Care For Endemic Tuberculosis (CAFEKU): Facility Of Tuberculosis Rehabilitation (An Eudaimonic Approach)

Abstract

The global high prevalence of Tuberculosis must be a concern, especially in Indonesia. The cases of Tuberculosis in Indonesia increase, but the Case Notification Rate (CNR) during 2011 to 2014 was stagnant due to the lack of public knowledge about tuberculosis. The behavioral changes of people with tuberculosis include depression as the result of long-term medication consumption, increased distance within family relationships and friendship, as well as difficulty in socialization due to the effect of the high disease transmission risk. As the consequences, people with tuberculosis experience low self-esteem resulting in the demotivation for consuming medicines and the decreased role both within the family and the community. The author initiates an idea to use an eudaimonic approach: Cafeku (Care for Endemic Tuberculosis) for tuberculosis patients. The rehabilitation means to exert influence through the mechanism of the search for meaning of life, individual behavior and social adjustment. The result of the eudaimonic approach can be a positive feeling, which can affect negatively to stress that occurs in people with tuberculosis. Stress and ANS-HPA have an inversely relationship. As the stress decreases, ANS and HPA increase, which supports the immune system in the body of patients with tuberculosis. The establishment of CAFEKU requires the active role of the health professionals in hospitals as well as in Government’s policy.