Tuberculosis Control within Indonesia's Hospital Accreditation

Abstract

Background: Tuberculosis (TB) is an infectious disease that is a major problem in Indonesia, placing Indonesia among the three major countries with the highest TB cases in the world. In addition, reporting of TB data from health service facilities, especially hospitals, is still weak. Since the implementation of Directly Observed Treatment Shortcourse (DOTS) in hospitals in 1995, the number of new TB case reports from hospitals is still low. In order to increase hospital participation in TB control, the government has made a breakthrough strategy, which is the integration of the DOTS strategy in hospital accreditation.Design and methods: This study conducted a literature review and document analysis related TB control standards in hospital accreditation and the implication for the involvement of hospitals in national TB program. This study analyzed regulations, policies, and procedures, including hospital accreditation instruments and annual reports of TB.Results: Accreditation standards related to TB control include: i) Hospital must implement a tuberculosis control program in the hospital, including monitoring and evaluation through activities such as health promotion, tuberculosis surveillance, controlling risk factors, detection and treatment of tuberculosis cases, providing immunity and preventive drugs; ii) Hospital prepares resources for service delivery and tuberculosis control; iii) hospital provides facilities and infrastructures for tuberculosis services in accordance with regulations; and iv) hospital conducts tuberculosis services and efforts to control tuberculosis risk factors in accordance with regulations.Conclusions: Standards and elements of the assessment of TB control components in accreditation are adjusted to the national TB control guidelines.

Factors of medication adherence among adult patients with tuberculosis: A literature review

“…Tuberculosis (TB) is currently a health problem worldwide. World Health Organization (WHO) determined that pulmonary TB is a highly prevalent communicable disease, especially in developing countries (1,2). Pulmonary TB is the most common infectious disease and one of the leading global causes of mortality from infectious diseases (3)(4)(5)(6).…”

“…Pulmonary TB is the most common infectious disease and one of the leading global causes of mortality from infectious diseases (3)(4)(5)(6). In addition, pulmonary TB is a threat because the cure rate is still low (2,(7)(8)(9).…”

Home contact support in prevention of transmission of tuberculosis in west Lombok based on the theory of the health belief model

“…Tuberculosis (TB) is a lung infection caused by the bacteria of mycobacterium tuberculosis. Tuberculosis is the leading cause of death due to infection (1). The prevalence of TB in the world in 2004 was 8.9 million, and in 2009 there were 9.4 million new cases due to TB (2)(3)(4).…”

“…The prevalence of TB in the world in 2004 was 8.9 million, and in 2009 there were 9.4 million new cases due to TB (2)(3)(4). In 2018, Indonesia was one of the countries that accounted for 66 % of new TB cases, apart from India and China (5,6). Based on the results of basic health research in 2018, the prevalence of TB in West Nusa Tenggara Province is 0.32 %, with the proportion of patients who consume routine drugs in NTB Province at 54.9 % (7), while according to data from the Gunungsari Health Center, West Lombok, there were 58 tuberculosis patients in 2019 (8).…”

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“…Tuberculosis is a global public health problem with the highest mortality rate among other people (1)(2)(3)(4)(5)(6). One in 10 causes of death worldwide is tuberculosis, and 1.5 million people die (7,8).…”