Community-based Management and Control of Tuberculosis in Sub-urban Surabaya, Indonesia: A Qualitative Study

Abstract

BACKGROUND: Tuberculosis (TB) is major community health problem in Indonesia. The World Health Organization report in 2017 shows that 6.4 million new TB cases were officially notified to national authorities, worldwide. Indonesia has 842,0000 cases and places it as the country with the third highest number in the world. The national program Directly Observed treatment, short-course started since 2014 has not able to handle TB cases comprehensively. Communities have important role in TB management. AIM: The aim of this study was to explore the existed condition of TB management and control. METHODS: A descriptive qualitative study was conducted in Tandes Sub-district, which is an endemic area for TB and has the highest incident in Surabaya. Semi-structured interview was conducted to 13 participants who consist of sub-urban TB task force, community health volunteer, Community Health Nurses, and sub-district officer. RESULTS: Result reveal six themes: Altruism as intentional caring factor, in adequate number of staff, the need to improve training skill, insufficient of resources, limited of financial support, and social support. CONCLUSION: To be effective program, community-based TB management need to be improve in the availability of budget, staff, training, and resources while maintaining the ongoing work of TB task force team. Community-based TB program is one of the activities whose efficiency was reliable for handling TB.

Preventing Dropouts in Tuberculosis Treatment with “Griya Bebas TBC”

“…According to a previous study (Mundakir et al, 2021), a community-based TBC program is a realistic alternative that may be built on health facilities in DOTS, particularly in developing countries such as Indonesia, where the health system is being strained by an increase in the number of TBC and HIV/AIDS patients. The community-based TBC management must be seen as a complement and perhaps a substitute for a national TBC activity program.…”

Treatment Adherence among Tuberculosis patients: A Concept Analysis

“…The relationship between health professionals and patients can be improved by health professionals by providing strategies, such as home visits and telephone supervision [53]. Health professional training also needs to maintain the ongoing work of TB program at the health facility [54].…”