Obstacles and Solutions for Tuberculosis Screening Among People With Diabetes Mellitus in Denpasar, Bali, Indonesia - A Need Assessment

IWG Artawan Eka Putra, PAS Astuti, IMK Duana, IK Suarjana, KH Mulyawan, NMD Kurniasari, IBG Ekaputra, A Probandari, CU Wahjuni

Abstract

Denpasar is the first city to implement a TB screening program among people with diabetes mellitus (DM). This study was aimed at exploring possible obstacles and solutions for implementation of TB screening among people with DM in Denpasar, Bali, Indonesia. This was a needs assessment to begin screening program through consultations, group discussions, and workshops. The important issues were the X-ray coverage which is for all patients to each have a chest X-ray. There are two main solutions; firstly, the algorithm is modified from the original in that all patients should go through a chest X-ray after anamnesis in following two groups: 1) patients with a productive cough go straight to the sputum smear test, 2) patients with other/no symptoms proceed to X-ray. The second result was the agreement made to meet BPJS regulation in order to avoid increasing referral burdens for PHCs. Therefore, we include DM patients who have been diagnosed for at least 3 months. A screening algorithm may need some adaptation to meet field situation and viewpoints of all stakeholders. Moreover, the involvement of all related stakeholders and negotiations to meet their expectation without undermining purpose of program will increase the feasibility to put program in place.

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Paper Citation


in Harvard Style

Putra I., Astuti P., Duana I., Suarjana I., Mulyawan K., Kurniasari N., Ekaputra I., Probandari A. and Wahjuni C. (2017). Obstacles and Solutions for Tuberculosis Screening Among People With Diabetes Mellitus in Denpasar, Bali, Indonesia - A Need Assessment.In Proceedings of the 2nd International Symposium of Public Health - Volume 1: ISOPH, ISBN 978-989-758-338-4, pages 414-418. DOI: 10.5220/0007515104140418


in Bibtex Style

@conference{isoph17,
author={IWG Artawan Eka Putra and PAS Astuti and IMK Duana and IK Suarjana and KH Mulyawan and NMD Kurniasari and IBG Ekaputra and A Probandari and CU Wahjuni},
title={Obstacles and Solutions for Tuberculosis Screening Among People With Diabetes Mellitus in Denpasar, Bali, Indonesia - A Need Assessment},
booktitle={Proceedings of the 2nd International Symposium of Public Health - Volume 1: ISOPH,},
year={2017},
pages={414-418},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0007515104140418},
isbn={978-989-758-338-4},
}


in EndNote Style

TY - CONF

JO - Proceedings of the 2nd International Symposium of Public Health - Volume 1: ISOPH,
TI - Obstacles and Solutions for Tuberculosis Screening Among People With Diabetes Mellitus in Denpasar, Bali, Indonesia - A Need Assessment
SN - 978-989-758-338-4
AU - Putra I.
AU - Astuti P.
AU - Duana I.
AU - Suarjana I.
AU - Mulyawan K.
AU - Kurniasari N.
AU - Ekaputra I.
AU - Probandari A.
AU - Wahjuni C.
PY - 2017
SP - 414
EP - 418
DO - 10.5220/0007515104140418