Factors Associated with Success Rate for Tuberculosis Treatment in Hospital: A Directly Observed Treatment Short Tuberculosis Prevention Strategy in Central Java

Abstract

Background: Tuberculosis (TB) is a major health problem throughout the world. Hospitals and pulmonary clinics contribute significantly to the number of patients from all positive smear cases. Hospital performance in TB control is assessed using treatment success rates. The purpose of this study is to find out an overview of hospital performance factors that influence the success of hospitals in TB control in Central Java. Subjects and Method:The study design was descriptive analytical epidemiology with a retrospective cohort design. The samples were taken in total sampling. The subjects were 158 hospitals in Central Java Province that used the DOTS strategy. The variable assessment instrument from the 2010 TB Sub-Directorate of Ministry of Health's checklist was taken in January-February 2018. The data were linked to TB data from the Central Java Provincial Health Office in 2013 and 2016. Treatment success rates were stated to be good if the value was %85% Results: There were 110 hospitals with complete data in 2013 and 2016. Good success rates (>85%) in 2013 were achieved by 59 (53.60%) hospitals in 2013, in 2016 it decreased, only 43 (39.10%) hospitals were achieved. There was no significant relationship between the commitment and organization of the DOTS Hospital team, treatment, medical supervision, internal / external networks, and health facilities with the success rate of TB treatment,in which in this study, the value of p > 0.05. The type of hospital was significantly associated with treatment success rates in 2013, in which the lower type of hospital, the better the success rate of TB treatment. Conclusion: Because of the low number of hospitals that achieve good success rates (>85%), more detailed identification of risk factors is needed.

Evalusi Sistem Pencatatan dan Pelaporan Kasus Tuberculosis di Rumah Sakit Syarif Hidayatullah

“…Imbalan kepada petugas TB diperlukan selain untuk meningkatkan motivasi, juga untuk memperlancar program (Minardo, 2014). Penilaian komitmen dan organisasi tim DOTS RS menurut daftar tilik Subdit TB Kemenkes salah satunya yaitu RS menyediakan dana operasional tim DOTS RS (Reviono et al, 2019). Berdasarkan hasil bahwa belum ada anggaran khusus untuk tim DOTS di Rumah Sakit Syarif Hidayatullah.…”

“…Dasar hukum yang jelas ini bertujuan agar para petugas patuh. Dasar hukum ini tentunya memerlukan dukungan dari stakeholder (Reviono et al, 2019). Jejaring internal ini merupakan method, tetapi penyebab tidak berjalannya jejaring internal di Rumah Sakit Syarif Hidayatullah adalah faktor man, money, dan material.…”

Faktor keberhasilan pengobatan Multi Drug Resistance Tuberculosa (MDR-TB) di Indonesia : Tinjauan Sistematik

“…[13][14][15] Faktor yang menentukan keberhasilan dalam pengobatan dan mencegah terjadinya resistensi dalam pengobatan TB adalah keteraturan dalam minum obat atau patuh dalam pengobatan. 16,17 Kepatuhan dengan pengobatan lebih penting karena pasien TB yang secara teratur mematuhi waktu dan kontrol pengobatan menunjukkan lebih banyak kemauan atau kesadaran pasien untuk berpartisipasi dalam mencapai keberhasilan pengobatan. 17 Penelitian lain menunjukkan bahwa ada pengaruh antara keteraturan pengobatan dan lamanya pengobatan terhadap keberhasilan pengobatan TB.…”

“…16,17 Kepatuhan dengan pengobatan lebih penting karena pasien TB yang secara teratur mematuhi waktu dan kontrol pengobatan menunjukkan lebih banyak kemauan atau kesadaran pasien untuk berpartisipasi dalam mencapai keberhasilan pengobatan. 17 Penelitian lain menunjukkan bahwa ada pengaruh antara keteraturan pengobatan dan lamanya pengobatan terhadap keberhasilan pengobatan TB. 18,19 Kekurangan gizi meningkatkan faktor risiko TB dan pada gilirannya TB juga dapat menyebabkan kekurangan gizi.…”

Contextual Effect of Village on the Incidence of Tuberculosis in Children in Surakarta, Central Java: A Multilevel Analysis Evidence

“…The findings in this study, about 22% of housing units are houses that do not meet healthy requirements (Surakarta Health Office, 2019). The condition of the physical environment of homes that do not meet health requirements can increase the risk of diseases such e-ISSN: 2549-0273 as TB (Ramadhiana et al, 2016). According to Shimeles et al (2019), home physical environment factors are factors that influence the emergence of lung disease in addition to population factors (gender, age and socioeconomic).…”