The effectiveness of integrated health professional organization collaboration in the treatment of pulmonary tuberculosis: A qualitative study
DOI:
https://doi.org/10.33024/minh.v7i8.737Keywords:
Collaboration, Professional Organizations, Pulmonary Tuberculosis, TreatmentAbstract
Background: Tuberculosis (TB) is an infectious disease, the high incidence of tuberculosis and its impact have caused the world to pay special attention, one of which is through the target of the third issue of the sustainable development goals (SDGs), namely tackling the TB epidemic in 2030. Efforts to prevent and reduce TB incidence in Indonesia through to find, treat, and cure TB program. Approaches to finding, diagnosing, treating, and curing TB patients and stopping transmission in the community. The treatment is being carried out actively, massively, and intensively, but the problem-solving has not yet been completed, innovation is needed through the collaboration of integrated health professional organizations, to anticipate the treatment of TB independently, in the service units of private hospitals, clinics and doctors' independent practice places. This innovation is to increase the new case detection rate, and the tracking of initial lost to follow up patients.
Purpose: To analyze the effectiveness of integrated health professional organization collaboration in the treatment of pulmonary tuberculosis
Method: Qualitative research with descriptive and exploratory design. The source of data and information is informants from the health profession determined by purposive sampling. In-depth interview and focus group discussion interview methods. Informants are representative members of each health profession organization appointed by the organization's leadership.
Results: Health professional organizations are committed to and contribute to the well-organized treatment of TB. Integrated activity programs, increasing the discovery of new case detection rates, identification of drug-resistant pulmonary tuberculosis (DR-PTB) and drug-sensitive pulmonary tuberculosis (DS-PTB), and active monitoring of patients initially lost to follow-up, as well as preventing independent case handling.
Conclusion: The collaboration of health professional organizations is very effective in helping the government handle Tuberculosis, has a commitment to increase the new case detection rate, identification of drug-resistant pulmonary tuberculosis (DR-PTB) and drug-sensitive pulmonary tuberculosis (DS-PTB), and actively monitor patients who are initially Lost to follow up, which is carried out in an integrated manner.
References
Achhami, E., Lamichhane, S., Mahaju, S., Kandel, A., Poudel, A., & Kc, R. (2023). Unregulated medication use and complications: a case study of prolonged self-treated tuberculosis in Nepal. BMC Infectious Diseases, 23(1), 1–7.
Adedire, E. B., & Akinkunmi, G. (2020). Perception and Barriers to Routine Immunisation Uptake: A Qualitative Study in Rural areas of Osun State, Nigeria. Texila International Journal of Public Health, 8(2), 1–8.
Altpeter, E. S., & Schmidt, A. J. (2021). Surveillance of tuberculosis in Switzerland and the principality of Liechtenstein, 2009 to 2019. Swiss medical weekly, 151(3536), w30032-w30032.
Amare, D., Alene, K. A., & Ambaw, F. (2023). Acceptability of integrating traditional tuberculosis care with modern healthcare services in the Amhara Regional State of Northwest Ethiopia: a qualitative study. Preventive Medicine Reports, 34, 102231.
Andom, A. T., Gilbert, H. N., Ndayizigiye, M., Mukherjee, J. S., Lively, C. T., Nthunya, J., Marole, T. A., Ratsiu, M., Fawzi, M. C. S., & Yuen, C. M. (2023). Understanding barriers to tuberculosis diagnosis and treatment completion in a lowresource setting: A mixed-methods study in the Kingdom of Lesotho. PLoS ONE, 18(5 May), 1–17.
Asare-Baah, M., Johnston, L., Ramirez-Hiller, T., Séraphin, M. N., & Lauzardo, M. (2023). Central Nervous System Tuberculosis: Risk Factors for Mortality in a Propensity Score–Matched Case-Control Study. Open Forum Infectious Diseases, 10(12), 1–7.
Atake, E. H. (2023). Health system productivity in sub-Saharan Africa: tuberculosis control in high burden countries. Cost Effectiveness and Resource Allocation, 21(1), 1–11.
Ayala, A., Ncogo, P., Eyene, J., García, B., Benito, A., & Romay-Barja, M. (2023). Rural–Urban Inequities in Tuberculosis-Related Practices in Equatorial Guinea. Journal of Epidemiology and Global Health, 13(4), 886–894.
Chaiyachat, P., Kaewseekhao, B., Chaiprasert, A., Kamolwat, P., Nonghanphithak, D., Phetcharaburanin, J., Sirichoat, A., Ong, R. T. H., & Faksri, K. (2023). Metabolomic analysis of Mycobacterium tuberculosis reveals metabolic profiles for identification of drug-resistant tuberculosis. Scientific Reports, 13(1), 1–13.
Directorate General of Prevention. (2023). Laporan Program Penanggulangan Tuberkulosis Tahun 2022. Kemenkes RI, 1–156. Retrieved from: https://tbindonesia.or.id/pustaka_tbc/laporan-tahunan-program-tbc-2021/
Donkeng-Donfack, V. F., Ongoulal, S. M., Djieugoue, Y. J., Simo, Y. K., Manga, H., Tollo, D. A. D., Belinga, E. M. A., Mbassa, V., Abena, J. L., & Eyangoh, S. (2022). Tuberculosis-loop-mediated isothermal amplification implementation in Cameroon: Challenges, lessons learned and recommendations. African Journal of Laboratory Medicine, 11(1), 1–7.
Farley, J. E., Ndjeka, N., Mlandu, K., Lowensen, K., Geiger, K., Nguyen, Y., Budhathoki, C., & Stamper, P. D. (2021). Preparing the healthcare workforce in South Africa for short-course rifampicin-resistant TB treatment: inter-professional training and task-sharing considerations. Human Resources for Health, 19(1), 1–7.
Feyisa, J. W., Lemu, J. C., Hunde, M. D., Berhanu, R. D., Jaleta, D. D., Abdisa, D. K., Garedow, T. S., & Kitila, K. M. (2022). Why health system diagnosis delay among tuberculosis patients in Illubabor, Oromia region, South West Ethiopia? A qualitative study. PLoS ONE, 17(12 December), 1–14.
Getnet, F., Demissie, M., Worku, A., Gobena, T., Tschopp, R., Farah, A. M., Seyoum, B., Tolossa, D., Medhin, G., Legesse, M., de Vries, S. G., Cremers, A. L., Heuvelings, C. C., Greve, P. F., Visser, B. J., Bélard, S., Janssen, S., Spijker, R., Shaw, B., Demisie, M. (2017). Enhance the Health Status of the Nomadic Pastoralists in Filtu Woreda, Liben Zone, Somali Region, Ethiopia One Health Operational Research Report Alessia Villanucci OR Coordinator. BMC Research Notes, 17(1), 1–7. www.mdpi.com/journal/ijerph
Giridharan, P., Selvaraju, S., Rao, R., Rade, K., Thiruvengadam, K., Asthana, S., Balachandar, R., Bangar, S. D., Bansal, A. K., Bhat, J., Chakraborty, D., Chopra, V., Das, D., Dutta, S., Devi, K. R., Kumar, S., Laxmaiah, A., Madhukar, M., Mahapatra, A., Bhargava, B. (2023). Recurrence of pulmonary tuberculosis in India: Findings from the 2019-2021 nationwide community-based TB prevalence survey. PLoS ONE, 18(12 December), 1–12.
Iruedo, J. O., & Pather, M. K. (2023). Lived experiences of patients and families with decentralised drug-resistant tuberculosis care in the Eastern Cape, South Africa. African Journal of Primary Health Care & Family Medicine, 15(1), 1–16.
Jamil, B., Nair, D., Thekkur, P., Laeeq, N., Adil, A., Khogali, M., Zachariah, R., Berger, S. D., Satyanarayana, S., Kumar, A. M. V., Bochner, A., McClelland, A., Fatima, R., & Harries, A. D. (2023). Feasibility, enablers and challenges of using timeliness metrics for household contact tracing and TB preventive therapy in Pakistan. PLoS ONE, 18(12 December), 1–19.
Jing, C., Zheng, H., Wang, X., Wang, Y., Zhao, Y., Liu, S., Zhao, J., & Du, Q. (2023). Disease burden of tuberculosis and post-tuberculosis in Inner Mongolia, China, 2016–2018 — based on the disease burden of post-TB caused by COPD. BMC Infectious Diseases, 23(1), 1–14.
Johnson-Peretz, J., Chamie, G., Kakande, E., Christian, C., Kamya, M. R., Akatukwasa, C., Atwine, F., Havlir, D. V., & Camlin, C. S. (2023). Geographical, social, and political contexts of tuberculosis control and intervention, as reported by mid-level health managers in Uganda: ‘The activity around town.’ Social Science and Medicine, 338(December 2022), 116363.
Makabayi-Mugabe, R., Musaazi, J., Zawedde-Muyanja, S., Kizito, E., Fatta, K., Namwanje-Kaweesi, H., Turyahabwe, S., & Nkolo, A. (2023). Community-based directly observed therapy is effective and results in better treatment outcomes for patients with multi-drug resistant tuberculosis in Uganda. BMC Health Services Research, 23(1), 1–12.
Meskini, M., Madadi, N., Ahmadi, K., Vaziri, F., Fateh, A., & Siadat, S. D. (2023). Tuberculosis prevention, diagnosis, and treatment financial profile during 2006–2021: PART A. Cost Effectiveness and Resource Allocation, 21(1), 1–8.
Ministry of Health of the Republic of Indonesia. (2014). Berita Negara Republik Indonesia. In Kementrian Kesehatan Republik Indonesia (p. 20). Retrieved from: https://www.kemhan.go.id/itjen/wp-content/uploads/2017/03/bn1755-2014.pdf
Ministry of Health of the Republic of Indonesia. (2016). Peraturan Menteri Kesehatan Republik Indonesia. In Kemenkes RI (p. 163).
Ministry of Health of the Republic of Indonesia. (2021). Laporan Program Penanggulangan Tuberkulosis. In Kementerian Kesehatan Republik indonesia. Retrieved from: https://tbindonesia.or.id/pustaka_tbc/laporan-tahunan-program-tbc-2021/
Ministry of Manpower of the Republic of Indonesia. (2022). Peraturan Menteri Ketenagakerjaan Nomor 13 Tahun 2022 tentang Penanggulangan Tuberkulosis di Tempat Kerja. Retrieved from: https://peraturan.bpk.go.id/Details/231407/permenaker-no-13-tahun-2022
Moore, B. K., Dlodlo, R. A., Dongo, J. P., Verkuijl, S., Sekadde, M. P., Sandy, C., & Maloney, S. A. (2022). Evidence to Action: Translating Innovations in Management of Child and Adolescent TB into Routine Practice in High-Burden Countries. Pathogens, 11(4).
Pande, T., Vasquez, N. A., Cazabon, D., Creswell, J., Brouwer, M., Ramis, O., Stevens, R. H., Ananthakrishnan, R., Qayyum, S., Alphonsus, C., Oga-Omenka, C., Nafade, V., Sen, P., & Pai, M. (2020). Finding the missing millions: Lessons from 10 active case finding interventions in high tuberculosis burden countries. BMJ Global Health, 5(12), 1–5
President of the Republic of Indonesia. (2021). Peraturan Presiden Nomor 67 tahun 2021 tentang Penanggulangan Tuberkulosis. Kementerian Kesehatan Re, 67(069394), 107. Retrieved from: https://tbindonesia.or.id/wp-content/uploads/2021/08/Perpres-Nomor-67-Tahun-2021.pdf
Rupani, M. P. (2023). Silicosis as a predictor of tuberculosis mortality and treatment failure and need for incorporation in differentiated TB care models in India. Archives of Public Health, 81(1), 1–9.
Sunpapoa, C., Na-Ek, N., Sommai, A., Boonpattharatthiti, K., Huynh, N. S., & Kanchanasurakit, S. (2023). Impact of Nursing Interventions on Hospital Readmissions in Patients With Pulmonary Tuberculosis: A Quasi-Experimental Study. Asian Nursing Research, 17(3), 167–173.
World Health Organization. (2023). Tuberculosis. Retrieved from: https://www.who.int/news-room/fact-sheets/detail/tuberculosis
Zhang, Y., Zhan, B., Hao, X., Wang, W., Zhang, X., Fang, C., & Wang, M. (2023). Factors associated with diagnostic delay of pulmonary tuberculosis among children and adolescents in Quzhou, China: results from the surveillance data 2011–2021. BMC Infectious Diseases, 23(1), 1–9.
Zulu, D. W., Silumbwe, A., Maritim, P., & Zulu, J. M. (2022). Integration of systematic screening for tuberculosis in outpatient departments of urban primary healthcare facilities in Zambia: a case study of Kitwe district. BMC Health Services Research, 22(1), 1–11.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Malahayati International Journal of Nursing and Health Science
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.