Health promoting university programs as a strategy for reducing tuberculosis stigma and enhancing environmental

Authors

  • Arbi Ahmadi Epidemiology, Faculty of Public Health, Universitas Hasanuddin, Makassar, South Sulawesi 90245, Indonesia
  • Irma Idris State Administrative Law, Faculty of Law, Universitas Hasanuddin, Makassar, South Sulawesi 90141, Indonesia
  • Nurmutmainna Tahrim Epidemiology, Faculty of Public Health, Universitas Hasanuddin, Makassar, South Sulawesi 90245, Indonesia
  • Nur Aulia Nisa Epidemiology, Faculty of Public Health, Universitas Hasanuddin, Makassar, South Sulawesi 90245, Indonesia
  • Nahda Fatin Alifah Epidemiology, Faculty of Public Health, Universitas Hasanuddin, Makassar, South Sulawesi 90245, Indonesia

DOI:

https://doi.org/10.61511/ajteoh.v2i2.2025.1438

Keywords:

Tuberculosis, Elimination, Health Promoting University, Young Generation, Stigma and Discrimination

Abstract

Introduction: Tuberculosis (TB or TBC) is a deadly infectious disease that surpasses HIV and malaria as the leading cause of infectious death. Indonesia ranks second in global TB cases. The main challenges in eliminating TB are stigma, social problems and low adherence to treatment due to access to services. The Health Promoting University aims to increase health awareness in universities. This study encourages the participation of the younger generation to voice TB issues in their surroundings and on social media. Method: This research uses a descriptive qualitative method, analyzing secondary data from regulations and literature and a mini survey to measure Indonesian students' understanding of Tuberculosis. Findings: The results of the research show that Indonesia has the second highest TB cases in the world, with vulnerable groups such as students exposed through droplets when sufferers cough or sneeze. Risk factors for students include fatigue from studying, smoking habits, and intense social interactions. WHO data shows that the TB death rate in Indonesia will reach 134,000 in 2022. TB also triggers stigma and discrimination, hindering patients in education and employment. Increasing awareness supported by concrete policies is the main solution in overcoming the spread of TB. Conclusion: Universities in Indonesia have a strategic role in creating a healthy campus environment, in accordance with Law No. 12 of 2012 concerning Higher Education and Regulation of the Minister of Education and Culture No. 3 of 2020. Through the Health Promoting University, universities are expected to integrate health education, such as TB prevention, into campus culture. Novelty/Originality of this article: This program involves various efforts, such as the formation of TB prevention communities, socialization of clean living behavior, routine health checks, and a "Zero Tolerance" policy for health risks. With this approach, campuses contribute to national efforts to eradicate TB, create a healthy learning environment, and increase students' health awareness.

References

Aryani, L., M., Manglapy, Y., Nurmandhani, R., Studi Kesehatan Lingkungan, P., Dian Nuswantoro, U., & Studi Kesehatan Masyarakat, P. (2021). Implikasi Faktor Individu Terhadap Stigma Sosial Tuberkulosis Di Kelurahan Tanjung Mas Semarang Implication Individual Factor Toward Tuberculosis Social Stigma. Jurnal Stikes Yayasan RS Dr. Soetomo, 7(1). http://dx.doi.org/10.29241/jmk.v7i1.605

Aulia, M. (2024). Mengoptimalkan pelayanan kesehatan mental bagi mahasiswa. DetikNews. https://news.detik.com/kolom/d-7678089/mengoptimalkan-pelayanan-kesehatan-mental-bagi-mahasiswa.

Budi, W. S., Raharjo, M., & Nurjazuli, N. (2024). Hubungan Perilaku Masyarakat dengan Kejadian Tuberkulosis di Kecamatan Panekan Kabupaten Magetan. Jurnal Kesehatan Lingkungan Indonesia, 23(3), 268-273. https://doi.org/10.14710/jkli.23.3.267-272

Damayanti, N., Erza, E., Cendekia, R. J.-I. A., & 2020, U. (2020). Edukasi TBC pada Masyarakat dan Kelompok Lansia Di Masa Covid-19 di Kelurahan Sumur Batu, Jakarta. Jurnal Info Abdi Cendekia Universitas Yarsi. https://iac.yarsi.ac.id/index.php/iac/article/view/31

Deliananda, S. S., & Azizah, R. (2022). Faktor Risiko Kejadian Tuberkulosis Paru di Indonesia Tahun 2014-2021: Literature Review. Media Publikasi Promosi Kesehatan Indonesia (MPPKI), 5(9), 1054-1062. https://doi.org/10.56338/mppki.v5i9.2622

Diantara, L.B., Hasyim, H., Septeria, I.P., Sari, D.T., Wahyuni, G.T. and Anliyanita, R., 2022. Tuberkulosis Masalah Kesehatan Dunia: Tinjauan Literatur. Jurnal'Aisyiyah Medika, 7(2). https://doi.org/10.36729/jam.v7i2.855

Hasina, S. N., Rahmawati, A., Faizah, I., Sari, R. Y., & Rohmawati, R. (2023). Hubungan Tingkat Pengetahuan dengan Kepatuhan Minum Obat Anti Tuberkulosis (OAT) pada Pasien Tuberkulosis Paru. Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal, 13(2), 453-462. https://doi.org/10.32583/pskm.v13i2.908

Hasudungan, A., Sri, I., & Wulandari, M. (2020). Hubungan Pengetahuan Penderita TBC Terhadap Stigma Penyakitnya di Wilayah Kerja Puskesmas Parongpong Kecamatan Parongpong Kabupaten Bandung Barat. CHMK Nursing Scientific Journal, 4(1). https://cyber-chmk.net/ojs/index.php/ners/article/view/761

Ministry of Health of the Republic of Indonesia. (2020). Technical Guidelines for Community Support of Drug-Resistant TB Patients. Ministry of Health of the Republic of Indonesia.

Ministry of Health of the Republic of Indonesia. (2024). Achieve TB elimination with the vibrant Indonesian movement to end tuberculosis/gerakan Indonesia akhiri tuberkulosis (GIAT). Ayo Sehat. https://ayosehat.kemkes.go.id/capai-eliminasi-tbc-dengan-semarak-gerakan-indonesia-akhiri-tuberkulosis-giat.

Ministry of Health of the Republic of Indonesia. (2024). Tuberculosis (TBC). https://yankes.kemkes.go.id/view_artikel/1375/tbc.

Ministry of Health of the Republic of Indonesia. (2019). Buku Pedoman Manajemen Kampus Sehat. Direktur Pencegahan dan Pengendalian Penyakit Tidak Menular Jakarta. Ministry of Health of the Republic of Indonesia

Konferensi Nasional TB Care Youth Summit on Public Health (TCYSPH). (2024). Survei Tingkat Pengetahuan Mahasiswa Indonesia Terkait Tuberkulosis (TBC). Fakultas Kesehatan Masyarakat Himpunan Mahasiswa Epidemiologi Universitas Hasanuddin

Kurniawidjadja, L. M., O, S., Martomulyono, S., Susilowati, I. H., KM, S., & KKK, M. (2021). Teori dan aplikasi promosi kesehatan di tempat kerja meningkatkan produktivitas. Universitas Indonesia Publishing.

Kusumastuti, A., & Khoiron, A. M. (2019). Metode penelitian kualitatif. Lembaga Pendidikan Sukarno Pressindo (LPSP).

Marzuki, D. S. & Tahrim, N. (2024) Derajat kesehatan masyarakat. Uwais Inspirasi Indonesia

Metanfanuan, T. (2023). Peranan Pendidikan Agama Kristen Dalam Mengatasi Stres Mahasiswa. J-MACE Jurnal Penelitian, 3(1), 44-60. https://doi.org/10.34124/jmace.v3i1.39

Muslich, M. (2022). Pendidikan karakter: menjawab tantangan krisis multidimensional. Bumi Aksara.

Novita, S., & Elon, Y. (2021). Stigma masyarakat terhadap penderita covid-19. Jurnal Kesehatan, 12(1), 25-33. https://www.academia.edu/download/83740185/2451-9382-1-PB.pdf

Nurjanah, A., Rahmalia, F.Y., Paramesti, H.R., Laily, L.A., PH, F.K.P., Nisa, A.A. and Nugroho, E., (2022). Determinan sosial tuberculosis di Indonesia. Jurnal Penelitian dan Pengembangan Kesehatan Masyarakat Indonesia, 3(1),71-82. https://doi.org/10.15294/jppkmi.v3i1.61083

Pane, J. M., Purba, D. S., Panggabean, D. S., & Triana, M. H. I. (2024). Studi Literatur: Gambaran Pengetahuan Mahasiswa Indonesia Tentang Tuberkulosis. Jurnal Kolaboratif Sains, 7(1), 12-20. https://doi.org/10.24114/jipk.v6i1.57337

Pertana, P, R. (2023). Mahasiswa UMY Meninggal karena TBC, Kampus Lakukan Screening. https://www.detik.com/jateng/jogja/d-6642460/mahasiswa-umy-meninggal-karena-tbc-kampus-lakukan-screening

Pristiandaru, D, L. (2024). Setiap Harinya, 385 Pasien TBC di Indonesia Meninggal Dunia. https://lestari.kompas.com/read/2024/02/21/090000686/setiap-harinya-385-pasien-tbc-di-indonesia-meninggal-dunia

Rambe, S. (2021) Perilaku kesehatan & promosi kesehatan. Available at: https://repository.penerbitwidina.com/media/publications/568084-perilaku-kesehatan-promosi-kesehatan-b87a37f3.pdf.

Ramdani, H. (2012). Strategi Komunikasi Kehumasan Dinas Kesehatan Pemerintah Kota Yogyakarta dalam Mengkampanyekan Program Anti Rokok. Skripsi. Universitas Islam Indonesia. https://dspace.uii.ac.id/bitstream/handle/123456789/36452/07331103%20Hary%20Ramdani.pdf?sequence=1&isAllowed=y

Rosa, N. (2022). Mahasiswa Rentan Terkena Tuberkulosis? Pakar UNS Beri Penjelasan. https://www.detik.com/edu/detikpedia/d-6018285/mahasiswa-rentan-terkena-tuberkulosis-pakar-uns-beri-penjelasan

Sabir, M. (2023). Analisis Faktor Risiko Tingginya kasus Tuberkulosis Paru di Indonesia: Literatur Revieu. Jurnal Kolaboratif Sains, 6(6), 453-468. https://doi.org/10.56338/jks.v6i6.3662

Sa'diah, H., Prabandari, R., & Kaaffah, S. (2023). Gambaran Tingkat Pengetahuan Mahasiswa Non Kesehatan Terhadap Pasien Tuberkulosis Di Universitas X. Jurnal Farmasi IKIFA, 2(2), 69-73. https://epik.ikifa.ac.id/index.php/jfi/article/view/68

Samai, A.M., Yobi, B.E., Sineri, S.C., Kerwayu, D.Y., & Arisjulyanto, D., (2025). Penerapan Health Promoting University Dalam Upaya Pencegahan Tbc Di Lingkungan Kampus Prodi D-Iii Keperawatan Kepulauan Yapen. Jurnal Kesehatan Tropis Indonesia, 3(01). https://journal.larpainstitute.com/index.php/jkti/article/view/61

Shabrina, V. S., Setiawan, O., Hidayat, M. R., Hanif, B., Nisa, P. S., & Robianto, A. D. (2024). Pengaruh Merokok Pada Performa dan Kesehatan Olahragawan Mahasiswa Ilmu Keolahragaan Universitas Negeri Semarang. Jurnal Analis, 3(2), 222-231. https://jurnalilmiah.org/journal/index.php/analis/article/view/918

Silaban, J., ST, S., Harahap, N. S., & Kep, M. (2018). Efikasi Diri dengan Kepatuhan Makan Obat Penderita TBC Paru. Selat Media.

STOP TB Partnership Indonesia (2021) Pedoman sekolah peduli tuberkulosis 2021. https://www.tbindonesia.or.id/wp-content/uploads/2021/07/Pedoman-Sekolah-Peduli-Tuberkulosis-2021.pdf.

World Health Organization (WHO). (2022). Tuberculosis. https://www.who.int/indonesia/news/campaign/tb-day-2022/fact-sheets#:~:text=Fakta-fakta%20utama%20Hingga

World Health Organization (2023) Indonesia in the 2023 Universal Health Coverage Global Monitoring Report. https://www.who.int/indonesia/id/news/detail/16-11-2023-indonesia-in-the-2023-universal-health-coverage-global-monitoring-report

World Health Organization (WHO). (2024). Hari Tuberkulosis Sedunia 2024. https://www.who.int/indonesia/news/events/tb-day/tb-day-2024

Yanti, B., Heriansyah, T., & Riyan, M. (2022). Penyuluhan Dengan Media Audio Visual Dan Metode Ceramah Dapat Meningkatkan Pencegahan Tuberkulosis. Jurnal Ilmu Kesehatan Masyarakat, 18(3), 171-179. https://doi.org/10.19184/ikesma.v18i3.27147

Yudiana, R., Zulmansyah., Garna, H. (2022). Hubungan Jarak Rumah ke Puskesmas dengan Kepatuhan Pengobatan Pasien Tuberkulosis Paru di Puskesmas Patokbeusi Subang. Bandung Conference Series: Medical Science, 2(1), 14-17. https://proceedings.unisba.ac.id/index.php/BCSMS/article/view/172/849

Yunita, L., Rahagia, R., Tambuala, F. H., Musrah, A. S., Sainal, A. A., & Suprapto, S. (2023). Efektif Pengetahuan dan Sikap Masyarakat Dalam Upaya Pencegahan Tuberkulosis. Journal of Health (JoH), 10(2), 186-193. https://doi.org/10.30590/joh.v10n2.619

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Published

2025-01-31

How to Cite

Ahmadi, A., Idris, I., Tahrim, N., Nisa, N. A., & Alifah, N. F. (2025). Health promoting university programs as a strategy for reducing tuberculosis stigma and enhancing environmental. Asian Journal of Toxicology, Environmental, and Occupational Health, 2(2), 98–114. https://doi.org/10.61511/ajteoh.v2i2.2025.1438

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