Universal Journal of Public Health Vol. 14(2), pp. 315 - 324
DOI: 10.13189/ujph.2026.140212
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Comparative Effectiveness of Multimedia- and Leaflet-Based Community Education on Preventive Behaviors against Multidrug-Resistant Tuberculosis in Coastal Southeast Sulawesi, Indonesia

Tasnim Tasnim ^1,*, La Ode Saafi ², Ridia Utami Kasih ², Lodes Hadju ², Firmansyah ², I Wayan Angga Radiastu ², Juliatin ^2
1 Department of Public Health, Health Institute of Deli Husada Deli Tua, Indonesia
² Department of Public Health, Mandala Waluya University, Indonesia

ABSTRACT

Multidrug-resistant tuberculosis (MDR-TB) remains a major public health challenge in Indonesia, particularly in coastal areas with limited access to health information and services. Conventional leaflet-based education often fails to produce sustainable behavioral change in low-literacy populations. This study compared the effectiveness of multimedia-assisted and leaflet-based focus group discussions (FGDs) in improving knowledge, attitudes, and preventive behaviors toward MDR-TB among coastal residents of Southeast Sulawesi. A community-based quasi-experimental pre–post study was conducted among 106 participants in Abeli Subdistrict, Kendari City, Indonesia. Participants were divided equally into two groups: (1) FGD with multimedia support (PowerPoint and educational videos) and (2) FGD with printed leaflets. Pre- and post-intervention assessments of knowledge, attitudes, and preventive behaviors were conducted using a structured questionnaire. Data were analyzed using Wilcoxon Signed Rank and Mann–Whitney U tests with a significance level of p < 0.05. The study showed that both intervention groups showed significant improvements in knowledge, attitudes, and preventive behaviors after the FGDs (p<0.001). However, participants in the multimedia-assisted group achieved significantly higher gains across all outcome domains than those in the leaflet group (knowledge: p=0.031; attitudes: p=0.033; preventive behaviors: p=0.001). Multimedia integration increased engagement and comprehension, particularly among participants with lower educational backgrounds. In conclusion, multimedia-assisted FGDs are more effective than leaflet-based discussions in enhancing MDR-TB preventive behaviors in low-resource coastal settings. Integrating participatory and multimedia-supported education into community health programs may strengthen TB prevention, improve health equity, and promote sustainable behavioral change.

KEYWORDS
Multidrug-Resistant Tuberculosis, Multimedia, Leaflet, Focus Group Discussion, Behavior, Public Health

Cite This Paper in IEEE or APA Citation Styles
(a). IEEE Format:
[1] Tasnim Tasnim , La Ode Saafi , Ridia Utami Kasih , Lodes Hadju , Firmansyah , I Wayan Angga Radiastu , Juliatin , "Comparative Effectiveness of Multimedia- and Leaflet-Based Community Education on Preventive Behaviors against Multidrug-Resistant Tuberculosis in Coastal Southeast Sulawesi, Indonesia," Universal Journal of Public Health, Vol. 14, No. 2, pp. 315 - 324, 2026. DOI: 10.13189/ujph.2026.140212.

(b). APA Format:
Tasnim Tasnim , La Ode Saafi , Ridia Utami Kasih , Lodes Hadju , Firmansyah , I Wayan Angga Radiastu , Juliatin (2026). Comparative Effectiveness of Multimedia- and Leaflet-Based Community Education on Preventive Behaviors against Multidrug-Resistant Tuberculosis in Coastal Southeast Sulawesi, Indonesia. Universal Journal of Public Health, 14(2), 315 - 324. DOI: 10.13189/ujph.2026.140212.