Feasibility study of strengthening the public-private partnership for tuberculosis case detection in Bandung City, Indonesia

Bony Wiem Lestari, Nita Arisanti, Adiatma Y M Siregar, Estro Dariatno Sihaloho, Gelar Budiman, Philip C Hill, Bachti Alisjahbana, Susan McAllister, Bony Wiem Lestari, Nita Arisanti, Adiatma Y M Siregar, Estro Dariatno Sihaloho, Gelar Budiman, Philip C Hill, Bachti Alisjahbana, Susan McAllister

Abstract

Objective: Private practitioner's (PPs) collaboration for detection, diagnosis and treatment of tuberculosis (TB) is recommended by the World Health Organization and encouraged by the Indonesian National TB control programme. TB case management by PPs, however, are mostly not in line with current guidelines. Therefore, we developed an intervention package for PPs comprising of TB training, implementation of a mobile phone application for notification of TB cases and a 6-month regular follow-up with PPs. This study aimed to evaluate the feasibility of the intervention package to increase TB case detection and notification rates among PPs in five community health centre areas in Bandung City, Indonesia.

Results: A total of 87 PPs were registered within the study area of whom 17 attended the training and 12 had the mobile phone application successfully installed. The remaining five PPs had phones that did not support the application. During the follow-up period, five PPs registered patients with TB symptoms and cases into the application. A total of 36 patients with TB symptoms were identified and 17 were confirmed TB positive.

Keywords: Mobile phone application; Private practitioner; Tuberculosis.

Figures

Fig. 1
Fig. 1
Flow chart of private practitioner (PP) participation, detection and referral of patients with tuberculosis (TB) symptoms

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