FIELD EPIDEMIOLOGY TRAINING PROGRAM, UGM YOGYAKARTA
Tuberculosis: Case Finding in Public Health
Center of Blora, Indonesia
Ahmad Musyafa'1, Th Baning Rahayujati1, Henny Indriyanti2
Picture 1. Blora Map
Background
Tuberculosis is a disease of
international concern. Control measure
have been implemented in the World
and Indonesia. One of the indicators of
TB prevenion program in Indonesia is
Case Notification Rate (CNR), through
case finding to screen of suspected
TB, physical examination, laboratory
and diagnosis.
Objective: Implementation of TB case
finding program in Blora Distric,
Indonesia 2017
Methods
We conducted A descriptive
observational study of evaluation.
Subjects were 12 TB programmers at
puskesmas, 12 laboratory workers and
1 supervisor of Blora District Health
Office. Data were collected by in-depth
interviews and observations on input,
process, output and outcome aspects
Results
Input Aspect:
 50% nursing graduates
 75% responden have double job
 66% was followed TB training >5
years
 Funds, facilities and adequate
infrastructure
Process Aspect
 Planning 100%
 Budget requirements 75%
 Job description 67%
 Increase internal lineage 58%
Program Inplementation
 Pasif case finding 100%
 Actif case finding 67%
 Involvement of health cadres is not
optimal
 PPM has not gone well 17%
 Monitoring 2 times (33%)
 Evaluation 92%.
Output Aspect
 CNR (2016)  128/100.000
populations
 National target  316/100.000
populations
Outcome Aspect
 Cure rate 91.1%
 Death rate 3,5%
Picture 2. Interview with PHC TB Programmer
Conclusions
TB case finding in Blora is still below
national target. It needs to improve the
skills of TB programmers by training
and refresher, increasing PPM by
involving the private sector, hospitals
and polyclinics, involving the village
midwife actively encompassing TB
cases, cross program and sector
networks
Picture 3. Fish bone diagram Case Finding TB
1. FETP Universitas Gadjah Mada
2. Distric Health Center of Blora
Picture 4. Monitoring and Evaluation
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Acknowledgements
1. Distric Health Center of Blora
2. Public Health Center of Blora
3. FETP UGM Yogyakarta