Relations beetwen Social Capital and Tuberculosis Case Detection Rate Achievement of Health Care Centre in Karanganyar Regency

· Lung Infection

Reviono, Suradi, Mulyono Adji, Endang Sutisna Sulaeman
Departemen Pulmonologi dan Ilmu Kedokteran Respirasi Fakultas Kedokteran Universitas Sebelas Maret

Background: Karanganyar regency never reached the national target of tuberculosis case detection rate (CDR) of 70%. Social capital is social ties and strength of individuals in the community to achieve common goals. The objective is to find out the role of social capital to the CDR in Karanganyar regency.
Methods: Analytic epidemiology was done with mixed quantitative-qualitative and cross-sectional. Quantitative data taken with the Guttman’s attitude scale enclosed questionnaire through disproportionate stratified random sampling of the total population in 21 Puskesmas. Qualitative data collected through purposive theoritical sampling and in-depth interview. The sources of qualitative data are patients, cadres, community leaders, law enforcement officers, and TB programme staff of Puskesmas. The independent variable is social capital and the dependent variable is CDR in Puskesmas in 2011.
Results: There were 130 cadres and 30 TB programmers. Quantitative samples at 7 Puskesmas who has below national CDR target and 3 Puskesmas who has reached the target. Qualitative samples at Puskesmas Mojogedang I and Mojogedang village of a group reached the target and Puskesmas Karanganyar with Jantiharjo village of a group below target. The correlation test of cadres group has p=0.004 and r=0.811 for mutual aid and helping others, (p=0.022 and r=0.708) for deliberation and consensus, and p=0.005 and r=-0.809 for the association. Attend the meetings of a TB programmers group (p=0.006 and r=0.792). The standard coefficient of beta (p=0.811) for mutual aid and helping others for cadres group and p=0.792 to attend the meetings as well for habits a TB programmers group.
Conclusions: There was positive correlation between the mutual aid – helping others for cadres group, deliberation- consensus for cadres group and TB progammers group between attending meetings with CDR achievement. (J Respir Indo. 2015; 35: 28-38)
Keywords: Case Detection Rate, health care centre, Social Capital, tuberculosis.

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