scholarly journals Implementasi Program Penanggulangan TB Paru dengan Strategi Directly Observed Treatment Shortcourse di Puskesmas Panyabungan Jae Kabupaten Mandailing Natal

2021 ◽  
Vol 10 (1) ◽  
pp. 83
Author(s):  
Mawaddah Marahmah ◽  
Rapotan Hasibuan
Keyword(s):  
Control Program ◽  
Public Knowledge ◽  
Political Commitment ◽  
Data Presentation ◽  
Tb Control ◽  
Directly Observed Treatment ◽  
Descriptive Approach ◽  
Using Data ◽  
Depth Interviews ◽  
Tb Control Program

TB cases in Southeast Asia contribute 40% of the world's TB cases and causes the highest mortality in Indonesia. Panyabungan Jae Health Center (PJHC) itself has the highest number of TB cases in Mandailing Natal Regency. This study, therefore, aimed to determine the implementation of the TB Control Program with the Directly Observed Treatment Shortcourse Strategy (DOTS) at PJHC.Qualitative methods with descriptive approach was used for this research. In-depth interviews was conducted with 5 informants in July 2020. The data were analyzed using data reduction, data presentation, and conclusion drawing.The research found that communication between the TB program officer and the DOTS strategy worked well in the PJHC as well as the disposition, resources and bureaucratic structures. Political commitment in the DOTS strategy with cross-sectoral cooperation has an important influence in the handling of TB cases,however village authorities have not played a role in efforts to reduce for number of TB cases. The patients had lack of understanding about TB and some localshad views TB as a disease caused by poison becomes an obstacle in treating patients. TB prevention with the DOTS strategy at the PJHC runs according to standard guidelines, and complemented by the Puskesmas innovation "Tor Tor Libas TB".The MNDHO officersare advised to collaborate with entire stakeholders in overcoming TB by strengthening education in the form of routine counseling to increase public knowledge about TB

scholarly journals PHARMACISTS' PERCEPTION ABOUT THEIR ROLES IN TUBERCULOSIS CONTROL PROGRAM IN MEDAN, INDONESIA

2017 ◽  
Vol 10 (4) ◽  
pp. 256
Author(s):  
Khairunnisa B ◽  
Azizah Nasution
Keyword(s):  
Control Program ◽  
Cross Sectional Study ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Tb Control ◽  
Control Programs ◽  
Validated Questionnaire ◽  
Directly Observed Treatment ◽  
Tb Control Program

Objectives: to assess the pharmacists' perception about their roles in tuberculosis (TB) control program in Medan, Indonesia. Methods: A cross-sectional study was conducted to assess the pharmacists' perception about their roles in TB control program in Medan, Indonesia using a validated questionnaire. The pharmacists involved in this study (n=117) were asked to choose answering yes, no or do not know for their perception on their roles in TB control program. The collected data consisted of demographics (gender, age, place of practice, and working experience) and the pharmacists’ perception on their roles in TB control program were organized and analyzed by applying descriptive and Chi-square analyses using Statistical Package for the Social Sciences (SPSS, version 19, Chicago, IL, USA) (p value <0.05 was considered significant). Results: Mean age of the participants was 38.6 (standard deviation=11.7) years. Most of them (76.1%) were female. Distribution of the participants by place of practice:  pharmacy, 78.6%; hospital, 20.5%. Most of them (63.2%) have heard about directly observed treatment short-course (DOTS) program. More than 90% of them realized that they could play their roles as providers, managers of anti-TB drugs, drug informans, ensurers for adherence to the TB treatment, educators for patients and publics on TB and its treatment. Only 26.5% of them knew that they could also play their role as inventors of early suspected TB in the community.Conclusion: The study proved that the pharmacists’ roles could be utilized and enhanced to optimize TB control programs in Indonesia.Keywords: Pharmacists’ role, Tuberculosis, DOTS Program

scholarly journals Evaluasi Pelaksanaan Program TBC MDR di Dinas Kesehatan Provinsi Sumatera Selatan

2021 ◽  
Vol 21 (2) ◽  
pp. 529
Author(s):  
Sari Nazliyati Putri ◽  
Novrikasari Novrikasari ◽  
M Zulkarnain
Keyword(s):  
Human Resources ◽  
Program Planning ◽  
Evaluation Process ◽  
Control Program ◽  
Product Evaluation ◽  
Input Process ◽  
Tb Control ◽  
Mdr Tb ◽  
Depth Interviews ◽  
Tb Control Program

MDR TB is a man-made phenomenon that occurs as a result of inadequate treatment of TB patients as well as direct transmission from MDR TB patients. The existence of cases that have not been detected and managed by the MDR TB control program makes this a new challenge in overcoming it. The purpose of this study was to determine how the implementation of the MDR TB control program in South Sumatra using theevaluation model Context, Input, Process, Product (CIPP). This study uses descriptive qualitative research methods, by conducting in- depth interviews. From the results of the research on the Context Evaluation which consisted of the background, objectives and program opportunities in accordance with the Tuberculosis technical rules and guidelines (Permenkes No. 67/2016). In the evaluation of the input of the provision of human resources, program managers, funds and infrastructure are in accordance with the needs of the program in both the province and district / city. In the evaluation process for MDR TB program planning, it has been carried out by involving cross-sector and cross-program and other related agencies, the program target is clear, but there are obstacles to Human Resources at first-level and advanced level health facilities. In the Product Evaluation, the detection and treatment rates for MDR TB cases (obtained, Enrollment rate) werenamely in 2017: 46%, 2018: 36%, 2019: 41%. In general, the implementation of the MDR TB Control Program in South Sumatra Province from context, input, process, has been going well but still needs improvement / improvement, to be able to produce products as expected by Permenkes Number 67 of 2016.

scholarly journals A study on the incidence of tuberculosis in Narail district of Bangladesh

Mediscope ◽  
2018 ◽  
Vol 5 (2) ◽  
pp. 12-15
Author(s):  
MS Mallick
Keyword(s):  
Control Program ◽  
Situational Analysis ◽  
Pulmonary Tb ◽  
Tb Control ◽  
Related Data ◽  
Number Of Patients ◽  
Case Rate ◽  
Extra Pulmonary ◽  
The Government ◽  
Tb Control Program

The aim of this descriptive type of study on diagnosed tuberculosis (TB) cases was to evaluate the incidence of TB in Narail district to have a situational analysis with the achievement of National TB Control Program. Related data were collected from the Civil Surgeon Office, Narail district. The data of 3 upazilas- Narail Sadar, Kalia, and Lohagora were used. The study period was from January 1, 2016 to December 31, 2016. The overall TB case rate was 156.6 per 100000 population and separately 170.9 per 100000 population in Narail Sadar, 142.2 per 100000 population in Kalia and 156.6 per 100000 population in Lohagora. Of the cases, 56.4% were male and 43.6% female. Overall, 89.7% of the TB cases had pulmonary TB and 10.3% had extra-pulmonary TB. The population with higher age had higher proportion having TB. The highest number of patients were referred for diagnosis by sastha sebika (nurse) and non-government field staff. The TB incidence in Narail district was considered to be lower than the National situation. However, it seems that TB will remain as a continuous concern for many years in future for the country as well as Narail district. The activities of National TB Control Program of the Government of Bangladesh needs to be strengthened further to combat TB in BangladeshMediscope Vol. 5, No. 2: Jul 2018, Page 12-15

scholarly journals Factors associated with delays in pulmonary tuberculosis diagnosis and treatment initiation in Cali, Colombia

2019 ◽  
Vol 43 ◽  
pp. 1
Author(s):  
Cindy Córdoba ◽  
Lucy Luna ◽  
Diana M. Triana ◽  
Freddy Perez ◽  
Lucelly López
Keyword(s):  
Pulmonary Tuberculosis ◽  
Treatment Initiation ◽  
Control Program ◽  
Diagnosis And Treatment ◽  
Individual Treatment ◽  
Tb Control ◽  
Factors Associated ◽  
Tb Treatment ◽  
Tuberculosis Diagnosis ◽  
Tb Control Program

Objective.To determine factors associated with delays in pulmonary tuberculosis diagnosis and treatment initiation in the city of Cali, Colombia.Methods.This was a retrospective cohort study of cases of tuberculosis (TB) reported in the TB control program of Cali between January and December 2016. The information was collected from the databases of the TB control program, individual treatment cards, and clinical histories. The variables considered were sociodemographic factors, clinical factors, substance use, and performance of the health service.Results.A total of 623 cases were identified, of which 57.0% were male. The median age was 42 years (interquartile range (IQR): 27–60). The median time from onset of symptoms to TB diagnosis was 57 days (IQR: 21–117), and from onset of symptoms to TB treatment initiation was 72 days (IQR: 35–145). A factor associated with longer time from the onset of symptoms to TB treatment was being a previously treated TB patient (coefficient: 123.8 days, 95% confidence interval (CI): 48.3 to 199.3). In contrast, being incarcerated was a protective factor for earlier TB treatment initiation (coefficient: -57.3 days; 95% CI: -92.4 to -22.3).Conclusions.Our results provide important information concerning risk factors that are associated with delays in the diagnosis and treatment of tuberculosis, and that are subject to future interventions. Health insurance program managers must work together with health care providers on issues that include patient care, health promotion, and updating TB protocols and standards.

scholarly journals Identification of TB space-time clusters and hotspots in Ouest département, Haiti, 2011–2016

2021 ◽  
Vol 11 (2) ◽  
pp. 101-107
Author(s):  
A. M. Dismer ◽  
M. Charles ◽  
N. Dear ◽  
J. M. Louis-Jean ◽  
N. Barthelemy ◽  
...  
Keyword(s):  
Metropolitan Area ◽  
Urban Areas ◽  
Control Program ◽  
High Volume ◽  
Space Time ◽  
Case Finding ◽  
Western Hemisphere ◽  
Spatial Clusters ◽  
Tb Control ◽  
Tb Control Program

BACKGROUND: Haiti has the highest incidence rate of TB in the Western Hemisphere, with an estimated 170 cases per 100,000 in 2019. Since 2010, control efforts have focused on targeted case-finding activities in urban areas, implementation of rapid molecular diagnostics at high-volume TB centers, and improved reporting. TB analyses are rarely focused on lower geographic units; thus, the major goal was to determine if there were focal areas of TB transmission from 2011 to 2016 at operational geographic levels useful for the National TB Control Program (PNLT).METHODS: We created a geocoder to locate TB cases at the smallest geographic level. Kulldorff’s space-time permutation scan, Anselin Moran’s I, and Getis-Ord Gi* statistics were used to determine the spatial distribution and clusters of TB.RESULTS: With 91% of cases linked using the geocoder, TB clusters were identified each year. Getis-Ord Gi* analysis revealed 14 distinct spatial clusters of high incidences in the Port-au-Prince metropolitan area. One hundred retrospective space-time clusters were detected.CONCLUSION: Our study confirms the presence of TB hotspots in the Ouest département, with most clusters in the Port-au-Prince metropolitan area. Results will help the PNLT and its partners better design case-finding strategies for these areas.

The Role of Principal in Improving PAI Learning in The Corona Pandemic Period in RA TAAM Adinda Care to Overcome Gresik

2021 ◽  
Vol 7 (2) ◽  
pp. 75-88
Author(s):  
Muhammad Syaikhon ◽  
Nanang Rokhman Saleh ◽  
Bahrul Ulum
Keyword(s):  
Field Research ◽  
School Principal ◽  
Educational Facilities ◽  
Role Of Principal ◽  
Qualitative Descriptive ◽  
Descriptive Approach ◽  
Using Data ◽  
Role Of The Principal ◽  
Depth Interviews

This research is a type of field research with a qualitative descriptive approach with the title Role of the Principal in Improving PAI Learning during the Corona Pandemic at RA Taam Adinda Kepatihan Menganti Gresik. This study aims to determine the role and strategy of school principals in improving PAI learning during the corona pandemic at RA TAAM Adinda Kepatihan Gresik. The subjects in this study were educators, students, parents, and related parties. The data collection techniques used were observation, in-depth interviews, and documentation. Data analysis was carried out using data reduction, data presentation, and drawing conclusions or verification. The results of the findings of this study can be concluded that the role of the RA Taam Adinda principal in improving Islamic Education learning during the corona pandemic in Kepatihan Menganti Gresik village was as educator, manager, administrator, supervisor, leader, innovator, and motivator that had been implemented properly and by defined goals and plans. The strategies used by the school principal in improving PAI learning during the corona pandemic at RA Taam Adinda Kepatihan Menganti Gresik were improving teaching skills for teachers, optimizing the use of media and educational facilities, carrying out regular supervision, and establishing good cooperation with the community

Challenges of Interferon-γ Release Assay Conversions in Serial Testing of Health-care Workers in a TB Control Program

CHEST Journal ◽  
2012 ◽  
Vol 142 (1) ◽  
pp. 55-62 ◽  
Author(s):  
Kimberlee S. Fong ◽  
J. Walton Tomford ◽  
Lucileia Teixeira ◽  
Thomas G. Fraser ◽  
David van Duin ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Control Program ◽  
Interferon Γ ◽  
Tb Control ◽  
Serial Testing ◽  
Care Workers ◽  
Release Assay ◽  
Tb Control Program

scholarly journals The Role of the Tuberculosis (TB) Community in Detecting TB Suspects in Probolinggo Regency, East Java

2021 ◽  
Vol 317 ◽  
pp. 04018
Author(s):  
Ro’isah ◽  
Anies ◽  
Mateus Sakundarno ◽  
Nur Jazuli
Keyword(s):  
Sampling Method ◽  
Control Program ◽  
Community Partnership ◽  
Case Detection ◽  
Community Members ◽  
Tb Control ◽  
Data Saturation ◽  
Medical Examinations ◽  
Tb Control Program

Indonesia Indonesia is in the third rank of countries with the highest tuberculosis (TB) globally, with TB case detection still below 70%. The strategy in the TB control program to increase TB case detection is community partnership through the TB community. However, the role of this community in detecting TB suspects has never been reported. This study aimed to determine the role of the TB community in detecting TB suspects in the Probolinggo Regency. This research is descriptive qualitative research. The population was all TB community members is 130 people. The sample was a purposive sampling method, consideration until it met the data saturation, namely 29 respondents. The data were collected employing interviewed sheets, then analyzed with thematic content. Data triangulation by Head of Infectious Diseases, the Probolinggo Regency Health and five people from each TB community at Puskesmas. From the interviews, it was found that 23 people (79%) could not invite TB suspects to undergo examination, and 25 people (86%) had conducted counselling but were still unable to explain and convince the community of the importance of medical examinations for TB suspects. It is necessary to increase the capacity of TB community members to improve their roles in detecting TB cases.

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