Analysis of TB-DM Collaboration Program at the Hospital in Semarang City, Indonesia

SULISTIYANI, Sulistiyani; Widjanarko, Bagoes; Ginandjar, Praba; Nugroho, K. Heri; Kristini, Tri Dewi; Rianto, Sugeng; Handayani, Novia

doi:10.1051/e3sconf/201912516002

Cited by 3 publications

(5 citation statements)

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“…Despite a technical guideline on the management of TB-DM patients in advanced referral health facilities (mainly hospitals) issued by the Ministry of Health in 2015, the performance of hospitals in case detection still seems worse than in primary healthcare centers. One study in an Indonesian hospital revealed gaps between guideline requirements and implementation regarding TB-DM co-management, and found that insufficient human resources contributed to these shortcomings [31]. Another study on referral practices of private practitioners in Indonesia found that receiving information on standard practices as well as supervision from district program officers were associated more better performance [40].…”

Section: Factors Associated With the Detection And Treatment Of Tb-dm...mentioning

confidence: 99%

“…This consensus included bi-directional screening algorithms, diagnosis pathways and referral requirements for TB-DM cases, and was intended as a reference for health workers on TB-DM management services in all primary health care (PHC) facilities in Indonesia [30]. In 2016, the first official statement of collaborative TB-DM co-management was included in National TB Control Program (NTP) and these co-management activities were initiated across Indonesia in 2017 [31]. According to the practice guideline of these TB-DM co-management activities, blood sugar test should be carried out immediately after the TB diagnosis is made in PHCs.…”

Section: Introductionmentioning

confidence: 99%

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The co-management of tuberculosis-diabetes co-morbidities in Indonesia under the National Tuberculosis Control Program: results from a cross-sectional study from 2017 to 2019

et al. 2022

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Background Indonesia suffers from a high burden of tuberculosis (TB) and diabetes (DM). The government initiated national TB-DM co-management activities under the National TB Control Program in 2017. This study investigates the detection and treatment outcomes of TB-DM in Jakarta after implementing these activities, and identifies the main factors associated with these outcomes. Methods A cross-sectional study was conducted using TB registry data in two districts of Jakarta, East Jakarta (low-income) and South Jakarta (high-income). A 5-step cascade analysis was used: diagnosed TB patients; TB patients tested for DM; diagnosed TB-DM patients; and patients received and completed TB treatment/cured. We conducted descriptive analyses to understand the characteristics of TB and TB-DM patients, and used a two-level mixed-effect logistic regression to explore factors associated with having a DM test and completing TB treatment/being cured. Results Over the study period (2017–2019) 50.8% of the new pulmonary TB patients aged over 15 were tested for DM. The percentage increased from 41.7% in 2017–2018 to 60.1% in 2019. Of the TB patients tested for DM, 20.8% were diagnosed with DM. Over 90% of the detected TB-DM patients received standard TB treatment, 86.3% of whom completed treatment/were cured. Patients in East Jakarta were more likely to be tested for DM and to complete standard TB treatment/be cured than patients in South Jakarta (P < 0.001). Bacteriologically positive TB patients were more likely to be tested for DM (OR = 1.37, 95% CIs 1.17,1.60). Patients diagnosed in sub-district level healthcare centers had a higher likelihood of being tested for DM than those in government and private hospitals (P < 0.05). Receiving DM treatment was associated with a higher likelihood of completing TB treatment/being cured (OR = 1.82, 95% CIs 1.20, 2.77). Conclusions TB-DM case detection significantly improved in 2019 after introducing TB-DM co-management activities in Jakarta, while gaps in TB-DM co-management existed between bacteriologically positive and clinically diagnosed TB patients, and across different types of health facilities. Collaboration between TB and DM departments should be strengthened, and more resources need to be mobilized to further improve the co-management of TB-DM in Indonesia.

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Section: Factors Associated With the Detection And Treatment Of Tb-dm...mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The co-management of tuberculosis-diabetes co-morbidities in Indonesia under the National Tuberculosis Control Program: results from a cross-sectional study from 2017 to 2019

et al. 2022

View full text Add to dashboard Cite

show abstract

“…One study in an Indonesian hospital revealed gaps between guideline requirements and implementation regarding TB-DM co-management, and found that insu cient human resources contributed to these shortcomings. [31] Another study on referral practices of private practitioners in Indonesia found that receiving information on standard practices as well as supervision from district program o cers were associated more better performance. [40] In light of these ndings, strengthening health worker training and improving supervision, especially for hospitals and private practitioners is necessary to improve TB-DM co-management.…”

Section: Factors Associated With the Detection And Treatment Of Tb-dm Casesmentioning

confidence: 99%

“…[30] In 2016, the rst o cial statement of collaborative TB-DM co-management was included in National TB Control Program (NTP) and these co-management activities were initiated across Indonesia in 2017. [31] Since its implementation, there has been little evaluation on the success of the TB-DM co-management program in real-life settings. This study aims to examine the case-detection and treatment outcomes of TB-DM patients in Jakarta, Indonesia after implementing the co-management activities, and to identify factors associated with the detection and treatment outcomes of TB-DM co-morbidities.…”

Section: Introductionmentioning

confidence: 99%

The Co-management of Tuberculosis-diabetes Co-morbidities in Indonesia Under the National Tuberculosis Control Program: Results From a Retrospective Cohort Study From 2017-2019

Jiang

Rahman

Wibowo

et al. 2021

Preprint

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Background: Indonesia suffers from a high burden of tuberculosis (TB) and diabetes (DM). The government initiated national TB-DM co-management activities under the National TB Control Program in 2017. This study investigates the detection and treatment outcomes of TB-DM in Jakarta after implementing these activities, and identifies the main factors associated with these outcomes. Methods: A retrospective cohort study was conducted using TB registry data in two districts of Jakarta, East Jakarta (low-income) and South Jakarta (high-income). A 5-step cascade analysis was used: diagnosed TB patients; TB patients tested for DM; diagnosed TB-DM patients; and patients received and completed TB treatment/cured. We conducted descriptive analyses to understand the characteristics of TB and TB-DM patients, and used a two-level mixed-effect logistic regression to explore factors associated with having a DM test and completing TB treatment/being cured. Results: Over the study period (2017-2019) 50.8% of the new pulmonary TB patients aged over 15 were tested for DM. The percentage increased from 41.7% in 2017-2018 to 60.1% in 2019. Of the TB patients tested for DM, 20.8% were diagnosed with DM. Over 90% of the detected TB-DM patients received standard TB treatment, 86.3% of whom completed treatment/were cured. Patients in East Jakarta were more likely to be tested for DM and to complete standard TB treatment/be cured than patients in South Jakarta (P<0.001). Bacteriologically positive TB patients were more likely to be tested for DM (OR=1.37, 95% CI 1.17,1.60). Patients diagnosed in sub-district level healthcare centers had a higher likelihood of being tested for DM than those in government and private hospitals (P<0.05). Receiving DM treatment was associated with a higher likelihood of completing TB treatment/being cured (OR=1.82, 95% CI 1.20, 2.77).Conclusions: TB-DM case detection significantly improved in 2019 after introducing TB-DM co-management activities in Jakarta, while gaps in TB-DM co-management existed between bacteriologically positive and clinically diagnosed TB patients, and across different types of health facilities. Collaboration between TB and DM departments should be strengthened, and more resources need to be mobilized to further improve the co-management of TB-DM in Indonesia.

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“…Pada tahun 2016, di perkirakan kejadian kasus baru TB sekitar 9,2 juta dengan kematian 1,7 juta orang setiap tahun yang di sebabkan oleh infeksi TB (WHO, 2018). Di perkirakan 95% penderita TB berada di negara berkembang, dari 75% penderita TB adalah kelompok usia produktif (15-50 tahun), dan jumlah kematian akibat infeksi TB di temukan sebanyak 25% dari seluruh kematian, yang sebenarnya hal ini dapat di cegah (Depkes RI, 2002;WHO 2005 di kutip dalam (Sulistiyani et al, 2019). Masalah kesehatan yang masih menjadi perhatian adalah penyakit menular akibat perilaku dan lingkungan yang tidak sehat.…”

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Determinan Sosial Kesehatan Terhadap Kepatuhan Pengobatan Dots Penderita Tb Paru

2021

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TB paru merupakan penyakit menular yang disebabkan Mycobacterium tuberculosis. Penularan terjadi ketika penderita TB paru BTA positif batuk atau bersn dan tanpa disengaja penderita menyebarkan kuman ke udara dalam bentuk percikan dahak.Seorang penderita TB paru BTA Positif dapat mengifeksi 10-15 orang disekitarnya.Ketidakpatuhan penderita untuk berobat ini dipengaruhi oleh banyak faktor. Beberapa faktor diantaranya yaitu faktor tingkat pengetahuan,dukungan keluarga,dan pengawas menelan obat (PMO).Penelitian ini bertujuan untuk mengetahui adanya determinan social kesehatan terhadap kepatuhan pengobatan dots penderita Tb paru diwilayah kerja puskesmas manuju kabupaten Gowa. Penelitian ini menggunakan metode deskriftive analitik dengan menggunakan metode pendekatan studi “Cross Sectional”dengan mengambil sampel dari suatu populasi dan menggunakan kuesioner sebagai alat pengumpul data. Populasi dalam Penelitian ini adalah jumlah sampel 33 orang. Data yang diperoleh diolah dala bentuk analisis univariat bivariate dan multivariate dengan α=0,05 dengan menggunakan SPSS.Hasil penelitian ini menunjukan bahwa hubungan pengetahuan p=0,02 lebih kecil dari α=0,05 artinya ada hubungan antara tingkat pengetahuan dengan ketidakpatuhan pengobatan, dukungan keluarga (p=0,01) lebih kecil dari α=0,05 artinya ada hubungan antara dukungan keluarga dengan ketidakpatuhan pengobatan, dan pengawasan menelan obat (p=0,00) lebih kecil dari α=0,05 artinya ada hubungan antara pengawas menelan obat dengan ketidakpatuhan berobat. Kesimpulan penelitian ini adalah Ada Hubungan Pengetahuan, dukungan keluarga dan pengawasan menelan obat Terhadap kepatuhan pengobatan DOTs penderita TB paru di wilayah kerja puskesmas manuju kabupaten Gowa

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Analysis of TB-DM Collaboration Program at the Hospital in Semarang City, Indonesia

Cited by 3 publications

References 4 publications

The co-management of tuberculosis-diabetes co-morbidities in Indonesia under the National Tuberculosis Control Program: results from a cross-sectional study from 2017 to 2019

The co-management of tuberculosis-diabetes co-morbidities in Indonesia under the National Tuberculosis Control Program: results from a cross-sectional study from 2017 to 2019

The Co-management of Tuberculosis-diabetes Co-morbidities in Indonesia Under the National Tuberculosis Control Program: Results From a Retrospective Cohort Study From 2017-2019

Determinan Sosial Kesehatan Terhadap Kepatuhan Pengobatan Dots Penderita Tb Paru

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