TB Active Case-Finding Before and During the Covid-19 Pandemic

DOI

10.2991/978-94-6463-112-8_43How to use a DOI?

Keywords

tuberculosis; active case-finding; Puskesmas

Abstract

Tuberculosis is a significant infectious disease problem in Indonesia. According to the Indonesia Tuberculosis Prevalence Survey 2013–2014, the prevalence of TB with bacteriological confirmation was 759 per 100,000 population from 15 years old and above. The purpose of the study is to compare active case findings before and after the Covid-19 pandemic. This study was conducted in Bogor, Indonesia, in 2021. The study design was cross-sectional, with stratified random sampling. The number of sample was 49 out of 50 Puskesmas (public health centers) were included in this study. The active TB case findings observed in this study were TB contact investigations, special sreening, and mass TB screening. This study used Google Forms questionnaires distributed to the respondents (each Puskesmas’ TB program coordinator). This study found that before the Covid-19 pandemic, only 2% of Puskesmas never performed TB contact investigations. Furthermore, Puskesmas, which always conducts contact investigations, was reduced from 36.7% to 24.5% before and during the pandemic. The Puskesmas’ percentage of screening increased from 77.6% to 87.8%. Despite this, the Puskesmas that did not conduct mass screening for TB suspects increased from 77.6% to 87.8% during the pandemic. The reasons for not conducting mass screenings were the Puskemas’ policy (33.3%) and the Puskesmas’ overburden condition during the pandemic (25%). Furthermore, the reasons for not conducting special screening were lack of budget (31.5%) and overburden (29%). The percentage of TB contact investigations decreased during the Covid-19 pandemic. Due to the Head of the Puskemas policy and the overburden condition, most of the Puskesmas did not conduct either mass- or screening during the pandemics.

Copyright

© 2023 The Author(s)

Open Access

Open Access This chapter is licensed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/), which permits any noncommercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license and indicate if changes were made.

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TY  - CONF
AU  - Kristina L. Tobing
AU  - Alfons M. Letelay
AU  - Felly P. Senewe
AU  - Dina B. Lolong
AU  - Noer E. Pracoyo
AU  - Lilian Susanti
AU  - Oster Suriani
AU  - Aan Setiawan
AU  - Rina Marina
PY  - 2023
DA  - 2023/03/01
TI  - TB Active Case-Finding Before and During the Covid-19 Pandemic
BT  - Proceedings of the 1st International Conference for Health Research – BRIN (ICHR 2022)
PB  - Atlantis Press
SP  - 469
EP  - 481
SN  - 2468-5739
UR  - https://doi.org/10.2991/978-94-6463-112-8_43
DO  - 10.2991/978-94-6463-112-8_43
ID  - Tobing2023
ER  -