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All Journal Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Raflizar Raflizar
Peneliti Pusat Teknologi Intervensi Kesehatan Masyarakat
Health Professions Public Health

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Utilizing Rapid Molecular Tests (RMT/RIF) in Tuberculosis Drug-Sensitive/Resistant Discovery in Indonesia: A Pilot Study Herawati, Maria Holly; Dasuki, Dasuki; Lolong, Dina Bisara; Widiyanti, Mirna; Roosihermiatie, Betty; Permata, Ria Yuda; Raflizar, Raflizar; Ahmadi, Ferry; Supratikta, Hadi; Veruswati, Meita
Kesmas Vol. 18, No. 5
Publisher : UI Scholars Hub

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The underdiagnosis and underreporting of tuberculosis (TB) indicators are unresolved problems. The rapid molecular test (RMT) is one of the breakthroughs for TB case finding by using safer and more sensitive equipment; it is even believed to help find drug-resistant TB. The results of several webinars held regularly by a TB program as well as its evaluation and the use of RMT formed the basis of this study. This initial pilot study aimed to provide an overview of case finding for both drug-sensitive and drug-resistant TB using RMT. A cross-sectional study was conducted on samples in several provinces in Indonesia that have used RMT, both in remote or non-remote island borders areas and fiscal capacity. Regarding the use of RMT for drug-sensitive TB case finding, the largest contributors were males aged above 15 years, while in the drug-resistant TB case finding group, the biggest contributor was the use of RMT in 2017 and 2018. Overall, the findings could only describe the situation in the study area. The use of RMT in drug-sensitive TB case finding would be maximized if the detected cases are males aged above 15 years, while RMT can help find cases of drug-resistant TB.
New Approach to Mapping Regional Vulnerability in Controlling Tuberculosis Disease in Indonesia Herawati, Maria Holly; Hermawan, Asep; Dasuki, Dasuki; Supratikta, Hadi; Asyary, Al; Khomarudin, M Rokhis; Priyatna, Muhammad; Raflizar, Raflizar; Kristina, Kristina; Pracoyo, Noer Endah; Bisara, Dina; Purnami, Cahya Tri; Suteja, Mentari Nur Farida; Bachtiar, Yusrial; Sukoco, Noor Edi Widya; Lasut, Doni
Kesmas Vol. 19, No. 5
Publisher : UI Scholars Hub

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Tuberculosis (TB) in Indonesia is still a health problem. The TB prevalence in Indonesia ranks second in the world after India in 2023. Regional factors, inadequate healthcare facilities, and limited resources (financial, human, and infrastructure) are challenges requiring innovation to help the government control TB. TB eradication efforts need to be made with a comprehensive and effective approach. One method used is to look at the vast territory of Indonesia, therefore, mapping the TB disease vulnerability is a highly recommended method. The use of a Geographic Information System is expected to help map the TB vulnerability areas in Indonesia. Given the existence of several epidemiological, socio-geographic, and environmental factors influencing TB, the question arises of how to map TB vulnerability areas in Indonesia. This study used a cross-sectional design, secondary data was collected from several sources, and a vulnerability analysis was performed by considering several socio-environmental epidemiological variables. Furthermore, after the analysis, the TB area vulnerability category would be obtained along with a map of TB vulnerability areas in Indonesia according to regional and district analysis units. This study produces a TB susceptibility index and map in Indonesia for the regions of Sumatra, Java-Bali, and other regions.
Co-Authors Ahmadi, Ferry Al Asyary Asep Hermawan Bachtiar, Yusrial Betty Roosihermiatie Cahya Tri Purnami DASUKI DASUKI Dina Bisara Dina Bisara Lolong Doni Lasut Kristina Kristina M Rokhis Khomarudin, M Rokhis Maria Holly Herawati Mirna Widiyanti Muhammad Priyatna, Muhammad Noer Endah Pracoyo Noor Edi Widya Sukoco Permata, Ria Yuda Supratikta, Hadi Suteja, Mentari Nur Farida Veruswati, Meita