Training for Tuberculosis Elimination in Indonesia: Achievements, Reflections, and Potential for Impact

Abstract

Indonesia has the third highest tuberculosis (TB) caseload internationally. A cornerstone for strengthening health systems to respond to TB is a well-trained workforce. In a partnership between Indonesian and Australian institutions, TB training was run during 2018 to strengthen the local capacity to meet End TB strategy targets. This paper aims to report on course design, delivery, training outcomes, and reflections. Seventy-six Indonesian healthcare workers, program staff, researchers, and policy-makers were selected from over 800 applicants. The structure comprised three trainings, each with a pre-course workshop (in Indonesia) to identify learning needs, a two-week block (Australia), and a post-course workshop (Indonesia). The training content delivered was a combination of TB technical knowledge and program/project theory, design, and logic, and the training utilised multiple teaching and learning methods. An innovative element of the training was participant-designed TB workplace projects focusing on context-specific priorities. Evaluation was undertaken using participant surveys and appraisal of the projects. Participants rated the course highly, while success in project implementation varied. Reflections include the importance of involving Indonesian experts in delivery of training, the need to understand participant learning requirements and adapt the training content accordingly, and the challenge of measuring tangible training outputs.

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

“…This training can be in the form of transmission prevention efforts, how to deal with side effects of drugs, reminds to take medication regularly, control to health facilities [19]. Reflections embody the importance of involving Indonesian consultants in delivery of coaching, the necessity to grasp participant learning needs and adapt the coaching content consequently, and also the challenge of activity tangible coaching outputs [20], [21].…”

Community Perception of Tuberculosis Management Program in Suburban Surabaya: A Qualitative Study

“…Studies conducted elsewhere indicate family members are DOT that effectively supports treatment [10,11]. A study conducted in Indonesia, however Australia, did not show benefit in using family members supporting DOT treatment [12].…”

Current Status on Training and Education on Public and Healthcare Workers towards Tuberculosis Elimination: Case in South Korea

“…TB training, in general, has been included as part of basic curriculum for degree programs related to medical profession. Although these are provided to physicians, nurses, laboratory technicians in most of developing countries or countries where TB prevails, quality of TB trainings varies (16,17 Internationally, TB training and education and its evaluation have been widely investigated and these works are to be considered to contribute in terms of signi cant increase in TB treatment success rate (4,18,19). Further, the analysis on emerging issues regarding TB training during evaluation can contribute in developing and re ning training programs in future (20).…”