odds of having higher perceptions of local support for persuasive or motivation domain (aOR= 5.04; 95% CI= 1.07 to 23.64; p= 0.041).

Conclusion: Family characteristics have significant relationship with perceptions of local support. The government needs to seek the role of family and local support in preventing opportunistic tuberculosis infection in people living with HIV AIDS.

Keywords: Family, Local support, Servant leadership, HIV AIDS, Tuberculosis, PLWHA

Correspondence: Chatarina Umbul Wahyuni. Department of Epidemiology, Biostatistics, Population Studies, and Health Promotion, Faculty of Public Health, Universitas Airlangga. Email: chatrin03@yahoo.com. Mobile: +6281803298525.

DOI :https://doi.org/10.26911/the7thicph-FP.02.18

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