National TB Program1
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Transcript of National TB Program1
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National TB
Program
Dr. Rosmini Day, MPH
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Indonesia 10%Indonesia 10%Bangladesh 4%
China15%
India30%
Other28%
Philippines 3%Pakistan 4%
Nigeria 3%South Africa 2%
Russia 1%
KONTRIBUSI TB INDONESIA DI DUNIA
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Komitmen politis1
Directly Observed Treatment Short-course
WHA 1991
The 5 elements of DOTS
2
Diagnosa denganmikroskop
3
Pengobatan denganpengawasan langsung
4
Jaminan Ketersediaan OAT
Yg bermutu
5
Monitoring dan evaluasi
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Kasus dan jumlah kematian akibat TBC makin meningkatResistensi thd obat TB (MDR TB) meningkatTB menjadi epidemik yang sulit diobatiKekurangan data / informasi TB yg reliable
DAMPAKKEGAGALAN STRATEGI
DOTS
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Faktor Yang Mempengaruhi Respon Pengobatan TB
TIDAK PENTINGIstirahatAkomodasiDietPerawatanIklimSanatoriumFaktor psikologis
RELATIF TIDAK PENTING
Tingkat keparahan penyakit
PENTINGRegimen/
Kemoterapi yg adekuat
Keteraturan minum obat
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Model Epidemiologi TBBerbasis Patogenesis
INFEKSISUBKLINIS
PAPARAN
TB MENULAR
TB TIDAKMENULAR
MATI
FAKTOR RESIKO
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Model Intervensi Berbasis Epidemiologi
PAPARAN
TB MENULAR
TB TIDAKMENULAR
MATI
Keterlambatan pasien
Keterlambatan dokter
Pengobatankemoterapi
INFEKSISUBKLINIS
Pengobatanprofilaksis
Pengobatanpreventif
VaksinasiBCG
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PUSKEMASPASSIVE CASE
FINDING
MASYARAKATPROMOSI AKTIF
STRATEGI PENEMUAN
KASUS
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KLASIFIKASIPARU/ EKST.
PARUBTA+/-SAKIT
BERAT / TIDAK
TIPEBARUKAMBUHGAGALDEFAULTERKRONISPINDAHANOATKAT-1KAT-2KAT-3SISIPANKAT-ANAKPMOPENYULUHAN
FOLLOW-UP DAHAK ULANG
KLINIS ESO KONSELING PELACAKAN PEMERIKSA
KONTAK PENCEGAHAN
SEMBUH LENGKAP GAGAL MATI DEFAULT PINDAH
TB-06
TB-05
TB-04
TB-02
TB-09
TB-10
TERSANGKA
PULANG
POLI
KLI
NIK
LABORATO RIUM
TB-01
CASE FINDINGCASE HOLDING
CASE MONITORING
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TB-01
TB-06 TB-05 TB-04
TB-02
TB-05TB-09
TB-10UNIT PELAYANAN KESEHATAN
TERSANGKA
PULANG
POLIKLINIKLABORATO RIUM
DARI PS
TB-12
TB-07 TB-08 TB-11
TB-13
Rek.TB-12DINAS KESEHATANKAB/KOTA TB-03
DEPKES RI - SUBDIT TBC
RekapTB-07
RekapTB-08
RekapTB-11
RekapTB-12
TB-13DINAS KESEHATANPROPINSI
WHO TB
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PERKIRAAN PEND TB
PEND TB NYATA
PEND BERKUNJUNG KE SARKES
PEND BERKUNJUNG KE SARKESMASY
PEND BERKUNJUNG KE P/PPM/PSM
PEND YG DI DIAGNOSA SECARA TEPAT OLEH PRM/PPM/PS
PEND TERDIAGNOSA YG
DILAPORKAN PRM/PPM/PS
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MENGAPA PENDERITA TB “TIDAK DITEMUKAN” ?
PERKIRAAN PEND TB
SEMUA PEND TB NYATA
PEND BERKUNJUNG KE SARKES
PEND BERKUNJUNG KE SARKESMASY
PEND BERKUNJUNG KE P/PPM/PSM
PEND YG DI DIAGNOSA SECARA TEPAT OLEH PRM/PPM/PS
PEND TERDIAGNOSA YG
DILAPORKAN PRM/PPM/PS
JAGA MUTU LAB
PELATIHAN
SUPERVISI
KENYAMANAN PEND.,KEMUDAHAN
MUTU SARANA & PELAYANAN
KIE
KEMITRAAN
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BAWANG BERLAPIS TIPIS(Thin Skinned Onion)
70+
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2002 2003 2004 2005 2006
CDR50%
CDR60%
CDR40%
CureRate85%
CDR70%
CDR70%
Tahapan PencapaianTahapan Pencapaian
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15
CDR TB tahun 1997-2002Extra
Smear PulmonaryNew Relapse Negative Tuberculosis
1997 25,420 497 3,125 4,174 33,216 1998 29,781 1,177 8,217 382 39,557 1999 49,333 2,205 20,792 1,105 73,435 2000 52,338 2,478 28,225 1,550 84,591 2001 53,965 2,708 34,547 1,818 93,038 2002 74,738 3,649 71,278 2,535 152,200
YearPulmonary Tuberculosis
Smear Positive Total
Contribution BP.4 & RS : 11.3 %
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Trend New Smear Pos & All Cases TB 1997-2002
0
20000
40000
60000
80000
100000
120000
140000
160000
1997 1998 1999 2000 2001 2002
New Smear Pos All Cases
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Regional Sumatera Pencapaian CR&CDR
NADBengkulu
INDONESIA
Lampung Babel
Sumut
Jambi
SumbarSumselGorontalo
TARGET ZONE
Riau
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Regional Sulawesi Pencapaian CR&CDR
INDONESIASulsel
Sulteng
Sultra
Sulut
GorontaloTARGET ZONE
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INDONESIAJabarDIY DKI
Jateng
Regional Jawa Pencapaian CR&CDR
Banten
Jatim
GorontaloTARGET ZONE
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INDONESIA
Kalbar Kalsel
Regional Kalimantan: CR&CDR
Kaltim
GorontaloTARGET ZONEKalteng
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NTTNTB
INDONESIA
GorontaloTARGET ZONE
Regional Nusa Tenggara&Bali: CR&CDR
Bali
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INDONESIA
GorontaloTARGET ZONE
Regional Maluku & Irian : CR&CDR
Irian
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