because they worry of being identified as TB patient.
Health education can reduce the ignorance that may
lead to social stigma,24 despite unclear evidence of
stigmatization in Jakarta population.
Belonging health saving was not an important social
determinant, but having health insurance, Askes in
particular, may determine level of knowledge of
TB and perception about TB. A high proportion of
uninsured household is a potential problem. People
much more rely on out-of-pocket spending for their
health care, whereas majority of uninsured people
does not prepare health savings. A widening coverage
of social health insurance may stimulate people
to utilize health care service,25,26 so that provides
positive impacts on TB knowledge and perception.
In conclusion, people in urban area of Jakarta
have good level of knowledge about TB, but it
does not necessarily lead to proper perception
of TB. Age, education level and having health
insurance determined level of knowledge, while
TB perceptions were determined much more by
education level and family income. TB control
program should consider these determinants prior
to developing a comprehensive strategy. In addition
to deploying proper and sufficient information,
promoting health saving and reducing financial
constraints, such as providing social insurance, will
be a critical strategy.