Ecological Analysis of Success of TB Treatment and Its Related Factors in Indonesia in 2019

Alfons Deristo Lega, H. Megatsari, S. R. Devy
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Abstract

Background: Tuberculosis is a direct infectious disease caused by TB germs (Mycobacterium Tuberculosis).Indonesia is ranked third in the world, with the largest incidence of tuberculosis after China and India, with845,000 cases or 315/100,000 in 2019. The study was intended to analyze the coverage of treatment of allcases, the percentage of poor people by province and the ratio of public health centre per sub-district in theprovince to the success of tuberculosis treatment in all provinces in Indonesia in 2019.Methods: The ecological approach is carried out using secondary data from the Ministry of Health of theRepublic of Indonesia in the form of Health Profile of the Republic of Indonesia in 2019 and Data andInformation: Health Profile of Indonesia in 2019. Data from 34 provinces in Indonesia related to the successrate of TB treatment, the coverage of treatment of all TB cases, the percentage of poor people by provinceand the ratio of public health centre per sub-district in the province using cross tabulation.Results: The results showed that the success rate of TB treatment in Indonesia in 2019 was in the moderatecategory in line with the coverage of all TB cases, the percentage of poor people by province and the ratio ofpuclic health centre per sub-district in the province which is also in the moderate category.Conclusion: Efforts to monitor and record cases and treatment of TB patients need to be improved toimprove TB treatment coverage. Improving the economy of the community and equalizing the availabilityof public health centre are also very important to improve the success of TB treatment.
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2019年印度尼西亚结核病治疗成功及其相关因素的生态学分析
背景:结核病是由结核分枝杆菌引起的直接传染病。印度尼西亚是仅次于中国和印度的世界第三大结核病发病率国家,2019年有84.5万例或315/10万例。该研究旨在分析2019年印度尼西亚所有省份所有病例的治疗覆盖率、各省贫困人口的百分比以及该省每个街道的公共卫生中心与结核病治疗成功率的比例。方法:采用印度尼西亚共和国卫生部以《2019年印度尼西亚共和国健康概况》和《数据与信息:2019年印度尼西亚健康概况》的形式提供的二手数据进行生态学方法。来自印度尼西亚34个省的数据涉及结核病治疗的成功率、所有结核病病例的治疗覆盖率、各省贫困人口百分比以及该省每个分区公共卫生中心的比例,采用交叉表法。结果:印度尼西亚2019年结核病治疗成功率与全省结核病病例覆盖率、各省贫困人口比例和各省街道公共卫生中心比例均处于中等水平。结论:为提高结核病治疗覆盖率,需加强结核病病例监测、记录和治疗工作。改善社区经济和平衡公共卫生中心的可用性对提高结核病治疗的成功率也非常重要。
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