Bulletin of Stomatology and Maxillofacial Surgery
ISSN 1829-006X
2025; 482–495
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DEVELOPMENT OF A HOME CONTACT TUBERCULOSIS CASE-FINDING MODEL BASED ON SCREENING WITH RAPID MOLECULAR TESTS (TCM) AT THE OESAPA COMMUNITY HEALTH CENTRE IN KUPANG CITY

Pius Weraman*, Muntasir, Lewi Jutomo, Deviarbi Tira, Anastasia Keraf

Lecturer Faculty of Public Health, Nusa Cendana University, Kupang, Indonesia · Student of Faculty of Public Health, Nusa Cendana University, Kupang, Indonesia

Received: 2026-04-08 · Published: 2025-09-20

© 2025 The Author(s) and the original publisher.

CC BY-NC 4.0 This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
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Original title
DEVELOPMENT OF A HOME CONTACT TUBERCULOSIS CASE-FINDING MODEL BASED ON SCREENING WITH RAPID MOLECULAR TESTS (TCM) AT THE OESAPA COMMUNITY HEALTH CENTRE IN KUPANG CITY
Authors
Pius Weraman, Muntasir, Lewi Jutomo, Deviarbi Tira, Anastasia Keraf
Source journal
Bulletin of Stomatology and Maxillofacial Surgery
Published
2025-09-20
Licence
Creative Commons Attribution-NonCommercial 4.0 International
Original
https://doi.org/10.58240/1829006X-2025.21.8-482

Abstract

Background:Data from the East Nusa Tenggara (NTT) Central Bureau of Statistics in 2023 recorded 9,535 confirmed cases of pulmonary tuberculosis (TB), showing a significant increase compared to 4,798 cases in the previous year. Kupang City contributed the highest number of TB cases in NTT, with 1,253 cases. Objectives:To develop a screening model based on Molecular Rapid Tests for early detection and treatment of TB and to identify factors influencing its distribution in the working area of Puskesmas Oesapa in 2024. Materials and Methods:A cross-sectional study was conducted with 150 randomly selected samples, using inclusion and exclusion criteria. Data analysis included the Spearman rank test for bivariate analysis and Logistic Regression for multivariate analysis. Results:Bivariate analysis showed no significant association between TB and gender, age, education, occupation, knowledge, residential density, information availability, pregnancy risk factors, treatment dropout, or elderly risk factors. Significant associations were found with sputum disposal behaviour (p=0.026; r=0.182), smoking behaviour (p=0.000; r=0.331), exercise habits (p=0.034; r=-0.173), cough (p=0.000; r=0.585), shortness of breath (p=0.000; r=0.630), weight loss (p=0.000; r=0.655), appetite loss (p=0.000; r=0.674), fever (p=0.000; r=0.693), night sweats without physical activity (p=0.000; r=0.624), and history of diabetes mellitus (p=0.007; r=0.219). Multivariate analysis indicated that smoking (p=0.017; Exp(B)=4.469; 95% CI=1.311–15.236) and fever (p=0.028; Exp(B)=8.259; 95% CI=1.263–54.033) were significant predictors of positive TCM TB results. Conclusion:Smoking behaviour and fever were identified as significant predictors of positive TB cases. There is a need for community socialisation programs to promote healthy lifestyles and preventive measures to reduce TB transmission.
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