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All Journal Belitung Nursing Journal Jurnal Ilmiah Keperawatan Imelda Jurnal Aisyah : Jurnal Ilmu Kesehatan Jurnal Ilmiah Kebidanan Imelda JIFI (Jurnal Ilmiah Farmasi Imelda) PELS (Procedia of Engineering and Life Science) Journal of Nursing Science Update Jurnal Ilmiah Pengabdian Kepada Masyarakat
Ritonga, Imelda Liana
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Biochemistry, Genetics & Molecular Biology Computer Science & IT Control & Systems Engineering Dentistry Economics, Econometrics & Finance Electrical & Electronics Engineering Engineering Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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Journal : Journal of Nursing Science Update

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Barriers to Tuberculosis Case Detection in Private Clinics in Indonesia : A Thematic Analysis Ritonga, Imelda Liana; Handiyani, Hanny; Nursasi, Astuti Yuni; Eryando, Tris
Journal of Nursing Science Update (JNSU) Vol. 13 No. 2 (2025): November
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jik.2025.013.02.02

Abstract

In Indonesia, private clinics have emerged as an alternative healthcare option, even for individuals enrolled in the National Health Insurance program. According to the National Tuberculosis Program, these clinics are also responsible for detecting tuberculosis (TB). However, the ability of these clinics to manage TB patients has not been extensively studied. This study explores the factors that facilitate or hinder healthcare workers (HCWs) at these clinics from detecting TB early on. A qualitative descriptive-interpretative approach was employed. Thirteen HCWs from three clinics, one HCW from a district public healthcare center, and a local TB program supervisor (Wasor TB—deputy supervisor of the Tuberculosis Program) were selected via purposive sampling, resulting in a total of 15 participants. Data were collected through in-depth interviews conducted from April to July 2023 and analyzed using thematic analysis. Three main themes with eight sub-themes emerged: (1) inadequate support from clinic managers for TB services, (2) substandard early TB detection competency among clinical staff, and (3) insufficient support from the external TB network for clinics’ early detection efforts. Improving TB services in private clinics, especially early detection, is essential to achieving the Indonesian government’s goal of eliminating TB by 2030. This can be achieved by reassessing roles and establishing effective collaborative partnerships between clinic leaders and staff and the external TB network.
Co-Authors Andika Putra Manurung Anita, Sabrina Iwanda Astuti Yuni Nursasi Astuty Yuni Nursasi Deddy Sepadha Putra Sagala Halawa, Roswita Halawa, Serius Hanapi Pratiko Hanny Handiyani Hutagaol, Aureliya Lubis , Siti Permata Sari Muhammad David Pasaribu, Rifqi Hamdani Pradita , Desi Nur Rifhan, Zanurul Setyowati Setyowati Simanjuntak , Esraida Sinaga, Afifah Sahputri Sulviani, Nurul Tan, Hedy Tris Eryando Zai, Luter Kristian Zamago, Jonta Hendrik Pratama