Issues and Challenges in the Detection of Suspected Tuberculosis Cases in Rawasari Public Health Center, Jambi City
DOI:
https://doi.org/10.22437/e-sehad.v5i2.41401Keywords:
Tuberculation, Suspect TB, Case Detection Rate (CDR)Abstract
Background: Based on WHO data, Indonesia occupies the second highest position in the world for TB burden. Finding TB cases is the first step in TB control activities. Finding and curing infectious TB patients can significantly reduce morbidity and mortality due to TB. The high rate of TB case discovery is related to the achievement of TB suspect discovery. The higher the achievement of finding TB suspects, it is hoped that the greater number of positive TB cases found will be.
Method: This study uses a descriptive method with primary and secondary data collection at the Rawasari Health Center, Jambi City. The data was processed manually and analyzed the content with the selected problem solving brainstorming method, then an activity pro posal plan and monitoring and evaluation were carried out.
Result: The discovery of TB suspect cases by Rawasari Health Center from Januari to December
2024, with a target of 1.015 people, reached only 255 people (25.1%) and the discovery TB cases with target of 209 people reached only 42 people (20.09%). Of the 40 patient respondents who
visited the Rawasari Community Health Center, Jambi City in December 2024, 27 people (67.5%) had a good level of knowledge and 31 people (77.5%) had a good level of attitude.
Conclusion: In this study, it was found that the priority problem was the lack of discovery of TB cases with the most dominant cause being TB screening is still lacking by officers from various clusters.
References
1. Keputusan Menteri Kesehatan Republik Indonesia. Laporan Program Penanggulangan Tuberkulosis Tahun 2022. Jakarta. 2022 Wong, Y. and Lee, S. (2020). Prevalence of latent tuberculosis among refugee children in malaysia. Erj Open Research, 6(1), 00254-2019.
https://doi.org/10.1183/23120541.00254-2019
2. Wu, Q. (2023). The role of xpert mtb/rif using bronchoalveolar lavage fluid in active screening: insights from a tuberculosis outbreak in a junior school in eastern china. Frontiers in Public Health, 11. https://doi.org/10.3389/fpubh.2023.1292762
3. Shivakumar, P. and Shettigar, K. (2023). Tuberculosis diagnosis: updates and challenges.. https://doi.org/10.5772/intechopen.107168
4. Abbara, A., Collin, S., Kon, O., Buell, K., Sullivan, A., Barrett, J., … & Davidson, R. (2019). Time to diagnosis of tuberculosis is greater in older patients: a retrospective cohort review. Erj Open Research, 5(4), 00228-2018. https://doi.org/10.1183/23120541.00228-2018
5. Kumalasari, F. and Prabawati, I. (2021). Implementasi kebijakan penanggulangan tuberkulosis dengan strategi directly observed treatment short-course (dots) di puskesmas kecamatan bangsal kabupaten mojokerto. Publika, 201-214. https://doi.org/10.26740/publika.v9n2.p201214
6. Hadiyanto, H. (2020). Faktor resiko tuberkulosis pada penduduk urban di kalianyar, jakarta barat. Jurnal Kedokteran Dan Kesehatan Publikasi Ilmiah Fakultas Kedokteran Universitas Sriwijaya, 7(1), 1-8. https://doi.org/10.32539/jkk.v7i1.8854
7. Aja N, Ramli, Hamidah. Penularan Tuberkulosis Paru dalam Anggota Keluarga di Wilayah Kerja Puskesmas Siko Kota Ternate. Jurnal Kedokteran dan Kesehatan. 2022;18(1):78-87. WHO. 2016. Global Tuberculosis Report.
8. World Health Organization (WHO). Tuberculosis in South-East Asia Region [Internet]. World Health Organization (WHO). 2021 [cited 2023 Okt 18]. Available from: https://www.who.int/southeastasia/he alth- topics/tuberculosis
9. Perhimpunan Dokter Paru Indonesia. Tuberkulosis Pedoman Diagnostik Dan Penatalaksanaan Di Indonesia. 3 Ed. Perhimpunan Dokter Paru Indonesia Jl. Cipinang Bunder No. 19 Cipinang Pulogadung Jakarta; 2021
10. Pemerintah Daerah Provinsi Jambi. Profil Kesehatan Provinsi Jambi Tahun 2019. GERMAS (Gerakan Masyarakat Hidup Sehat); 2020. 49-51p.
11. Kementerian Kesehatan RI. Keputusan Menteri Kesehatan Republik Indonesia Nomor HK. 01.07/MENKES/755/2019 tentang Pedoman Nasional Pelayanan Kedokteran Tata Laksana Tuberkulosis. 2019.
12. Joshi, B. (2023). Acceptability of decentralizing childhood tuberculosis diagnosis in low-income countries with high tuberculosis incidence: experiences and perceptions from health care workers in sub-saharan africa and south-east asia. Plos Global Public Health, 3(10), e0001525. https://doi.org/10.1371/journal.pgph.0001525
13. Setiati Siti, Alwi Idrus, Dkk. Buku Ajar Ilmu Penyakit Dalam. 6 Ed. Vol. 1. Interna Publishing; 2017.
14. Hasanah, U., Rachman, M. Z., Wahyuni, T. D., & Wandi, W. (2024). Pengaruh edukasi menggunakan media lembar balik tentang tuberkulosis terhadap pengetahuan dan sikap pada keluarga pasien di wilayah kerja puskesmas nangkaan bondowoso. Jurnal Pendidikan Kesehatan, 13(2), 103. https://doi.org/10.31290/jpk.v13i2.3969
15. Hayati, Y. S., Putri, V. A., & Lukitasari, M. (2020). The effectiveness of lung tuberculosis educational video to increase knowledge and attitudes of masks use in families living with tuberculosis patients. Journal of Nursing Science Update (JNSU), 8(2), 129-134. https://doi.org/10.21776/ub.jik.2020.008.02.10
16. Ahmad, S., Khawaja, U. A., Haider, S. M., Mohan, A., Ansari, A., Ahmad, M., … & Yatzkan, G. (2023). Assessing the knowledge, attitude and practice (kap) measures against tuberculosis in patients in the ambulatory department facilities in pakistan: a cross-sectional analysis. Monaldi Archives for Chest Disease. https://doi.org/10.4081/monaldi.2023.2500
17. Kasa, A. S., Minibel, A., & Bantie, G. M. (2019). Knowledge, attitude and preventive practice towards tuberculosis among clients visiting public health facilities. BMC Research Notes, 12(1). https://doi.org/10.1186/s13104-019-4292-2
18. Pakhurdin, N. A. M., Ghazali, Q. M., & Nawi, A. M. (2021). Factors associated with perceived stigma among community members living close to leprosy centre in malaysia. Global Journal of Public Health Medicine, 3(2), 396-408. https://doi.org/10.37557/gjphm.v3i2.89
19. Chen, X., Wang, W., Hua, Q., Xu, H., Wang, F., Liu, K., … & Jiang, J. (2021). Persistent discrimination of tb in southeastern china: results from four repeated population-based surveys during the period of 2006–2018. Risk Management and Healthcare Policy, Volume 14, 23332344. https://doi.org/10.2147/rmhp.s311869
20. Alsoukhni, M. A., Khader, Y., Abaza, H., Wilson, N., & Satyanarayana, S. (2023). Tuberculosisrelated knowledge, behaviors, stigmatizing attitude, and discrimination among refugees, migrants, and the general population in jordan. SAGE Open Medicine, 11. https://doi.org/10.1177/20503121231187743
21. Fana, T. E., Ijeoma, E., & Sotana, L. (2019). Knowledge, attitudes, and prevention practices of drug resistant tuberculosis in the eastern cape province, south africa. Tuberculosis Research and Treatment, 2019, 1-12. https://doi.org/10.1155/2019/8978021
22. Hadiyanto, H. (2020). Faktor resiko tuberkulosis pada penduduk urban di kalianyar, jakarta barat. Jurnal Kedokteran Dan Kesehatan Publikasi Ilmiah Fakultas Kedokteran Universitas Sriwijaya, 7(1), 1-8. https://doi.org/10.32539/jkk.v7i1.8854
23. Tay MZ, Ang LW, Wei WE, Lee VJM, Leo Y, Toh MPH. Health-Seeking Behavior of COVID-19 Cases During the First Eight Weeks of the Outbreak in Singapore: Differences Between Local Community and Imported Cases and Having Visits to Single or Multiple Healthcare Providers. BMC Public Health. 2022;22(1). https://doi.org/10.1186/s12889-022-12637-8
24. 18. Wyk SS v., Medley N, Young T, Oliver S. Repairing Boundaries Along Pathways to Tuberculosis Case Detection: A Qualitative Synthesis of Intervention Designs. Health Res Policy Syst. 2022;20(1). https://doi.org/10.1186/s12961-021-00811-0
25. 19. Zulu D, Silumbwe A, Maritim P, Zulu JM. Integration of Systematic Screening for Tuberculosis in Outpatient Departments of Urban Primary Health-Care Facilities in Zambia: A Case Study of Kitwe District. 2021; https://doi.org/10.21203/rs.3.rs-998743/v1





