Synergizing early detection and comprehensive mandatory notification to improve Tuberculosis case finding through public private mix

Authors

  • I Wayan Gede Artawan Eka Putra Department of Public Health and Preventive Medicine, Faculty of Medicine, Udayana University and Udayana Center for NCDs, Tobacco Control and Lung Health (Central) https://orcid.org/0000-0002-8173-9311

DOI:

https://doi.org/10.53638/phpma.2022.v10.i1.p01

Keywords:

early detection, Tuberculosis, case finding, public private mix

Abstract

Tuberculosis (TB) is a priority health problem in Indonesia. Incidence rate estimation for TB in 2020 was 301 per 100,000 population or 824,000 new cases per year which is the third highest worldwide. The Corona Virus Disease (COVID-19) Pandemic has caused decreasing performance of TB control program globally, including Indonesia. The treatment coverage was declined from 67% in 2019 to 48% in 2020 and 54% in 2021, far behind the 80% target. This fact signifies that around a half of people with TB in Indonesia are overlooked, which is estimated to be accounted for over 400,000 cases.  Another TB Program’s main indicator, treatment success rate at 86%, remains below the target of 90%. Low achievement of the two main indicators may result in the increasing of TB transmission, morbidity and mortality in population. Besides, Indonesia also faces the triple burden of TB, high prevalence of drug resistance TB and coinfection of TB and HIV

References

World Health Organization. Global Tuberculosis Report 2021 [Internet]. Geneva: World Health Organization. 2021. Available from: https://www.who.int/publications-detail-redirect/9789240037021

Ministry of Health Republic of Indonesia. Strategi nasional penanggulangan tuberkulosis di Indonesia 2020-2024 [National strategy of tuberculosis control in Indonesia 2020-2024]. Jakarta. 2020.

Lestari BW, McAllister S, Hadisoemarto PF, Afifah N, Jani ID, Murray M, et al. Patient pathways and delays to diagnosis and treatment of tuberculosis in an urban setting in Indonesia. The Lancet Regional Health - Western Pacific. 2020; 5: 100059.

TB Inventory Study Team. Tuberculosis Inventory Study in Indonesia 2016-2017. Jakarta. 2018.

PPM Focal Point National Tuberculosis Program (NTP) Indonesia. Concept and progress of public private mix in Indonesia. 2022.

Jetley S, Jairajpuri ZS, Pujani M, Khan S, Rana S. Tuberculosis ‘The Great Imitator’: A usual disease with unusual presentations. Indian Journal of Tuberculosis 2017; 64(1): 54–59.

Health Social Security Agency (BPJS). Tuberculosis under national health insurance program. Jakarta: Health Social Security Agency (BPJS). 2022.

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Published

2022-07-01

How to Cite

Artawan Eka Putra, I. W. G. . (2022). Synergizing early detection and comprehensive mandatory notification to improve Tuberculosis case finding through public private mix. Public Health and Preventive Medicine Archive, 10(1). https://doi.org/10.53638/phpma.2022.v10.i1.p01

Issue

Section

Editorial