Private Practitioners' Perceptions of the Tuberculosis Case Reporting System in Pontianak City in 2020
Research
DOI:
https://doi.org/10.55175/cdk.v52i12.1533Keywords:
Private practice doctor, reporting system, tuberculosis (TB).Abstract
Introduction: In reality, many tuberculosis (TB) patients don’t receive proper treatment. One contributing factor is the high number of unreported tuberculosis cases. This study aims to understand the perception of independent practice doctors regarding tuberculosis case reporting in Pontianak City in 2020. Method: This research uses a qualitative approach with a case study design. The research sample consists of 12 independent practice doctors from each district in Pontianak City, as well as TB program managers. The sample was determined using purposive sampling technique, and qualitative data were analyzed using content analysis. Results: The study results indicate a lack of knowledge and understanding in the private sector regarding the Minister of Health Regulation Number 67 of 2016 related to the case reporting system. Conclusion: Key factors in the underreporting of TB cases to independent practitioners include public health centers serving as the primary referral for TB patients. Additionally, there is limited knowledge and understanding of the Minister of Health Regulation Number 67 of 2016 and its implementation, a lack of coordination and socialization from the government, both directly and indirectly, to general practitioner, and uncooperative patients in TB case management.
Downloads
References
WHO. Global tuberculosis report 2020 [Internet]. Geneva: World Health Organization; 2020. Available from: https://apps.who.int/iris/bitstream/handle/10665/336069/9789240013131-eng.pdf.
CDC. Finding the missing 4 million: the role of enhanced diagnostics and case-finding in reaching all people with TB [Internet].Georgia: Centers for Disease Control and Prevention; 2015. Available from: https://www.cdc.gov/globalhivtb/who-we-are/resources/keyareafactsheets/finding-the-missing-4-million.pdf.
National TB Programme Manager MOH Indonesia. Mandatory notification TBC in Indonesia [Internet]. 2018. Available from: https://cdn.who.int/media/docs/default-source/hq-tuberculosis/global-task-force-on-tb-impact-measurement/meetings/2018-05/tf7_p03_indonesia_mandatory_notification.pdf?sfvrsn=a88cd73b_5.
Dinas Kesehatan Kota Pontianak. Profil kesehatan kota Pontianak tahun 2017. 2018.
Kementerian Kesehatan RI. Peraturan Menteri Kesehatan Republik Indonesia No. 67 Tahun 2016 Tentang Penanggulangan Tuberkulosis [Internet]. Jakarta: Kementerian Kesehatan; 2016. Available from: https://peraturan.bpk.go.id/Details/114486/permenkes-no-67-tahun-2016.
Kurniawati A, Mahendradhata Y, Padmawati RS. Acceptability notifikasi wajib tuberkulosis (TB) pada dokter praktik mandiri dan klinik pratama swasta di kota Yogyakarta. J Kebijak Kesehat Indones. 2019;08(01):1–9.
Keith RE, Crosson JC, O’Malley AS, Cromp DA, Taylor EF. Using the consolidated framework for implementation research (CFIR) to produce actionable findings: a rapid-cycle evaluation approach to improving implementation. Implementation Science [Internet].2017. Available from: https://implementationscience.biomedcentral.com/articles/10.1186/s13012-017-0550-7.
Hartati NS, Sulistiowati E, Susilawati D, Penelitian P, Sumber K, Kesehatan P, et al. Pelaksanaan program Indonesia sehat dengan pendekatan keluarga (PIS-PK) di Puskesmas. Media LitBangKes. 2021;30(3):161–70. https://doi.org/10.22435/mpk.v31i3.3381.
Hopewell PC, Pai M, Maher D, Uplekar M, Raviglione MC. International Standards for Tuberculosis Care. Lancet Infectious Diseases 2006;6(11):710−th25. doi:10.1016/S1473-3099(06)70628-4.
Perhimpunan Dokter Paru Indonesia. Pedoman diagnosis dan penatalaksanaan tuberkulosis di Indonesia. Jakarta: Perhimpunan Dokter Paru Indonesia; 2011. p. 1–55.
Murrison LB, Ananthakrishnan R, Sukumar S, Augustine S, Krishnan N, Pai M, et al. How do urban indian private practitioners diagnose and treat tuberculosis? a cross-sectional study in Chennai. PLoS One 2016;11(2):1–14. doi: 10.1371/journal.pone.0149862.
Yeole RD, Khillare K, Chadha VK, Lo T, Kumar AM V. Tuberculosis case notification by private practitioners in Pune, India: how well are we doing? Public Health Action. 2015;5(3):173−9. doi:10.5588/pha.15.0031.
Datta K, Bhatnagar T, Murhekar M. Private practitioners’ knowledge, attitude and practices about tuberculosis, Hooghly District, India. Indian J Tuberc. 2010;57(4):199−206. PMID: 21141338.
Kementerian Kesehatan Republik Indonesia. Panduan operasional koalisi organisasi profesi Indonesia untuk penanggulangan tuberkulosis (KOPI TB). Jakarta: Kementerian Kesehatan; 2018.
Adrian MM, Purnomo EP, Agustiyara AW. Implementasi kebijakan pemerintah Permenkes no 67 Tahun 2016 dalam penanggulangan tuberkulosis di kota Yogyakarta. J Kebijak Kes Indones JKKI. 2020;09(2):83−8. https://doi.org/10.22146/jkki.55965.
Edwards GC. Implementing public policy [Internet]. 2nd ed. Congressional Quarterly Press; 1980. Available from: https://books.google. co.id/books?id=nQtHAAAAMAAJ.
Thomas BE, Velayutham B, Thiruvengadam K, Nair D, Barman SB, Jayabal L, et al. Perceptions of private medical practitioners on tuberculosis notification: a study from Chennai, South India. PLoS One 2016;11(1):e0147579. doi:10.1371/journal.pone.0147579
Philip S, Isaakidis P, Sagili KD, Meharunnisa A, Mrithyunjayan S, Kumar AMV. “They know, they agree, but they don’t do” - the paradox of tuberculosis case notification by private practitioners in Alappuzha district, Kerala, India. PLoS One 2015;10(4):e0123286. doi.10.1371/journal.ppone.0123286.
Uplekar M. Public-private mix for tuberculosis care and prevention. What progress? what prospects? Internat J Tuberculosis Lung Dis. 2016;20(11):1424−9. doi:10.5588/ijtld.15.0536.
Siddaiah A, Ahmed MN, Kumar AMV, D’Souza G, Wilkinson E, Maung Maung T, et al. Tuberculosis notification in a private tertiary care teaching hospital in South India: a mixed-methods study. BMJ Open 2019;9:e023910. doi: 10.1136/bmjopen-2018-023910.
Wang L, Liu X, Huang F, Hennig C, Uplekar M, Jiang S. Engaging hospitals to meet tuberculosis control targets in china: using the internet as a tool to put policy into practice. Bull WHO. 2010;88(12):937−42. doi:10.2471/BLT.09.071753.
Huang F, Cheng SM, Du X, Chen W, Scano F, Falzon D, et al. Electronic recording and reporting system for tuberculosis in China: experience and opportunities. J Am Med Informatics Assoc. 2014;21(5):938−41. doi:10.1136/amiajnl-2013-002001.
Lew WJ, Lee EG, Bai JY, Kim HJ, Bai GH, Ahn DI, et al. An Internet-based surveillance system for tuberculosis in Korea. Int J Tuberc Lung Dis. 2006;10(11):1241−7.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Namira Alifah Fahiratunnisa

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.



