Increasing Knowledge, Attitudes and Skills in Early Detection of TBC through

Empowering Young Mosque organization in West Nusa Tenggara

ABSTRACT
Tuberculosis is a health problem that has long faced the global community. Indonesia
is ranked the second country with the highest burden of tuberculosis in the world. The
findings of the Case Detection Rate (CDR) in 2017 were only 53% Case Notification Rate
(CNR) with an increase of at least 5% per year, which has not been fulfilled in West Nusa
Tenggara (NTB) Province. The high incidence of TB is the number of TB cases that are not
well reported, the limited ability of officers in the field, the control of tuberculosis with the
Case Detection Rate (CDR) program with community-based Active Case Finding (ACF)
through community training and advocacy activities are still lacking. The purpose of this
study was to determine the effect of empowering mosque youth on increasing knowledge. (no
numerical but verbal words). The Wilcoxon statistical test results found that there were
significant differences in the level of knowledge, attitudes, and skills between the group of
mosque adolescents who were given intervention with the control group of mosque
adolescents in the early recognition of tuberculosis in Kediri District, West Lombok Regency.
It is hoped that the research results can be carried out in collaboration with the Health Office
and the Ministry of Religion by guiding for mosque youth to be able to carry out Clean and
Healthy Living Behaviors (PHBS) so that they can prevent transmission of tuberculosis in the
family and the community.

Key words: empowerment, youth mosque, tuberculosis, increasing, transmission.

BACKGROUND

The control of tuberculosis using the Case Detection Rate (CDR) program with

community-based Active Case Finding (ACF) through community training and advocacy

activities is still lacking. Community-based TB Care Groups through training activities for

community leaders that have been implemented have begun to be abandoned due to the

limitations of community groups willing to volunteer to be involved in the prevention and

control of tuberculosis as well as limited funding sources from the local government even

though these efforts are very effective and efficient for early detection of TB disease. Political

commitment and leadership are the primary keys to eliminating tuberculosis through cross-

sectoral cooperation and community empowerment in efforts to prevent,

1
 Community groups are the principal capital in helping various government programs,

including the TB case-control program and other government programs related to health. The

research results (Eva Yanti, 2016) state that community groups can strengthen TB control

programs and are one of the local wisdom that must be empowered with their potential. By

recruiting individuals from different communities or groups can be a tremendous influence on

health in the community; by getting training and support from empowerment programs, these

groups are finally able to carry out voluntary activities in their respective environments.

(Woodall, South and Warwick-booth, 2010).

One form of multisectoral cooperation is Empowerment. It is a process of building

interaction networks to increase all communities' capacity, support sustainable development,

and develop the quality of life of the community. Research conducted by (Lewin et al.,

2005) states that social health workers or community groups in health programs give

maximum results. Research-driven by (Hidayati 2015), mentioning the support of health

agencies, educational institutions, social community organizations, and health workers, can

increase knowledge and reduce stigma and prevent TB disease. This achievement requires

intensive action to control and ultimately eliminate TB disease (Prateek and Saurabh, 2012).

The Empowerment of mosque youth is a tangible form of community participation

that will significantly influence sustainable development in the health sector. The support of

mosque youth organizations and the community will be beneficial and very capable in

implementing development programs. A systematic planning process seeks to empower

individuals with the understanding, motivation, and skills as well as active involvement in

community affairs to improve their quality of life (Peltzer et al., 2002).

There are several reasons why mosque youth are essential to be empowered in

sustainable development efforts, including in health development, such as the human

resources in mosque youth organizations which are almost all included in the demographic

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bonus category, well-managed organizational management, vision, and mission of the

organization: clear, realistic and weighted corporate programs, effective leadership and

dynamic executive administrators.

Involving mosque youth in planning and coordinating with health services can

maximize the participation of mosque youth to increase TB sufferers' coverage of findings.

The characteristics of an Islamic community and the existence of mosques and Islamic

boarding schools that will significantly support the role of youth mosques, better

organizational management,

This research was conducted to maximize the potential of mosque youth as one of

the groups that exist in the community to support government programs in efforts to eliminate

tuberculosis; it is essential to conduct an intervention study on mosque youth groups to

increase knowledge, change attitudes and improve the skills of mosque youth in early

recognition of tuberculosis.

RESEARCH METHODS

This research was conducted in two stages where. The first stage was the preparation

of a guidebook for the early recognition of tuberculosis. The second stage provides

intervention to the intervention group of mosque youth for 3 (three) days using a manual for

early recognition of tuberculosis for mosque adolescents and the control group for mosque

adolescents using flipcharts about tuberculosis from the Community Health Centre

(Puskesmas). This type of research is the Community Trial which uses pre-test and post-test

with control group design.

Research sample

as many as 140 people per group (intervention group and control group).

Table 4.2
Characteristics Frequency Distribution by Age, Gender and Respondents' Education

3
 Characteristics of Interventio Control
Respondents n Group Group
No Respondent
f % f %
. age
1 12-14 years 16 11.4 18 12.9
2 15-17 years 45 32.1 49 35
3 18-21 years 79 56.4 73 52.1
amount 140 100 140 100
No
Gender f % f %
.
1 Man 51 36.4 63 45
2 Women 89 63.6 77 55
amount 140 100 140 100
No
Education f % f %
.
1 SMP / MTs 21 15 30 21.4
SMA / MA /
2 96 68.6 89 63.6
SMK
3 PT 23 16.4 21 15
amount 140 100 140 100

Based on Table 4.2 above, it can be seen that the distribution of the largest respondent

age group is at the age of 18-21 years, both in the intervention group as many as 79 people

(56.4%), and in the control group as many as 73 people (52.1%),

Most of the sexes were female as many as 89 people (63.6%), and 77 people (55%) in the

intervention group and control group, while the most education levels in the intervention

group and control group were in high school education, each group of 96 people (68, 6%),

and 89 people (63.6%).

Picture 1
Comparison of Increasing Knowledge of Mosque Adolescents in Early Recognition of
Tuberculosis in Kediri District, West Lombok Regency

4
 Based on the intervention group's results in the intervention group and the control group

on increasing knowledge of mosque adolescents in Kediri District, West Lombok Regency,

both affected increasing ability about early recognition of tuberculosis.

This study indicates that there is a significant difference in the level of knowledge of

mosque adolescents who are given better intervention than the control group in the West

Lombok district (p = 0.000). Suppose it is seen from the magnitude of the influence. In that

case, it is found that the group of mosque adolescents who get intervention has increased

knowledge to 2.06% compared to the control group of the mosque youth group of 0.92%.

Advanced proficiency in the intervention group was higher than in the control group. This

was influenced by the provision of intervention to mosque youth using a guidebook where the

manual contained material about tuberculosis's signs and symptoms and how to prevent it.

Knowledge is a critical domain in shaping a person's behavior, including acting

(Notoatmodjo, 2007a). Based on experience and research results, conduct based on

knowledge will be more lasting than behavior that is not based on knowledge (Notoatmodjo,

2007a). Research (Mohamady and Said 2017) about the influence of the application of HBM

on knowledge and practice regarding premarital counseling on women at the Benha Arab

University shown There was a very significant positive correlation which was statistically

effective in increasing knowledge in both groups before and after two months of prenuptial

counseling.

5
 This study's results are in line with the results of research conducted by (Mohamady

and said 2017) implemented in Nigeria Health education intervention programs are effective

in increasing knowledge, attitudes, and skills in the health sector. Likewise, the results of

research conducted by (Zhi-Juan, Yue, and Shu-Mei, 2014) in Shanghai, China which

undertakes a community-based education program for injury prevention, provides a

significant improvement. The results of this study are by the results of research conducted by

(Suwandono 2017). Likewise, the research results in the city of Depok on the cadre group

showed an increase in knowledge of 11.2% after being given training (Eva Yanti, 2016).

Figure 2
Comparison of Increasing Knowledge of Mosque Adolescents in Early Recognition of
Tuberculosis in Kediri District, West Lombok Regency

This study proves that the intervention group and the control group can change the attitude of

mosque adolescents towards early recognition of tuberculosis. This change in perspective can

be seen from the increase in the average score before and after counseling. The results of

statistical tests showed a significant difference in the attitude of mosque adolescents who were

given better intervention than mosque adolescents in the control group (p = 0.000). When

viewed from the influence's magnitude, it was found that the mosque youth group received

6
increased attitude intervention every month. The increase in attitudes in the first month was

7.7% and 11.2% in the second month, and 12.24% in the third month; this was influenced by

the motivation of the mosque youth at the time of counseling, because information about

health, especially the infectious disease tuberculosis, was the first time they got. Based on

researchers' observations when giving counseling to the group of mosque youths, they were

very enthusiastic in actively discussing the causes of tuberculosis and how to prevent

transmission. The study results are in line with the results of research by (Tork and Al Hosis,

2015) conducted on young women in Saudi Arabia, shows that the reproductive health

education program increases 40.4% knowledge of adolescent girls about reproductive health.

Attitudes are defined as certain regularities in terms of feelings (affection) of thought

(cognition) and predisposition of actions (Konami) of a person to some aspect of their

environment (Ross et al., 2011). The definition of attitude can be translated into mental and

neural conditions obtained from experience, which directly and dynamically influence

individual responses to all objects and situations related to Allport (1935) (Dewi and Wawan

A, 2010).

Social interaction through relationships between individuals and others affects the

formation of attitudes; peers or groups can be essential and can affect everyday life. Peers or

groups tend to have conformist attitudes or are in line with perspectives that are considered

crucial. In middle adolescence (middle adolescence), groups become significant and

meaningful role models for adolescents because they are used as sources of information that

are considered correct.

Empowerment of mosque youth based on the HBM approach for early recognition

of tuberculosis can support tuberculosis eradication programs in the community. Health Belief

Model (HBM) has been used extensively to assess health-related beliefs regarding protective

behavior. Because this model is a cognitive model that seeks to identify patterns of health

7
behavior. The research results (Amani, 2018) in Iran on self-efficacy education based on the

Health Belief Model (HBM) in Iranian patients with type-2 diabetes found that through

tailored self-efficacy education, the quality of life and metabolic profile of diabetic patients

can be improved.

This model can be adapted to counseling behavior if a person views complications as a

condition that must be avoided. The Health Belief Model (HBM) consists of four primary

constructs. First, the perception of vulnerability to realize and believe that they are exposed to

risks. Second, the perception of severity: to understand and accept that this disease is a severe

public health problem and can cause serious complications. Third, perceived barriers: to

identify physical, psychological, or financial obstacles, which can hinder healthy behavior so

that the person can overcome them to assume healthy behaviors. Fourth, perceived benefit:

refers to insight into the constructive consequences caused by a particular action. Besides,

The words of the Prophet sallallaahu'alaihi Wasallam: "The best human being is the

most beneficial for humans"(Mundziri, 2003). To motivate mosque youth to support health

promotion programs. The emotional closeness of mosque youth in the community is a

strength in the community to support healthy behavior programs and provide health education

about tuberculosis to family members and in the community.

Figure 3

8
Comparison of Increasing Knowledge of Mosque Adolescents in Early Recognition of
Tuberculosis in Kediri District, West Lombok Regency

The results of this study indicate that there is

There is a significant difference in the skills of the group of mosque adolescents who are

given better intervention with the control group of mosque adolescents in Kediri District,

West Lombok Regency (p = 0.000). The mosque youth group's average skill before the

intervention was 4.72%, while the average gift of the mosque youth group after the

intervention was 5.99%, an increase of 1.27%. The group of mosque adolescents who were

given the intervention had increased skills 1.27% better than the control group, which was

only 0.49% in early recognition of tuberculosis in Kediri District, West Lombok Regency.

The results of this study are in line with the survey results (Bisallah et al., 2018); that

is, there is an increase in skills after being given the intervention for three months. Research

conducted at Tigray has shown positive results in increasing knowledge, attitudes, and skills

in meeting reproductive needs (Prata et al., 2013). Teens in adolescent-friendly activities join

in a small group to discuss issues surrounding the health of growth and development.

Research result for three months conducted on high school teenagers in Tehran, Iran, yields

that pubertal health education programs can reduce anxiety in adolescent girls (Mokari,

Khaleghparast, and Samani, 2016). The research results (Liautaud et al., 2018) that officers'

9
mentoring makes social service workers feel empowered to improve their skills.

Skills in early recognition of tuberculosis in mosque adolescents should be given earlier

so that mosque youth can recognize that tuberculosis is an infectious disease that can be

treated to make decisions about what to do in assisting officers in preventing tuberculosis

transmission.

Table 4.3
The Results of the Third Post-Test Difference in the Intervention Group and the Control Group in
Kediri District, West Lombok Regency
No Youth N Aver p
. Variable
group age
1 Knowledge Intervention
140
group 7.81 0.000
Control
140
group 6.62
2 Attitude Intervention
140
group 49.78 0.000
Control
140
group 41.59
3 Skills Intervention
140
group 7.41 0.000
Control
140
group 6.47

Based on the results of the research, the results of the third post-test difference in the

intervention group and the control group on mosque adolescents in the early recognition of

Tuberculosis in Kediri District, West Lombok Regency, the average score of knowledge of the

group of mosque adolescents who were given intervention was 7.81%. In comparison, the

control group, The mosque youth, had an average score of 6.62%. The results of

EmpowermentEmpowerment influenced the difference in scores in the intervention group

because the intervention group received counseling for 3 (three) days and received a

guidebook as a guide in early recognition of tuberculosis. The increase in the knowledge of

the mosque youth group that was given was also supported by most mosque teenagers who

were 18-21 years old, and the sex of mosque teenagers was primarily women. Where women

aged 18-21 years are more diligent and thorough in completing work, this increase in

10
knowledge is also influenced by changes in terms of readiness to change, which is a change

that occurs when there is an innovation or new program, so what happens is that some people

quickly experience changes in behavior. This is because everyone has a different willingness

to change (Notoatmodjo, 2007a).

The results showed that the change in the attitude of the mosque adolescents in the

intervention group, the average score for the perspective of the mosque youth group who were

given the intervention was 49.78%. In comparison, the control group for the mosque youth

had an average score of 41.59%. Judging from the magnitude of the influence, it is known

that the mosque adolescents who were given the intervention had a 49% better attitude than

the control group mosque adolescents in the early recognition of tuberculosis.

In accordance with the results of research conducted in Nigeria through community

empowerment (Balogun et al., 2015), increasing the knowledge, attitudes, and skills of the

trained community increases the average knowledge score to 16% (P <0.001) and the average

attitude score to 7, 0% (P <0.001) However, there was no statistically significant difference in

practice mean scores.

Another research conducted by (Kuswenda 2017) In eight big cities in Indonesia,

qualitative research that explores people's attitudes towards reproductive health education

states that reproductive health education is still not in accordance with reality because

reproductive health education for high school children is only limited to the biological field,

giving rise to an exaggerated attitude.

Attitude is defined as a pattern of behavior, tendency or anticipatory readiness,

predisposition to adaptation to social situations, or simply, attitudes are responses to

conditioned social stimuli (Dewi and Wawan A, 2010). Furthermore, the authors argue that

attitudes can be formed throughout individual development. The formation of attitudes that

exist in a person can be influenced by factors that come from the individual's own internal

11
about how the individual accepts whether something from outside can be accepted or not. The

next factor is external factors, namely factors that become a stimulus to change attitudes. This

statement can be interpreted that a person's attitude can be changed by providing an incentive.

Providing inspiration through youth empowerment can offer fundamental changes to changes

in adolescent attitudes to want to change their personality for the better.

The mosque youth group has a habit in the community's social life, which is to help

each other in activities that exist in the community. Mosque youths have a unique position in

the middle of a society to carry out social movements of the community sincerely and

sincerely in working differently from adolescents in general. The mosque youth bears the

name of the mosque; holy place, place of worship, house of Allah. The role of youth mosques

in society is expected to maintain the image of the mosque; they are expected to be role

models for adolescents or other communities and participate in solving various problems that

exist in society.

Early recognition of tuberculosis by empowering mosque youth in its implementation

is to invite and involve mosque youths' participation, which begins with the socialization and

advocacy of early recognition of tuberculosis to mosque administrators and mosque youth

administrators, counseling to mosque adolescents in the early recognition of tuberculosis.

Empowerment of mosque adolescents through early recognition of tuberculosis in mosque

adolescents to improve transmission prevention and increase the finding of new suspected

tuberculosis sufferers.

Mosque youth as a group what exists in the community is that social capital can be

developed creativity in the health sector as partner officers in preventing the transmission of

infectious diseases. By the research results (Sulaeman and Setyowati, 2016), social capital can

increase 27.7% care, cooperation, and communication based on shared values.

12
 The involvement of mosque youth in the early recognition of tuberculosis is a vital

partner because mosque youth have deep concern and commitment in supporting government

programs and are expected not only to be able to do religious da'wah but also to preach in the

health sector and to support the prevention of transmission—tuberculosis in the family and in

the community.

Mosque youth is social capital as a resource for individuals and groups in a social

structure to facilitate cooperation. By the opinion (Putnam, 1995) as social capital facilitates

collaboration for common interests and gets benefits through membership in social networks

in society.

The results of the Empowerment of mosque adolescents in the early recognition of

tuberculosis in Kediri District, West Lombok Regency, have been able to increase the findings

of suspected tuberculosis sufferers. After the intervention in empowering mosque youth, there

was an increase in suspect findings by 1.74%. The 1.74% increase in the conclusions of

suspects of TB sufferers due to the intervention of empowering mosque adolescents in Kediri

Subdistrict, West Lombok Regency is because the mosque teenagers are at most 18-21 years

old with a total of 96 people (68%) because the middle and late adolescence period has the

characteristics of Characteristics, namely getting interested in intellectuality and career. By

the opinion(Hariastuti 2012) states that behavior changes due to interactions with other

people; this interaction can occur because the role of the peer group is very dominant, behaves

the same, and has the same language and signs.

Furthermore, the existence of mosque youth as members of a religious community

motivates them to be of benefit to society as Allah says from the holy book Al-Qur "a Surah

At-Taubat verse 18: It means:" Only the ones who prosper the Mosques of Allah are the

people who have faith in Allah and in the next day and continue to pray, pay zakat and are not

afraid (of anyone) other than Allah, then they are the people who are expected to be among

13
those who receive guidance. " As well as the words of Rasulullah SAW, "The best human

being is the most beneficial for humans" (Mundziri, 2003). These two guidelines are what

encourage mosque youth to be able to support government programs.

According to the concept Health Belief Model that, the perception of vulnerability to

realize and believe that they are exposed to risks encourages mosque youth to understand and

accept that this disease is a severe public health problem, so that mosque youth have behavior

to take action (Conner, M., Norman, 2005). Furthermore, it will affect the attitude of mosque

adolescents to care more about health, especially regarding infectious diseases, so that it will

impact the skills of mosque youth in early recognition of signs and symptoms of tuberculosis.

In accordance with the President's Nawacita program for the elimination of TB

disease, the role of the community in the program is essential, with cross-sectoral

collaboration and involving community participation in preventing the transmission of

tuberculosis a must (UNESCO, 2015). Thus the community empowerment program in

preventing the transmission of TB disease is the chosen program to make it happen.

Comparison of the Findings of Suspects between the Intervention Group and the
Control Group for Adolescent Mosques in Kediri District, West Lombok Regency

Based on the research findings of suspected tuberculosis patients in Kediri Subdistrict,

West Lombok Regency, the Intervention group increased every week, and the highest was in

14
the second month, namely 21 people. The finding of suspicion by the mosque youth group in

the intervention group was higher than the control group, influenced by the increase in

knowledge of the mosque youth. Namely, there was an increase in knowledge of 2.46 in the

second month after being given counseling. In accordance with the results of research

conducted by(Balogun et al., 2015), increasing the knowledge, attitudes, and skills of the

trained community increased the average knowledge score to 16% (P <0.001) and the average

attitude score to 7.0% (P <0.001).

The mosque youth, who are primarily women, are 77 people aged 18-21 years. In

accordance with the theory presented by Albert Bandura in the book(Priyoto, 2014)that is, a

change in one's behavior occurs because of other people. Especially in adolescence, behavior

changes due to the influence of others. The concept of behavior change is because the

attitudes of young women are more active than young men.

Attitude is a reaction or response that is still closed from someone to an object

stimulus. Attitudes have three main components, namely belief (belief), ideas and concepts

about an object, emotional life or evaluation of things, the tendency to act. These three

components together form a complete attitude (total attitude); the determination of a whole

attitude requires knowledge, thoughts, beliefs, and emotions to play an important role.

Attitude can be a real action that can be influenced by culture (Culture). Normal behavior,

habits, values , and provision of resources in society will produce a pattern of life called

culture. The expected behavior is one aspect of culture, and furthermore, culture has a

profound influence on attitudes (WHO, 2013). The mosque youth group has a habit in the

social life of the community, which is to help each other in activities that exist in the

community. Mosque youths have a unique position in the middle of a society to carry out

social movements of the community sincerely and sincerely in working differently from

adolescents in general. The youth of the mosque bears the name of the mosque; holy place,

15
place of worship, house of Allah. The role of mosque youth in society is expected to be able

to maintain the image of the mosque; they are expected to be role models for adolescents or

other communities and participate in solving various problems that exist in society

(Riswansyah, 2017).

In accordance with the research results (Sofni, Dewi, and Novayelinda, 2015)

conducted in Riau that Gadis adolescents have a more possessive attitude (32.6%) than male

adolescents (10.95%), adolescent girls are also more active (31.4%) than boys (16.3%).

Early recognition of infectious diseases, especially tuberculosis in mosque

adolescents, is significant because, so far, mosque adolescents seem to be more introverted

and rarely interact with teenagers in general. By getting information about health, especially

tuberculosis, contagious disease, will add insight and make it easier for mosque youth to

interact with other teenagers and members of the community.

The limitations of health workers and special health cadres for tuberculosis in

preventive efforts as a positive TBA CBA program are still not optimal. Control of

tuberculosis with the Case Detection Rate (CDR) program with Active Case Finding (ACF),

which has been implemented by community social organizations involving the community,

from Active Case Finding (ACF) to medication swallowing assistance (PMO), can increase

the findings of patients with positive AFB. Community groups who have been trained in this

program cannot be implemented in a sustainable manner because of the limited costs involved

in implementing the program and not optimal evaluation and monitoring so that the program

cannot run sustainably.

Comparison of Positive BTA Findings between the Intervention Group and the Control
Group for Young Mosque in Kediri District, West Lombok Regency

16
The results of the Wilcoxon statistical test in the study found that for each variable, the p-

value was obtained for knowledge (p = 0,000), attitude (p = 0,000), and skills (p = 0,000) with

ά = 0.05 (p <ά) that There is a significant difference in the level of knowledge, attitudes, and

skills of mosque adolescents who are given better EmpowermentEmpowerment than the

control group in Kediri District, West Lombok Regency (p <0.05). Increasing the knowledge,

attitudes, and skills of mosque youth after being given the intervention resulted in higher

positive BTA findings in the group of mosque adolescents who were given the intervention,

namely 23 people. This is influenced by an increase in knowledge of 2.68% after being given

intervention and a change in the attitude of 12.24% and 2,

In accordance with research results (Rahmawati and Fidrotin Azizah, 2016)shows that

providing training to cadres is effective in increasing knowledge about pulmonary TB disease.

Likewise, with the research results (Bisallah et al., 2018), after being given intervention for

three months in the group of people living with HIV about TB disease at the Minna Nigeria

General Hospital, there was an increase in skills in recognizing TB disease. As well as an

increase in the case detection rate (CDR) in Bojonegoro reaching 100%, an increase from the

CDR in the previous year which was only 60%. And research conducted at Tigray Ethiopia on

Community Based Reproductive Health Agents (CBRHA) shows positive results in

17
increasing knowledge, attitudes, and skills in fulfilling health access and services ( et al.,

2013).

Comparison of the “Effectiveness Rate” of Positive BTA Findings on Suspect between

the Intervention Group and the Control Group for Teenagers in a Mosque in Kediri
District, West Lombok Regency

Based on the results of the intervention on mosque adolescents on the Effectiveness

Rate, the suspected findings were better in the intervention group than in the control group,

namely 13.9%. In accordance with the results of EmpowermentEmpowerment of mosque

youth and Handbook guidebook as a guideline for mosque youth in selecting patients so that

the Effectiveness Rate of BTA is positive for suspected findings in accordance with the

standard, namely 5-15%. This is influenced by the knowledge of mosque adolescents, where

there is an increase in knowledge after being given intervention and changes in attitudes and

increased skills so that the group of mosque youth who were given intervention was more

selective in recognizing the signs and symptoms of tuberculosis.

Most of the mosque youth education is high school, which is 96 people (68.6%)

according to their opinion (Notoatmodjo, 2007b), that education affects a person's level of

knowledge, the higher the level of education, the higher the level of knowledge. Education is

one indicator of adolescent success in carrying out daily life. Knowledge is a critical domain

in shaping a person's behavior, including acting(Notoatmodjo, 2007b). Based on experience

and research results, conduct based on knowledge will be more lasting than behavior that is

not based on knowledge.

18
 In accordance with the results of research conducted by (Mohamady and said

2017)implemented in Nigeria, Health education intervention programs are effective in

increasing knowledge, attitudes, and skills in the health sector. Likewise, the results of

research conducted by ((Mohamady and said 2017) in Shanghai, China, which implemented a

community-based education program for injury prevention, provided a significant increase.

The average age of mosque adolescents in the intervention group was 18-21 years,

with the most number of 79 people (56.4%), which greatly influenced the level of

understanding of mosque adolescents in early recognition of tuberculosis. Years because at the

age of the middle and late adolescence period has the characteristics of starting to be

interested in intellectuality and career. The most prominent development that occurs during

adolescence is the achievement of independence and identity (thinking is increasingly logical,

abstract, and idealistic). In accordance with the research results(Mohamady and said 2017),

After being given education, adolescents in Aceh stated that behavior changes due to

interactions with other people could occur because the role of the peer group was very

dominant, behaved the same and had the same language and signs.

A mosque youth group is a place for teenagers to interact with their age groups, and it

is essential to be given information about health. The Masjid Youth organization aims to

convey da'wah to members of the youth of the mosque and to the community where the

mosque youth lives(Mohamady and says 2017).

Comparison of the Findings of TB Suspects in Each Village in the Intervention Group

and the Control Group for Young Mosque in Kediri District, West Lombok Regency

19
 Based on the results of research for three months of intervention in mosque

adolescents, the findings of tuberculosis suspects in each village were higher in the group of

mosque adolescents who were given the intervention, namely in Kediri Selatan Village as

many as 70 people and in the control group, there were six people.

The discovery of suspected tuberculosis in Kediri Selatan Village, both by the

intervention mosque youth group and the control mosque youth group, was influenced by

environmental conditions in Kediri Selatan Village. It has an area of 2.92 Km² and a

population of 10,436 people. The results of the researcher's observations during the study of

the condition of the houses in the village of South Kediri, which were dense and the needs of

the homes were damp, and the requirements of the house ventilation were not suitable. This is

in accordance with the results of research in North Lampung conducted by(Sumarmi and

Duarsa, 2014). There is a significant relationship between the incidence of positive smear

pulmonary TB with the physical condition of the house. And the results of research in

Banjarmasin conducted by (Sinaga, Heriyani, & Khatimah, 2018) stated that the effect of

home ventilation affects the incidence of tuberculosis as well as poor ventilation conditions so

that the lighting in the house is not good. In accordance with the results of research in the city

of Palembang, the results were that the lighting and humidity of the house were related to the

incidence of tuberculosis(Budi et al., 2018).

20
 Furthermore, the results of interviews during the research implementation, the

researchers obtained information that the youth of the mosque and the community in Kediri

Selatan Village had not all received counseling on Clean and Healthy Living Behaviors

(PHBS) so that it affects the behavior of teenagers in mosques and society in health.

Limitations:

The knowledge of mosque youth is not the same.

I am frequently getting information during the intervention on mosque adolescents both in the

intervention group and the control group (Contamination effect).

The existence of the influence of intensive supervision in the intervention group will affect

the results of the study (Hawthorn Effect).

Selection of respondents that have an impact on the empowerment results of mosque youth

The research questionnaire uses specific and standardized (less flexible) questions.

It is providing material in the Empowerment of mosque youth so that it affects the

understanding ability of mosque youth.

CONCLUSIONS AND SUGGESTIONS

Early recognition of TB disease by involving mosque youth in preventing TB disease

spread in families and communities must be part of involving the community in supporting

TB disease prevention programs. The application of HBM theory helps explain how the

understanding of mosque youth about benefits, barriers, and self-threats affects the

participation of mosque youth in community participation in the health sector. Self-efficacy is

a supporting factor for the involvement of mosque youth in taking action.

The potential of mosque youth as a group in the community is essential to be able to support

health workers in efforts to combat infectious diseases.

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Involving existing groups in the community in the health sector is one of the efforts to support

the community to be able to implement a clean and healthy life.

5.2 SUGGESTIONS

Training (ToT) is needed to provide material in empowering mosque youth in each

village in Kediri District, West Lombok Regency. Can work with the Ministry of Religion to

be able to add a mosque youth development program together with the Puskesmas and Takmir

Masjid in each of the Kediri sub-districts, West Lombok Regency. It is hoped that the results

of this research on the EmpowermentEmpowerment of mosque youth will open opportunities

for other researchers to develop similar research with broader research targets so that it can be

applied as a whole and can be applied in other areas in Indonesia.

ACKNOWLEDGMENT

The author's thanks go to Ni Ketut Metri, Denny Megantoro, Radi Halqi, Sahroji,

Mujiburrahman for their contribution to the preparation of this research.

Source of research funding from the LPDP

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