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All Journal Medula Juke Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia) Journal of Indonesian Tourism, Hospitality and Recreation Medica Hospitalia JURNAL PIONIR JK Unila (Jurnal Kedokteran Universitas Lampung) JOURNAL LA MEDIHEALTICO Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Jurnal Farmasetis Majority JPM (Jurnal Pengabdian Masyarakat) Ruwa Jurai Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine
Nurul Islamy
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Journal : juke

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Health Care Seeking Behaviour Of Community And Tb Patients, And Capability Of Nonformal Health Services Provider In Tanjung Bintang Subdistrict, Indonesia Nurul Islamy
JUKE Unila Vol 2, No 1 (2012)
Publisher : Fakultas Kedokteran Universitas Lampung

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Abstract

In Lampung province, Indonesia, the case detection rate (CDR) has not reached the national target of 70%. This suggests that tuberculosis (TB) case finding is insufficient. In Tanjung Bintang subdistrict (Lampung) the CDR was only  27.8% in 2007. This study aimed to identify the reasons for the low CDR in Tanjung Bintang subdistrict. In an explorative study design we assessed health care seeking behavior of community members who were selected by systematic random sampling. We also assessed health care seeking behavior of all TB patients that were registered between 2001 and 2007 in the subdistrict public health center (PHC). To assess the diagnostic capacity of non-formal Health Service Providers (HSP), we interviewed all HSP in the subdistrict. Data analyzed descriptively using Epi-info. Community members mentioned that they would first visit midwives (31%), paramedics (18.8%) and subhealth centers (18.8%) for mild symptoms. Most TB patients (97.5%) reported that they initially visited a nonformal HSP for their symptoms. Most (85.2%) nonformal HSP have poor knowledge about general TB especially for symptoms and 45.8% of them refer TB patients to a private practioner or private hospital rather than to the PHC (54.2%). Community members and TB patients frequently seek care with nonformal HSP. Since most nonformal HSP have poor knowledge of TB and do not refer TB patients to the PHC many TB patients may remain not reported. The fact that patients do not seek health care at PHC and nonformal HSP are not capable of diagnosing TB can both explain the low CDR in Tanjung Bintang subdistrict
Co-Authors Ade Yonata Ade Yonata, Ade Afrianza Dafi Ramadhan Agustyas Tjiptaningrum Ahmad Fauzi Akhmad Yogi Pramatirta, Akhmad Yogi Alandra Rizhaqi Vastra Amillia Siddiq Angelie Cahya Putri Anisa Nuraisa Jausal Arli Suryawinata Aziz, M. Alamsyah Bambang Eko Subakti Betta Kurniawan, Betta Dani Setiawan Dhea Mutiara Karmelita Edi Kurniawan Efriyan Imantika Ety Apriliana Fiana Deswita Firmansyah Basir Fukrapti Fukrapti Hamidi, Syahrul Hasan Hasan Hermie Tendean Ikhlas Taufik Indri Windarti Javinka Fairuz Zahrani Julizar Mauttaqin Khaerunnisa P, Maya Khaerunnisa, Maya Khairun Nisa Kurniawaty, Evi Kusumaningtyas, Aditya Liana Sidharti Lukman Pura Lumentut, Anastasia M. Lumentut, Anastasia Mariane M Nico Hardianto M Tomy Iskandar M. Ricky Ramadhian Maelissa, Merlin Maelissa, Merlin M. Maelissa, Merlin Margreth Mahardika Putra Mallarangeng, Andi Nafisah Tendri Adjeng Marlon Brando Miftahul Husna Muhammad Caesario Liazmi Najoan, Rizki Nurmayeni Nuswil Bernolian Panjaitan, Bahmid Prabowo, Arif Yudho Puspitasari, Maya Khaerunnisa Ratna Dewi Puspita Sari Restu Krisnanda Rezita Rahma Reza Rezita Rahma Reza Rinaldy, Dino Risdianto Risdianto Riska Putri Soraya Rizki Hanriko Rodiani - Rodiani, Rodiani Rudiyanto, Waluyo Sayuti, Marzuqi Selvi Rahmawaty Setyorini Irianti Siregar, Bintang Abadi Situmorang, Ephraim Matthew Sebastian Suharmanto Syahrul Hamidi Nasution Taruna, Achmad Theodorus Theodorus Ustami Panjaitan Waluyo Rudiyanto Wilda Ainia Silmi Kaffah Wirawan, Wahyudi Zahra Dewi Hasna Difa