Evaluasi implementasi public private mix pengendalian tuberkulosis di kabupaten Ende provinsi Nusa Tenggara Timur tahun 2012
Date
2014
Journal Title
Journal ISSN
Volume Title
Publisher
Pusat Kebijakan dan Manajemen Kesehatan, Universitas Gadjah Mada, Yogyakarta, ID
Abstract
Background: One of the components of the stop TB strategy
is to involve all government service providers, private sector,
non-governmental organizations in the implementation of quality
DOTS known as Public Private Mix (PPM). Ende has executed
the implementation of PPM DOTS approach involving
government hospitals, private hospitals and private clinics since
2010, but the program has never been evaluated to determine
the problem and found a solution to improve the performance
of the TB control program in Ende.
Objectives: To evaluate the implementation of the Public Private
Mix (PPM) for TB control in Ende
Methods: This study used a qualitative design, with descriptive
case study approach, to describe the implementation of PPM
for TB control in Ende, a district of East Nusa Tenggara Province.
Result and Discussion: PPM implementation of TB control in
Ende not run optimally, this showed by the low performance of
the TB control program that is low TB case detection rate
(CDR) <70%, although there was an increase in TB case
detection (CDR) of 12% , treatment success rate <85%, the
conversion rate <80% and the high dropout rate of TB patients>
10% in the last three years. Factors - factors that inhibited the
implementation of PPM for TB control are shortage of human
resources, insufficient budget, lack of logistics and facilities
infrastructures of TB DOTS unit and dependence on donor
resources, the absence of operational guidelines governing
cooperation mechanisms, the lack of commitment of the
government and partners in the implementation of PPM control
TB, lack of communication and coordination between PPM
network, caseholding of TB patients
Conclusion: Implementation of PPM TB Control has not been
optimal as it has not improve the performance of the TB control
program in the district of Ende yet.
Description
item.page.type
Journal Article (peer-reviewed)
item.page.format
Text
Keywords
POLICY MONITORING, PROGRAMME EVALUATION, TUBERCULOSIS, EPIDEMIOLOGY, HEALTH FACILITIES, INFORMATION NETWORKS, BUDGETARY POLICY, HUMAN RESOURCES DEVELOPMENT, COOPERATION BETWEEN ORGANIZATIONS, GOVERNMENT ROLE, HEALTH ADMINISTRATION
Citation
Tondong, M.A.P., Mahendradhata, Y., & Andono Ahmad, R. (2014). Evaluasi implementasi public private mix pengendalian tuberkulosis di kabupaten Ende provinsi Nusa Tenggara Timur tahun 2012. Jurnal Kebijakan Kesehatan Indonesia, 3(1): 37-42.