Generic Implementation Framework approach for public private mix in Tuberculosis control at a private hospital in Gresik, East Java, Indonesia
DOI:
https://doi.org/10.53638/phpma.2023.v11.i1.p09Keywords:
Generic Implementation Framework, public-private mix, Tuberculosis, hospital accreditationAbstract
Background and purpose: Tuberculosis continues to be a concern at the global level. Indonesia is a high-burden country that keeps efforts through TB control programs by implementing a private-public mix (PPM) strategy. This study aims to analyze the implementation of PPM in a private hospital using the Generic Implementation Framework approach.
Methods: This study conducted a mixed method approach including quantitative and qualitative analysis of data with explanatory sequential design. The analyzed variables were the assessment elements used in determining hospital accreditation, variables to get an overview of PPM, and achievement of indicators. Quantitative data were analyzed descriptively, while the qualitative with thematic analysis.
Results: The quality of TB control at the hospital was under the accreditation standards. There was an increase in the number of patients treated but uptrend in the number of loss to follow-up patients in the last three years. The success rate of treatment in 2021 has not yet achieved as it was influenced by patients who were lost to follow-up and treatment failure. Supporting factors for the PPM implementation were the script of cooperation, commitment, cooperation, communication, mutual trust, maintained service quality, inter-dependence, and mutual benefit as inhibiting factors related to the management of treatment adherence.
Conclusion: The achievement of program indicators has yet to meet the target. Therefore, it is necessary to evaluate regulations, standard operating procedures, and cooperation scripts to reach the standard.
References
World Health Organization. WHO TB report mobile app. 2022. Available from: https://play.google.com/store/apps/details?id=uk.co.adappt.whotbreport&hl=en_US&pli=1
Ford D, Datta B, Prakash AK, Tripathy JP, Goyal P, Singh S, et al. Fifth year of a public-private partnership to improve the case detection of tuberculosis in India: A role model for future action?. Indian Journal of Tuberculosis. 2019; 66(4): 480–486.
Song C, Kim SY, Kwon Y, Kim Y, Min J, Kim JS, et al. The Korean national public-private mix tuberculosis control project: Analysis of the indicators for tuberculosis management in 2020. Public Health Weekly Report. 2023; 16(40): 1337–1353.
Dewan PK, Lal SS, Lonnroth K, Wares F, Uplekar M, Sahu S, et al. Improving tuberculosis control through public-private collaboration in India: Literature review. BMJ. 2006; 332(7541): 574–578.
Asuquo AE, Pokam BDT, Ibeneme E, Ekpereonne E, Obot V, Asuquo PN. A public-private partnership to reduce tuberculosis burden in Akwa Ibom State, Nigeria. International Journal of Mycobacteriology. 2015; 4(2): 143–150.
Nwe TT, Saw S, Le Win L, Mon MM, van Griensven J, Zhou S, et al. Engagement of public and private medical facilities in tuberculosis care in Myanmar: Contributions and trends over an eight-year period. Infectious Diseases of Poverty. 2017; 6(1): 21–27.
Anand T, Babu R, Jacob AG, Sagili K, Chadha SS. Enhancing the role of private practitioners in tuberculosis prevention and care activities in India. Lung India: Official Organ of Indian Chest Society. 2017; 34(6): 538–544.
Ali D, Woldegiorgis AG-Y, Tilaye M, Yilma Y, Berhane HY, Tewahido D, et al. Integrating private health facilities in government-led health systems: A case study of the public–private mix approach in Ethiopia. BMC Health Services Research. 2022; 22(1): 1–16. doi: https://doi.org/10.1186/s12913-022-08769-7
World Health Organization. Global tuberculosis report 2022 [Internet]. World Health Organization. 2022. Available from: http://apps.who.int/iris/bitstream/10665/91355/1/9789241564656 _eng.pdf
Prameswari A. The evaluation of directly observed treatment short-course (DOTS) implementation for TB in Hospital X. Jurnal Medicoeticolegal dan Manajemen Rumah Sakit. 2018; 7(2): 93–101.
Moullin JC, Sabater-Hernández D, Fernandez-Llimos F, Benrimoj SI. A systematic review of implementation frameworks of innovations in healthcare and resulting generic implementation framework. Health Research Policy and Systems. 2015; 13(16): 1–11.
Ambiyar and Muharika. Metodologi penelitian evaluasi program [Research methodology for program evaluation]. Bandung: Alfabeta; 2019.
Alipanah N, Jarlsberg L, Miller C, Linh NN, Falzon D, Jaramillo E, Nahid P. Adherence interventions and outcomes of tuberculosis treatment: A systematic review and meta-analysis of trials and observational studies. PLoS Medicine. 2018; 15(7): 1–44.
Stallworthy G, Dias H, Pai M. Quality of tuberculosis care in the private health sector. Journal of Clinical Tuberculosis and Other Mycobacterial Diseases. 2020. doi: https://doi.org/10.1016/j.jctube.2020.100171
Panati D, Chittooru CS, Madarapu YR, Gorantla AK. Effect of depression on treatment adherence among elderly tuberculosis patients: A prospective interventional study. Clinical Epidemiology and Global Health. 2023. doi: https://doi.org/10.1016/j.cegh.2023.101338
Falzon D, Gandhi N, Migliori GB, Sotgiu G, Cox HS, Holtz TH, Hollm-Delgado MG, Keshavjee S, DeRiemer K, Centis R, et al. Collaborative group for meta-analysis of individual patient data in MDR-TB resistance to fluoroquinolones and second-line injectable drugs: Impact on multidrug-resistant TB outcomes. European Respiratory Journal. 2013; 42(1): 156–168.
Olaru ID, Lange C, Indra A, Meidlinger L, Huhulescu S, Rumetshofer R. High rates of treatment success in pulmonary multidrug-resistant tuberculosis by individually tailored treatment regimens. Annals of The American Thorac Society. 2016; 13(8): 1271–1278.
Izudi J, Tamwesigire IK, Bajunirwe F. Treatment success and mortality among adults with tuberculosis in Rural Eastern Uganda: A retrospective cohort study. BMC Public Health. 2020; 20(1): 1–10.
Kibuule D, Verbeeck RK, Nunurai R, Mavhunga F, Ene E, Godman B, Rennie TW. Predictors of tuberculosis treatment success under the DOTS program in Namibia. Expert Review of Respiratory Medicine. 2018; 12(11): 979-987.
Rewari BB, Kumar A, Mandal PP, Puri AK. HIV TB coinfection - perspectives from India. Expert Review of Respiratory Medicine. 2021; 15(7): 911-930.
Marques SCR, Ferreira FAF, Meidutė-Kavaliauskienė I, Banaitis A. Classifying urban residential areas based on their exposure to crime: A constructivist approach. Sustainable Cities and Society. 2018; 39(1): 418–429.
Ulum MC. Public service: Tinjauan teoretis dan isu-isu strategis pelayanan publik [Public service: Theoretical overview and strategic issues in public service]. Malang: Universitas Brawijaya Press; 2018.
Patimah S. Kemitraan kolaboratif pemerintah daerah sarbagita (Denpasar, Badung, Gianyar, Tabanan) dengan pihak swasta PT Noei dalam pengelolaan sampah di wilayah sarbagita [Collaborative partnership between local governments in sarbagita (Denpasar, Badung, Gianyar, Tabanan) and private company PT Noei in waste management in the sarbagita region]. Citizen Charter. 2014; 1(1).
Eitan A, Fischhendler I. The social dimension of renewable energy storage in electricity markets: The role of partnerships. Energy Research & Social Science. 2021; 76(1). doi: https://doi.org/10.1016/j.erss.2021.102072
Probandari A, Utarini A, Lindholm L, Hurtig A-K. Life of a partnership: The process of collaboration between the national tuberculosis program and the hospitals in Yogyakarta, Indonesia. Social Science & Medicine. 2011; 73(9): 1386–1394.
Tumuhimbise W, Musiimenta A. A review of mobile health interventions for public private mix in tuberculosis care. Internet Interventions. 2021; 25(1). doi: https://doi.org/10.1016/j.invent.2021.100417
Alam AS, Hermawan H. Faktor-faktor yang mempengaruhi hubungan kemitraan antara petani budidaya jamur tiram dengan CV. Asa Agro Corporation [Factors affecting the partnership relationship between oyster mushroom cultivators and CV. Asa Agro Corporation]. Journal Agroscience. 2017; 7(1): 214–219.
Menberu M, Kar S, Ranjan Behera M. Review on public private mix TB control strategy in India. Indian Journal of Tuberculosis. 2022; 69(3): 277–281.
Van Assche K, Beunen R, Duineveld M. An overview of EGT’s main concepts BT- Evolutionary governance theory: Theory and applications. Cham: Springer International Publishing; 2015. 19–33p.
Lai ER. Collaboration: A literature review research report [Internet]. 2011. Available from: http://www.datec.org.uk/CHAT/ chatmeta1.htm
Sulistiyani AT. Kemitraan dan model-model pemberdayaan [Partnerships and empowerment models]. 2nd ed. Yogyakarta: Gava Media; 2017.
Sherpa J, Yadav R-P. Perceptions of the private sector for creating effective public-private partnerships against tuberculosis in Metro Manila, Philippines. The American Journal of Tropical Medicine and Hygiene. 2019; 101(3): 498–501.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Ansarul Fahrudda, Kusbaryanto Kusbaryanto
This work is licensed under a Creative Commons Attribution 4.0 International License.
**Creative Commons Attribution 4.0 International License (CC BY 4.0)**
*Welcome to the world of open collaboration and shared creativity! The Creative Commons Attribution 4.0 International License (CC BY 4.0) empowers creators to share their work with the world while maintaining certain rights.*
**Key Points:**
1. **Freedom to Share:** CC BY 4.0 allows creators to share their work globally, granting others the freedom to use, remix, and build upon it.
2. **Attribution Requirement:** Users can use the work for any purpose, even commercially, as long as they provide appropriate credit to the original creator.
3. **Flexibility:** Applicable to various content types—text, images, music, videos—the license fosters a diverse range of creations.
**Common Use Cases:**
- **Education:** Widely used for educational materials, promoting open learning environments.
- **Research:** Applied to scholarly articles, accelerating the dissemination of knowledge.
**How to Use:**
1. **Share:** Share your work with the world, marking it with the CC BY 4.0 license.
2. **Attribution:** Users, when utilizing the work, must provide proper attribution to honor the original creator.
**Conclusion:**
CC BY 4.0 contributes to a more open and collaborative digital landscape. Join the movement of shared knowledge and creativity!
*For full license details, visit [Creative Commons](https://creativecommons.org/licenses/by/4.0/).*
