paradise: DOTS in Hospital

In 1999, the Ministry of Health took the initiative to start cooperation with the Royal Netherlands TB Association (KNCV) to support the Hospital Association of Indonesia (PERSI) in an effort to expand DOTS in hospitals, which began with a pilot project in Yogyakarta.

Project work plan Hospital DOTS Linkage (HDL) have been prepared in cooperation KNCV, GTI (Gorgas Tuberculosis Initiative) University of Alabama, PERSI and NTP. PERSI, NGOs at the national level and Yogyakarta Province DOTS Committee to act as executor with technical support from KNCV. Funding obtained through sub-contracts between UAB and KNCV, and since 2003, training fully supported with funds from USAID (Tuberculosis Coalition for Technical Assistance / TBCTA). In general, HDL project goal is to create a model of partnership between public and private sectors to expand the DOTS strategy expansion at the hospital in Yogyakarta province.

HDL Project has contributed to the development of programs that connect the DOTS services from the public sector with private hospitals. To minimize the gap between sectors is carried out activities such as advocacy, training, networking and information systems together. HDL involve all sectors of the hospital in Yogyakarta and private practice physicians in the implementation of the program.

In its development, the project has gained some achievements HDL:

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      By doing various activities to improve quality and access to DOTS services, has been an increase in reporting of new cases by 30% (from 998 cases in 2003 to 1300 in 2004), with the highest increase in health center. The level of reporting of cases increased five-fold compared to the beginning of the program in 2000, to 40 cases per 100,000 population. Also an increase in treatment success compared to previous years. Identification of smear positive cases in all categories of health care providers at 80% and treatment success rate has reached the national target of 85%.

      Currently, 24 hospitals (out of 32) and 5 clinical lung (BP4) has been involved in the implementation of DOTS. To improve the performance of programs have been carried out intensive training, supervision and coordination meetings between health centers and hospitals.

      Has started a private practice physician involvement in the program that identified 390 suspects DOTS TB, including smear positive dengan106 (8% of the total reporting of smear positive cases during 2004).

      Strengthening laboratory networks and laboratory quality assurance system. Test cross sputum smear preparations have been made in 70% of diagnostic centers with an error rate of between 5% -10%

      Several initiatives have been undertaken to improve networking DOTS teams, create partnerships with community organizations, and collaboration with the academic sector.

â €?? Lesson Learntâ €? HDL obtained from the project become a valuable lesson for the National Tuberculosis Control Program at this time in the acceleration phase of DOTS. Yogyakarta DOTS team members regularly invited to as a resource for the implementation of the DOTS strategy in the hospital, and the DOTS teams from other provinces have made study visits to Yogyakarta to see how the implementation of the DOTS strategy in the government and private hospitals.

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Senin, 13 Desember 2010

DOTS in Hospital

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