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

Elda Nazriati, Zulharman Zulharman, Fifia Chandra, Ucha Anggiani Putri

Abstract


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.

Keywords


achievements; public-private mix; tuberculosis

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References


World Health Organization. Global Tuberculosis Report 2017. Geneva: World Health Organization; 2017. Licence: CC BY-NC- SA 3.0 IGO. available at ttp://apps.who.int/iris

Ministry of Health Indonesia. Health Indonesia Profile 2018 (Profil Kesehatan Indonesia Tahun) 2018. Jakarta : Ministry of Health of Indonesia. 2019

World Health Organization. Global Tuberculosis Report 2018. Geneva:; 2018. Licence: CC BY-NC-SA 3.0 IGO

Martínez JA, Kamp N. Strategic Guide for Building Public Private Mix (PPM) Partnerships to Support Tuberculosis Control. Mexiko:USAID; 2011

Challenge TB Team. Technical Instructions Application of Public Private Mix Based based on District / City- ( Petunjuk Teknis Penerapan Public Private Mix Berbasis Kabupaten/Kota Area Binaan Challenge TB Jakarta: Ministry of Health. 2018.

Ministry of Health of the Republic of Indonesia. National Guideline for The Control of Tuberculosis (Pedoman nasional pengendalian tuberkulosis). Jakarta: Ministry of Health of Indonesia: 2014.

Lei X , Liu Q , Escobar E , Philogene J, Zhu H, Wanga Y, Tang S. Public–private Mix for Tuberculosis Care and Control: a Systematic Review. International Journal of Infectious Diseases, 2015. 34: 20–32. https://doi.org/10.1016/j.ijid.2015.02.015

Wells WA, Uplekar M and Pai M. Achieving Systemic and Scalable Private Sector Engagement in Tuberculosis Care and Prevention in Asia. PLoS Med. 2015 (12): 1–10. https://doi.org/10.1371/journal.pmed.1001842

Tondong PMA, Mahendradhata YH and Ahmad RA. Evaluation of the Implementation of Public Private Mix for Tuberculosis Control in Ende District East Nusa Tenggara Province Year 2012 (Evaluasi Implementasi Public Private Mix PengendalianTuberkulosis di Kabupaten Ende Provinsi Nusa Tenggara Timur Tahun 2012. J. Kebijak. Kesehat. Indones. JKKI 2014(3): 37–42. https://doi.org/10.22146/jkki.36356

Melese M, Habte D , Girma B, Kassie Y , Negash S, Melkeneh K , et.al. Use of Indicators of Standards of Care to Improve Tuberculosis Program Management in Ethiopia. J Clin Tuberc Other Mycobact Dis. 2018.(10) 17–23. https://doi.org/10.1016/j.jctube.2017.12.001

Engelbrecht MC, Kigozi G, Rensburg APJV, Rensburg DHCJV. Tuberculosis Infection Control Practices in a High-burden Metro in South Africa : A Perpetual Bane for Efficient Primary Health Care Service Delivery. Afr J Prim Health Care Fam Med . 2018 May 30; 10(1):e1-e6. http://dx.doi.org/10.4102/phcfm.v10i1.1628

Chongwe G, Kapata N, Maboshe M, Michelo C. and Babaniyi O. A Survey to Assess the Extent of Public-Private Mix DOTS in the Management of Tuberculosis in Zambia. Afr J Prm Health Care Fam Med 2015: 7(1) . http://dx.doi.org/10.4102/phcfm.v7i1.692

Ministry of Health Indonesia. Indonesia National TB Program Current Status of Integrated Community Based TB Service Delivery and the Global Fund Work Plan to Find Missing TB cases. 1–39 (2016-2020). Cited 2021 Maret 23 . Available at https://www.who.int/tb/features_archive/indonesia_11apr18

Nwe TT, Saw S, Win LL, Mon MM, Griensven JV, Zhou S, et al. Engagement of Public and Private Medical Facilities in Tuberculosis Care in Myanmar: Contributions and Trends Over an Eight-year Period. Infect. Dis. Poverty 2017( 6): 1–7. https://doi.org/10.1186/s40249-017-0337-8

Ullah ANZ, Huque R, Husain A, Akter S, Islam A, Newell JN. Effectiveness of Involving the Private Medical Sector in the National TB Control Programme in Bangladesh: Evidence from Mixed Methods. BMJ Open. 2012 (2): 1–8. https://doi.org/10.1136/bmjopen-2012-001534

Kurniawati A, Mahendradhata Y, Padmawati RS3 Acceptability Of The Tuberculosis (Tb) Mandatory Notification On Self Private Practitioners And Private Primary Clinics At Yogyakarta City. JKKI 2009; 8(01). 1-9. https://doi.org/10.22146/jkki.37426

Karamagi S, Sensalire S, Muhire M, Kisamba H, Byabagambi J, Rahimzai M, et. al. Improving TB Case Notification in Northern Uganda: Evidence of a Quality Improvement-guided Active Case Finding Intervention. BMC Health Serv. Res. 2018. (18):1–12. https://doi.org/10.1186/s12913-018-3786-2

Mhimbira FA, Cuevas LE, Dacombe R, Mkopi A, Sinclair D. Interventions to Increase Tuberculosis Case Detection at Primary Health Care or Community-level Services. Cochrane Database of Systematic Reviews 2017 Nov 28; 11(11): CD011432. https://doi.org/10.1002/14651858.CD011432.pub2

Malmborg R, Mann G. and Squire S. A Systematic Assessment of the Concept and Practice of Public-private Mix for Tuberculosis Care and Control. Int. J. Equity Health. 2011(10): 49. https://doi.org/10.1186/1475-9276-10-49

Indah M. Tuberkulosis. InfoDATIN (2018). Jakarta. Ministry of Health Indonesia. 2018. Available in http://www.pusdatin.kemkes.go.id/




DOI: https://doi.org/10.18196/mmjkk.v21i2.11731

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