Situasi Tuberkulosis di Empat Kabupaten Kota di Pulau Sumatera dan Banten
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Abstract
Situational and costing analysis of TB burden in district level is rarely conducted eventhough its importancesin planning, budgeting, costing and evaluating TB care services. Study conducted in Tangerang District,Tanggamus District, Metro City and Dumai City with mixed method approach. Quantitative data collection usedsecondary data to current situation and cost of TB programme. Meanwhile qualitative data collection throughround table discussion with stakeholders. TB incidence and success rate of medication were highest in TanggamusDistrict. Metro City had the highest incidence and cure rate. The highest TB costing were allocated in TangerangDistrict, Rp. 6.737.303.630,-. Within all regions, costing washighly allocated for drug. Problems in TB controlwere unstandardized TB care, underestimated data, lack of case finding, limited man power for TB programme,lack of CSR contribution, lack of promotive and preventive activity, bad stigma, difficulty in monitoring and evaluationand cantack survey, and specific issues among low income and worker population. TB control among thesefour regions were not optimized, the we recommend to developing the policy in district level as an umbrella tostrengthen the budget and cross-sectoralcollaboration.
References
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2. Pusdatin, Tuberkulosis: Temukan Obati Sampai Sembuh. 2016: Jakarta.
3. Collins, D., et al., Costs faced by multi-drug resistant tuberculosis patients during diagnosis and treatment. Report from a pilot study in Ethiopia. Cambridge, MA, USA: TB CARE I–Management Sciences for Health, 2013.
4. Subdit TB, Pembiayaan AIDS, TB dan Malaria (ATM) Menyongsong BPJS 2014. Warta Tuberkulosis Indonesia, 2013. 23(April): p. 1.
5. USAID. TB Care I Costing Tools. . 2018 [cited 2018; Available from: https://www.challengetb.org/publications/tools/costing/TB_CARE_I_Costing_Tools.pdf.
6. Shargie, E.B., O. Mørkve, and B. Lindtjørn, Tuberculosis case-finding through a village outreach programme in a rural setting in southern Ethiopia: community randomized trial. Bulletin of the World Health Organization, 2006. 84: p. 112-119.
7. Muniyandi, M., et al., Socio-economic dimensions of tuberculosis control: review of studies over two decades from Tuberculosis Research Center. Journal of Communicable Diseases, 2006. 38(3): p. 204.
8. Muniyandi, M. and R. Ramachandran, Socioeconomic inequalities of tuberculosis in India. Expert opinion on pharmacotherapy, 2008. 9(10): p. 1623-1628.
9. Boccia, D., et al., The association between household socioeconomic position and prevalent tuberculosis in Zambia: a case-control study. PloS one, 2011. 6(6): p. e20824.
10. Abebe, Y., et al., HIV prevalence in 72 000 urban and rural male army recruits, Ethiopia. Aids, 2003. 17(12): p. 1835-1840.
11. Ahmed Yassin, M., et al., HIV and tuberculosis coinfection in the southern region of Ethiopia: a prospective epidemiological study. Scandinavian journal of infectious diseases, 2004. 36(9): p. 670-673.
12. Quy, H.T., et al., Public-private mix for improved TB control in Ho Chi Minh City, Vietnam: an assessment of its impact on case detection. The International Journal of Tuberculosis and Lung Disease, 2003. 7(5): p. 464-471.
13. Dhingra, V. and S. Khan, A sociological study on stigma among TB patients in Delhi. Indian Journal of Tuberculosis, 2010. 57(1).
14. Oberoi, S., et al., Understanding health seeking behavior. Journal of family medicine and primary care, 2016. 5(2): p. 463.
15. Eang, M.T., et al., Early detection of tuberculosis through community-based active case finding in Cambodia. BMC Public Health, 2012. 12(1): p. 469.
16. Syafar, M. and N.J. Abna, Kemitraan Pemerintah dengan Muslimat NU (NGO) dalam Pengendalian Tuberkulosis Paru. Media Kesehatan Masyarakat Indonesia, 2017. 13(3): p. 281-288.
17. Van Meter, D.S. and C.E. Van Horn, The policy implementation process: A conceptual framework. Administration & Society, 1975. 6(4): p. 445-488.
Authors
Endarti, A. T., Suraya, I., Muttaqien, M., Rachman, A. U., & Khair M, R. T. (2018). Situasi Tuberkulosis di Empat Kabupaten Kota di Pulau Sumatera dan Banten. Media Kesehatan Masyarakat Indonesia, 14(2), 108-118. https://doi.org/10.30597/mkmi.v14i2.3780
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