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Factors affecting tuberculosis cadres’ motivation in the detection of tuberculosis cases in Kediri City, Indonesia

机译:影响结核病干部在印度尼西亚克迪里市结核病病例检测中的动机的因素

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Background and purpose: Tuberculosis (TB) is an infectious disease caused by Mycobacterium tuberculosis (MTB). The high incidence of TB acquires the active role of TB cadres in TB case finding. Motivation is an important factor that support the performance of TB cadres. This study aims to explore factors that affect the motivation of TB cadres case detection rate of TB. Methods: This was an observational analytic study with cross sectional study design, conducted in Kediri City. A total sampling technique was applied with a total of 59 TB cadres in the working area of Sukorame Public Health Center, in Kediri City. TB cadres filled in a questionnaire containing questions about sociodemographic, attitudes, knowledge, and motivation with a total of 39 questions. Data were analyzed with univariate descriptive statistics, bivariate test by Fisher and Chi Square tests and followed by multivariate analysis using logistic regression. Results: Of the 59 cadres, 37 (67.2%) have a good motivation on TB case findings. The results of multivariate analysis showed that there were four independent variables which have a significant association with the motivation of TB cadres, including age, education, jobs and incentive. Cadres who are 41-60 years have better motivation compared to 25-40 years (OR=31.49; 95%CI: 2.373-417.907; p=0.009), cadres who have higher education (university/college) have better motivation (OR=36.957; 95%CI: 2.389-571.805; p=0.010). While those who not getting incentives (OR=0.100; 95%CI: 0.013-0.758; p=0.026) and having a job (OR=0.120; 95%CI: 0.021-0.670; p=0.016) were less likely to have a good motivation. Conclusion: Motivation of TB cadres in Kediri City is influenced by intrinsic factors (age, education and employment) and extrinsic factor (incentive). Providing appropriate incentive will significantly boost cadre motivation and relevant stakeholders should consider making this strategy sustainable.
机译:背景和目的:结核病(TB)是由结核分枝杆菌(MTB)引起的传染病。 TB的高发病率获得TB干部在结核病案例中的活跃作用。动机是支持TB干部表现的重要因素。本研究旨在探讨影响TB TB CADRES案例检测率的动机的因素。方法:这是在Kediri City进行的横断面研究设计的观察分析研究。在Kediri City的Sukorame Public Health Centre的工作区共有59泰铢干部,共有59泰铢干部。 TB干部填写了一个关于社会渗目,态度,知识和动机的问题的问卷,共有39个问题。通过单变量描述性统计数据,通过Fisher和Chi Square测试进行分析数据,并使用Logistic回归进行多变量分析。结果:59名干部,37名(67.2%)对TB案例调查结果具有良好的动机。多变量分析结果表明,有四个独立的变量与TB干部的动机有重大关联,包括年龄,教育,工作和奖励。 41-60岁的干部具有更好的动机,而25-40岁(或= 31.49; 95%CI:2.373-417.907; P = 0.009),具有高等教育(大学/学院)的干部具有更好的动力(或= 36.957; 95%CI:2.389-571.805; p = 0.010)。虽然那些没有获得激励的人(或= 0.100; 95%CI:0.013-0.758; p = 0.026)并具有作业(或= 0.120; 95%CI:0.021-0.670; P = 0.016)不太可能有一个良好的动力。结论:基德里市TB干部的动机受内在因素(年龄,教育和就业)和外在因素(激励)的影响。提供适当的激励会显着提高干部动机,相关利益攸关方应考虑使这一战略可持续。

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