Community-based Management and Control of Tuberculosis in Sub-urban Surabaya, Indonesia: A Qualitative Study

BACKGROUND: Tuberculosis (TB) is major community health problem in Indonesia. The World Health Organization
report in 2017 shows that 6.4 million new TB cases were officially notified to national authorities, worldwide. Indonesia
has 842,0000 cases and places it as the country with the third highest number in the world. The national program
Directly Observed treatment, short-course started since 2014 has not able to handle TB cases comprehensively.
Communities have important role in TB management.
AIM: The aim of this study was to explore the existed condition of TB management and control.
METHODS: A descriptive qualitative study was conducted in Tandes Sub-district, which is an endemic area for TB
and has the highest incident in Surabaya. Semi-structured interview was conducted to 13 participants who consist of
sub-urban TB task force, community health volunteer, Community Health Nurses, and sub-district officer.
RESULTS: Result reveal six themes: Altruism as intentional caring factor, in adequate number of staff, the need to
improve training skill, insufficient of resources, limited of financial support, and social support.
CONCLUSION: To be effective program, community-based TB management need to be improve in the availability of
budget, staff, training, and resources while maintaining the ongoing work of TB task force team. Community-based
TB program is one of the activities whose efficiency was reliable for handling TB