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All Journal Jurnal Administrasi Kesehatan Indonesia The Indonesian Journal of Public Health
Basha, Muzaitul Akma Binti Mustapa Kamal
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Health Professions Public Health

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NAVIGATING BARRIERS: THE NEED FOR INTEGRATED HEALTH INFORMATION SYSTEM FOR TUBERCULOSIS-DIABETES CO-SCREENING Arini, Merita; Prakoso, Denny Anggoro; Suryanto, Farid; Dewi, Arlina; Basha, Muzaitul Akma Binti Mustapa Kamal
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 12 No. 1 (2024): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v12i1.2024.162-176

Abstract

Background: Tuberculosis-diabetes mellitus (TB-DM) is a co-epidemic condition representing a double burden for high TB burden countries like Indonesia. Private primary care (PPC) in Indonesia was newly reintroduced to the TB program. Aims: This study explores the challenges PPC healthcare workers (HCWs) face in implementing TB-DM bi-directional screening and strategies to improve it. Methods: An explorative qualitative method was used by conducting two-round focus group discussions (FGDs) with HCWs (n=15) from five private clinics in Yogyakarta Special Region Province Indonesia and triangulated with 10 DM patients and the TB program manager from the provincial health office. The data were audio recorded, transcribed verbatim, and subjected to thematic analysis. Results: HCWs face complex barriers in TB-DM co-screening implementation from patients, HCWs, and health system aspects. An integrated system to remind, support decision-making, report, reduce documentation duplication, monitor, and evaluate co-screening implementation emerged as a potential strategy, although some challenges to deploy. Conclusion: Albeit HIS is promising in enhancing integrated TB-DM screening and management, a comprehensive approach and multisector roles are still needed to overcome impediments to TB-DM bidirectional screening in PPCs. Keywords: diabetes mellitus, health information system, screening, tuberculosis
IMPROVING KNOWLEDGE OF NON-COMMUNICABLE DISEASE PROGRAM MANAGERS IN TUBERCULOSIS-DIABETES MELLITUS CONTROL AND CARE Arini, Merita; Primastuti, Harumi Iring; Basha, Muzaitul Akma Binti Mustapa Kamal
The Indonesian Journal of Public Health Vol. 19 No. 1 (2024): THE INDONESIAN JOURNAL OF PUBLIC HEALTH
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijph.v19i1.2024.15-27

Abstract

Introduction: Indonesia ranks second in the number of TB cases worldwide, accounting for 10% of the total TB cases. In addition, Indonesia ranks fifth in the number of DM cases worldwide. However, the integration of TB and DM disease management programs to ensure safe and quality care in health facilities is generally insufficient. Aims: This study aims to improve the knowledge of NCD program managers regarding TB-DM and their role in TB control and care. Methods: This study used a quasi-experimental design (non-randomized and non-control group) involving all healthcare workers (HCWs) managing NCD programs in Yogyakarta City. The participants were selected from 18 community health centers, 5 hospitals, the Health Office of Yogyakarta City. Prior to and following the training sessions, the knowledge of the participants was assessed. Results: According to the results of the Kruskal-Wallis test, no significant differences in TB-DM knowledge were observed among participants based on age group, length of employment, occupation, and highest level of education. However, following the training sessions, the participants showed a significant improvement in TB-DM knowledge according to the results of the Wilcoxon signed-rank test p = 0.000, with an effect size (r) of 0.57 (95% CI [0.000, 0.113]). Conclusion: Training for NCD program managers has been shown to improve their knowledge about TB-DM and their potential roles. Therefore, it is crucial to conduct continuous capacity-building programs for HCWs. These programs should be supported by policies, systems, and necessary infrastructures to ensure effective implementation of integrated care for TB and other diseases.
Co-Authors Arini, Merita Arlina Dewi Prakoso, Denny Anggoro Primastuti, Harumi Iring Suryanto, Farid