EARLY DETECTION OF TUBERCULOSIS APPLICATION (E-TIBI): A NEW PARADIGM TO DETECT NEW CASE OF TUBERCULOSIS

Erwin Astha Triyono, MVS Mahanani, Sulvy Dwi Anggraini, Hafidh Maulana, Wahyu Dian Pratiwi, Christian Yochanan, Feriawan Tan, Lilis Masyfufah
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Abstract

Background: Tuberculosis (TB) is still one of the major health problems in the world, especially in countries with dense populations. Indonesia is listed among the top three countries with the highest burden of tuberculosis worldwide. The low coverage of case detection in Indonesia is one of the reasons for ineffective TB control. Therefore, this disease remains a threat to spread in today’s Indonesian society. Digital technology can be used to increase the effectiveness and efficiency of case detection. This study aims to create a new paradigm for detecting new cases of tuberculosis using a self-assessment website-based application. Methods: This descriptive quantitative research used univariate analysis. Respondents for this research were sampled from all East Java people who filled out the E-TIBI application. Result: In total, there were 4,658 E-TIBI users in East Java, with 20.80% suspected of tuberculosis. The most frequent symptoms found in the respondents were fatigue, cough for > 2 weeks, and weight loss. Discussion: A self-assessment paradigm based on digital technology was applied to the design of this E-TIBI application. From this application, the public can quickly determine whether they or others are suspected of having tuberculosis. This result shows that the whole community can easily access the E-TIBI application for initial tuberculosis screening. Conclusion: Through this application, direct community participation can increase the detection of new cases to support the government and WHO programs in eliminating tuberculosis by 2030.
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肺结核早期检测应用(e-tibi):发现肺结核新病例的新模式
背景:结核病(TB)仍然是世界上主要的卫生问题之一,特别是在人口密集的国家。印度尼西亚是世界上结核病负担最重的三个国家之一。印度尼西亚病例发现覆盖率低是结核病控制无效的原因之一。因此,这种疾病在今天的印度尼西亚社会中仍然有蔓延的威胁。数字技术可以用来提高案件侦查的有效性和效率。本研究的目的是创建一种新的范例,使用基于网站的自我评估应用程序来检测新的结核病病例。方法:采用单变量分析进行描述性定量研究。本研究的受访者是从填写E-TIBI应用程序的所有东爪哇人中抽取的。结果:东爪哇省E-TIBI用户共4658人,疑似结核患者占20.80%。在受访者中发现的最常见症状是疲劳,咳嗽;两周,体重下降。讨论:基于数字技术的自我评估范式被应用于这个E-TIBI应用程序的设计。通过这一应用程序,公众可以迅速确定自己或他人是否被怀疑患有结核病。这一结果表明,整个社会都可以很容易地访问E-TIBI应用程序进行初步结核病筛查。结论:通过这一应用程序,社区直接参与可以增加新病例的发现,以支持政府和世卫组织到2030年消除结核病的规划。
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