Evaluation of Borama tuberculosis control program in Somaliland, Somalia

Qayad, Mohamed; Tarsitani, G

doi:10.3855/jidc.7676

Cited by 2 publications

(1 citation statement)

References 4 publications

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“…Selain itu, pasien TBC putus berobat juga dikarenakan perspektif pasien TBC yang sudah merasa sembuh dan tidak bergejala, sehingga memutuskan untuk tidak melanjutkan pengobatan. 20…”

Section: Pembahasanunclassified

Pelaksanaan Program Directly Observed Treatment Short-Course (DOTS) Selama Pandemi COVID-19 di Wilayah Puskesmas Depok Jaya

Alfaiza¹,

Wuryaningsih²

2022

PPK

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Latar Belakang. TBC masih merupakan masalah kesehatan di Indonesia. Pemerintah telah menerapkan DOTS untuk menurunkan angka kesakitan dan kematian akibat TBC, namun angka tersebut masih belum mencapai target. Selama pandemi, DOTS tetap diselenggarakan dengan adanya penyesuaian pengelolaan input dan process.Tujuan. Tujuan dari penelitian ini yakni mengetahui gambaran pelaksanaan program DOTS selama pandemi di wilayah Puskesmas Depok Jaya.Metode. Penelitian ini menggunakan pendekatan kualitatif desain studi kasus. Teknik pengumpulan data wawancara mendalam kepada informan utama, yakni Penanggung Jawab DOTS, Dokter Penanggung Jawab DOTS, Ketua Kader dan 2 Pengawas Menelan Obat, sedangkan informan pendukung, yakni 4 Pasien TBC. Peneliti mengambil data dengan wawancara mendalam secara daring melalui Zoom.Hasil. Beberapa kegiatan utama di Puskesmas selama pandemi mengalami penurunan jumlah kegiatan, diantaranya investigasi kontak, skrining, serta pelatihan. Selain itu terdapat beberapa masalah di pelaksanaan DOTS yang terjadi selama pandemi, yaitu masyarakat yang kurang terbuka, memiliki mobilitas yang tinggi, sehingga petugas puskesmas dan kader kesehatan seringkali kesulitan dalam melakukan pemantauan terkait dengan investigasi kontak dan pengobatan pasien TBC.Kesimpulan. Gambaran pelaksanaan program DOTS selama pandemi di wilayah Puskesmas Depok Jaya belum maksimal berjalan dikarenakan mengalami penurunan jumlah kegiatan. ABSTRACT Background. TB is a problem in Indonesia. The government has implemented DOTS to reduce morbidity and mortality but hasn’t yet reached the target. During the pandemic, DOTS was being held with adjustments to input and process management.Purpose. Find out the description of the implementation of DOTS during a pandemic in the Puskesmas Depok Jaya area. Methods. This study used a qualitative case study design. Data collection techniques were in-depth interviews with the main informants, the PIC of DOTS, the doctor in charge of DOTS, the head of the cadre and 2 medication supervisors, the supporting informants were 4 tuberculosis patients. Researchers collected data by in-depth interviews online via Zoom. Results. Several main activities at the Puskesmas during the pandemic experienced a decrease in the number of activities, including contact investigations, screening, and training. There were several problems that occurred during the pandemic, the community was less open, had high mobility, so Puskesmas officers and health cadres had difficulties in carrying out monitoring related to contact investigations and treatment of TB patients. Conclusion. DOTS hasn’t run optimally due to a decrease in the number of activities.

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“…Selain itu, pasien TBC putus berobat juga dikarenakan perspektif pasien TBC yang sudah merasa sembuh dan tidak bergejala, sehingga memutuskan untuk tidak melanjutkan pengobatan. 20…”

Section: Pembahasanunclassified

Pelaksanaan Program Directly Observed Treatment Short-Course (DOTS) Selama Pandemi COVID-19 di Wilayah Puskesmas Depok Jaya

Alfaiza¹,

Wuryaningsih²

2022

PPK

View full text Add to dashboard Cite

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Factors influencing treatment outcomes of tuberculosis patients attending health facilities in Galkayo Puntland, Somalia

Kassim

Côté

Kassim

et al. 2020

Journal of Public Health

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Aim This study evaluated the underlying factors associated with poor tuberculosis (TB) treatment outcomes among patients attending health care facilities in Galkayo, Puntland, Somalia. Methods An institution-based cross-sectional study was conducted between 2016 and 2017 in three selected TB clinics. Data were collected from 400 TB patients, through medical record review and structured questionnaire. Multivariate logistic regression analyses were performed. Results Of the 400 TB respondents, 57.3% were new cases, 12.3% had smear-negative TB and 12.5% had extrapulmonary TB. The median age was (35.66 ± 13.16) with majority being male (65.5%). Overall, 85% of patients were successfully treated, 9.7% failed and 5.3% defaulted. Multivariate analysis revealed that patient’s body weight (odds ratio [OR]: 1.078); diabetes (OR: 8.022); family size (OR: 3.851); patients’ delay in diagnosis (OR: 11.946); frequency of receiving anti-TB medication (OR: 9.068); smoker (OR: 5.723); category of patients (retreatment versus new, OR: 5.504; retreatment versus transfer in, OR: 4.957); health facilities (OR: 6.716) and treatment duration (OR: 132.091) were independent factors associated with poor TB outcomes. Conclusions Our findings highlight the need to improve TB services for vulnerable groups. They also emphasize the need for health system strengthening, public awareness and risk of treatment interruption. This may reduce both patients’ delay in seeking care and TB treatment failure in Galkayo district.

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Evaluation of Borama tuberculosis control program in Somaliland, Somalia

Cited by 2 publications

References 4 publications

Pelaksanaan Program Directly Observed Treatment Short-Course (DOTS) Selama Pandemi COVID-19 di Wilayah Puskesmas Depok Jaya

Pelaksanaan Program Directly Observed Treatment Short-Course (DOTS) Selama Pandemi COVID-19 di Wilayah Puskesmas Depok Jaya

Factors influencing treatment outcomes of tuberculosis patients attending health facilities in Galkayo Puntland, Somalia

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