Berita Kedokteran Masyarakat
Vol 33, No 11 (2017): Proceedings of the 2nd UGM Public Health Symposium

Tuberculosis: Case Finding in Public Health Center of Blora, Indonesia

ahmad musyafa (Universitas Gadjah Mada Yogyakarta)



Article Info

Publish Date
12 Nov 2017

Abstract

Background: Tuberculosis is a disease of international concern. Control measure have been implemented in the World and Indonesia. One of the indicators of TB prevention program in Indonesia is Case Notification Rate (CNR), through case finding to screen of suspected TB, physical examination, laboratory and diagnosis Objective: Implementation of TB case finding program in Blora Distric, Indonesia, 2017 Methods: A descriptive observational study of evaluation. Subjects were 12 TB programmers at Public Health Center, 12 laboratory workers and 1 supervisor of Blora District Health Office. Data were collected by in-depth interviews and observations on input, process, output and outcome aspects. Results: Input aspect, 75% of respondents have double job, with duration of >5 years (75%) and was followed TB training >5 years (66%). Aspects of process, planning, budget requirements, targeting above 90%. Increase internal lineage (58%). Implementation already uses active search (92%) and passive (67%). Involvement of health cadres is not optimal, people are more confident to health workers in the village. PPM has not gone well (17%) so many patients are not reported in PHC. Clinics, hospitals and private practice doctors have not yet applied DOTS strategy treatment. Monitoring and evaluation has been done by wasor >2 times/year 33% and <2 times/year 67%. The CNR output aspect of 2016 128/100.000 population is below the national target of 316/100.000 population. Outcome aspect consists of 91.1% cure rate and 3.5% death. Conclusions: Overall TB case finding in Blora has gone well. But there are still shortcomings in the input aspect, needs to improve the skills of TB programmers with training and refresher.  On process aspect is still necessary increasing PPM by involving the private sector, hospitals and polyclinics, involving the village midwife actively encompassing TB cases cross program and sector network. So it can increase the CNR TB in Blora. 

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Journal Info

Abbrev

bkm

Publisher

Subject

Nursing Public Health

Description

Berita Kedokteran Masyarakat (BKM Public Health and Community Medicine) is a peer-reviewed and open access journal that deals with the fields of public health and public medicine. The topics of the article will be grouped according to the main message of the author. This focus covers areas and scope ...