scholarly journals Pengaruh Rejimen terhadap Ketidakpatuhan Berobat Tuberkulosis

2014 ◽  
Vol 9 (2) ◽  
pp. 107
Author(s):  
Rizka Nur Fadila ◽  
Pandu Riono
Keyword(s):  
Odds Ratio ◽  
Secondary Data ◽  
Control Program ◽  
National Health Survey ◽  
Case Finding ◽  
Poor Adherence ◽  
Tuberculosis Treatment ◽  
Tuberculosis Control ◽  
Public And Private ◽  
Tuberculosis Control Program

Beban tuberkulosis di Indonesia termasuk lima tertinggi di dunia. Temuan kasus dan pengobatan adalah pilar utama program penanggulangan tuberkulosis. Survei nasional menunjukkan peningkatan penggunaan rejimen tidak standar dari 16,8% (2010) menjadi 55,6% (2013). Peningkatan penggunaan rejimen tidak standar diduga berpengaruh terhadap ketidakpatuhan berobat. Penelitian ini bertujuan untuk mempelajari ketidakpatuhan berobat pada orang dengan tuberkulosis yang menerima rejimen tidak standar dan rejimen standar. Penelitian menggunakan data sekunder Riset Kesehatan Dasar 2010. Analisis logistik multivariabel dilakukan pada sampel 971 orang dengan tuberkulosis yang selesai mendapatkan pengobatan. Hasil penelitian menunjukkan ada kecenderungan orang dengan tuberkulosis yang menerima rejimen tidak standar memiliki ketidakpatuhan berobat lebih tinggi. Hasil penelitian juga menunjukkan odds untuk tidak menyelesaikan pengobatan lebih tinggi pada orang yang menerima rejimen tidak standar dibandingkan orang yang menerima rejimen standar, yaitu odds ratio terkontrol 2,4 (95% CI odds ratio: 1,7-3,5). Dalam upaya menjamin kepatuhan berobat tuberkulosis, mutu program pengobatan perlu ditingkatkan; di antaranya adalah ketersediaan rejimen standar, penyetaraan standar pengobatan antara fasilitas pelayanan kesehatan swasta dan publik, serta sistem pemantauan minum obat.The influence of Regimen on Poor Adherence of Tuberculosis TreatmentIndonesia is one of five highest tuberculosis burden countries. Case finding and treatment are the main pillars of tuberculosis control program. National survey reported that the usage of nonstandarized regimen is increased from 16,8% (2010) to 55,6% (2013). Increase use of nonstandarized regimen is associated with poor adherence tuberculosis treatment. This study purposed to compare the poor adherence of tuberculosis treatment among people who received standarized regimen and people who received nonstandarized regimen. The study used secondary data of National Health Survey 2010. Analysis used multivariable logistic through 971 people who completed tuberculosis treatment. This study found that people who received nonstandarized regimen had higher poor adherence of tuberculosis treatment than people who received standarized regimen. The result also showed that the odds of not to complete the treatment was higher in people who received nonstandarized regimen than who received standarized regimen, adjusted OR was 2,4 (95% CI OR: 1,7-3,5). To assure the adherence to tuberculosis treatment is to strengthen tuberculosis treatment program; such as the availability of standarized regimen, the equality of standard tuberculosis treatment among public and private health services, and the system of observed treatment. 

scholarly journals Challenges in case finding of tuberculosis control program in Iran: A qualitative study

2018 ◽  
Vol 17 (3) ◽  
pp. 462-469 ◽  
Author(s):  
Mahmood Moosazadeh ◽  
Mohammadreza Amiresmaili
Keyword(s):  
Qualitative Study ◽  
Medical Science ◽  
Homeless People ◽  
Control Program ◽  
Structured Interview ◽  
Case Finding ◽  
Tuberculosis Control ◽  
Framework Analysis ◽  
Tuberculosis Control Program ◽  
Patients With Diabetes

Introduction: weakness in case finding and delays in diagnosing patients with smear-positive pulmonary tuberculosis are considered as important factors in spreading disease. According to reports available in some parts of Iran, there is a long delay in diagnosing patients, and case finding level is less than the level predicted by Global Tuberculosis Control Program. Thus, this research was carried out to identify challenges of diagnosing tubercular patients in the framework of Iran’s tuberculosis control program.Methods: Data of present qualitative study was collected through a semi-structured interview. Twenty two informants participated in the study who were selected purposefully. Data were analyzed using framework analysis method.Results: Seventeen subthemes under Six themes regarding challenges of case finding were identified in present study: Policy making and strategies; Human resources issues; Resource availability; Nature of the method used for case finding ;Coordination and communication and Community involvement.Conclusions: Prioritizing tuberculosis control program, providing special allowances for personnel working in this field, active case finding in patients with diabetes and HIV/AIDS, prisoners and homeless people, facilitating access to service-providing centers and making use of novel methods for patients education are among the items efficient on diagnosis of tubercular patients.Bangladesh Journal of Medical Science Vol.17(3) 2018 p.462-469

scholarly journals Public-Private Mix Implementation and Achievements of Tuberculosis Control Program at Puskesmas in Pekanbaru

2021 ◽  
Vol 21 (2) ◽  
pp. 86-94
Author(s):  
Elda Nazriati ◽  
Zulharman Zulharman ◽  
Fifia Chandra ◽  
Ucha Anggiani Putri
Keyword(s):  
Success Rate ◽  
Local Governments ◽  
Secondary Data ◽  
Control Program ◽  
Tuberculosis Control ◽  
Notification Rate ◽  
Tuberculosis Control Program ◽  
Increasing Trend ◽  
Public Private Mix ◽  
Case Notification

Public-Private Mix (PPM) is a strategy implemented in countries with a high burden of tuberculosis, including Indonesia. This study aims to identify PPM implementation at the Puskesmas and the success of the TB control program at the Puskesmas that have implemented the PPM strategy. The research was conducted in 2019 in Pekanbaru Municipality. It was an observational study that collected quantitative and qualitative data. The implementation of PPM was assessed through guided interviews. The success of the Tuberculosis control program was assessed through the Case Notification Rate and Success Rate using secondary data from 2010 to 2017. The results showed that PPM had been implemented in six health centers in Pekanbaru. However, there were obstacles such as a lack of human resources, NGOs, private clinics, and local governments. The Case Notification Rate and Success Rate showed an increasing trend after the PPM implementation. However, these indicators had not yet reached the national target. It can be concluded that PPM in Pekanbaru had been implemented but needed to be improved at all Puskesmas by involving more partnerships and following up on obstacles encountered. Furthermore, the Tuberculosis Control Indicator had shown an increasing trend, but it needed to reach the national target.

scholarly journals Nontuberculous mycobacteria in patients registered in a tuberculosis control program in Southwestern Colombia, 2014-2017

2020 ◽  
Vol 2 (1) ◽  
Author(s):  
Luis Eduardo Delgado ◽  
Daniela Rocío Escobar ◽  
Diana Marcela Hoyos ◽  
Lucy Luna ◽  
Robinson Pacheco López ◽  
...  
Keyword(s):  
Pulmonary Tuberculosis ◽  
Nontuberculous Mycobacteria ◽  
Laboratory Data ◽  
Clinical Signs ◽  
Public Health Intervention ◽  
Control Program ◽  
Tuberculosis Treatment ◽  
Tuberculosis Control ◽  
Contributing Factors ◽  
Tuberculosis Control Program

Introduction: Pulmonary disease produced by nontuberculous mycobacteria and pulmonary tuberculosis can share clinical signs and symptoms. It is important to discern one from the other in order to provide the proper treatment and programmatic management. Objective: To describe the frequency of nontuberculous mycobacteria isolated from patients registered in the tuberculosis control program in Cali. Methods: We conducted a descriptive study to know what extent of the pulmonary tuberculosis load in Cali-Colombia corresponds to nontuberculous mycobacteria, in a four-year period, 2014-2017. Demographic (sex, age, health insurance), clinical (diagnosis dates, laboratory data, comorbidities) and programmatic data (tuberculosis treatment initiation and duration) was collected for statistical analysis. Results: Of 3,651 patients registered in the local tuberculosis program with an initial diagnosis of pulmonary tuberculosis, 2,904 had sputum culture and among them 1.5% (43/2904) had nontuberculous mycobacteria isolation rather than Mycobacterium tuberculosis. Most of the nontuberculous mycobacteria isolates were not identified at the species level; M. fortuitum and M. abscessus were the most common species identified. 86% of patients initiated unnecessary tuberculosis treatment. Conclusion: Nontuberculous mycobacteria isolation from pulmonary samples could be frequent in patients registered in the tuberculosis program in Cali, Colombia. The lack of clinical suspicion, the limited laboratory infrastructure, and the absence of a reporting system could be contributing factors to underestimate the importance of nontuberculous mycobacteria in this setting. We recommend that nontuberculous mycobacteria identification should be considered for public health intervention.

Tuberculosis, Every Physician's Problem

PEDIATRICS ◽  
1958 ◽  
Vol 22 (6) ◽  
pp. 1164-1164
Author(s):  
GARDNER MIDDLEBROOK
Keyword(s):  
Relative Effectiveness ◽  
Control Program ◽  
Tuberculin Test ◽  
The State ◽  
Tuberculosis Control ◽  
The Past ◽  
Tuberculosis Control Program

This book, written by one of America's most distinguished authorities on tuberculosis, clearly reflects, in particular, his views concerning the relative effectiveness of various methods of tuberculosis control. It documents the remarkable decline of the contagion during the past few decades. Dr. Myers reviews the very favorable trends which have occurred in the state of Minnesota largely as a result of his inspiration, guidance and remarkable drive. For many years he has been emphasizing the importance of the tuberculin test as the single most useful guide in any tuberculosis control program.

scholarly journals Universal Genotyping in Tuberculosis Control Program, New York City, 2001–2003

2006 ◽  
Vol 12 (5) ◽  
pp. 719-724 ◽  
Author(s):  
Carla M. Clark ◽  
Cynthia R. Driver ◽  
Sonal S. Munsiff ◽  
Jeffrey R. Driscoll ◽  
Barry N. Kreiswirth ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
York City ◽  
Control Program ◽  
Tuberculosis Control ◽  
Tuberculosis Control Program
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