Pola Spasial dan Aksesibilitas Penggunaan Pelayanan Kesehatan: Pengobatan Ulang Tuberkulosis
DOI:
https://doi.org/10.12928/kesmas.v13i2.9624Keywords:
Geographical Information Systems, Mycobacterium Tuberculosis, Spatial Pattern, IndonesiaAbstract
Background: Increased tuberculosis cases and deaths were caused by being untreated, did not understand that tuberculosis bacilli had been infected, coverage rates were low, coverage was high but treatment outcomes were low, and there were new cases due to demographic transitions. The treatment success rate for smear-positive was 86%. In Kulon Progo, based on 73 patients treated in 2013 as many as 59 people were declared cured. The aim of this study was to mapping the distribution pattern of pulmonary tuberculosis patients who re-treat, identify the place of treatment and access to health facilities. Method: A cross-sectional survey using a geographic information system, the sample included 162 pulmonary tuberculosis patient in 2014. The variables were pulmonary tuberculosis patients and distance to health care facilities. Analyzed by descriptive methods. Result: There were 8 cases of recurrent tuberculosis cases, 5 patient was difficult to access. Cases drop out there was 4 patient, 2 patient was difficult to access. The case failed 4 patient, 3 patient was difficult to access. In the rural area was 78%. Results of treatment of tuberculosis relapse in the first quarter, 1 patient was difficult to access, otherwise healed. In the second quarter, 3 patient was difficult to access, 2 patient was declared cured, 1 patient was died, with diabetes mellitus complication. 1 patient was drop out in the first quarter, access was difficult, stated back to follow-up. In the second quarter, 1 patient was easy to access, otherwise recovered. Tuberculosis failed in the second quarter, 1 patient was easy to access, otherwise recovered. Conclusions: The spatial pattern of distribution of pulmonary tuberculosis patients who re-treated was mostly spread in rural areas, patients had difficulty accessing health facilities, patients seeking medical treatment in several health care facilities to move in four different places.
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References
Mesgari MS, Masoomi Z. GIS Applications in Public Health as a Decision Making Support System and It’s Limitation in Iran. World Appl Sci J 3 2008;3(Supple 1):73–7.
Syam SS, Cote MJ. A Location – Allocation Model for Service Providers with Application to Not-for-Profit Health Care Organizations. Omega 2010;38(3–4):157–66.
Dinas Kesehatan Kabupaten Kulon Progo. Profil Kesehatan Kabupaten Kulon Progo Tahun 2014 (data 2013). Yogyakarta: Dinas Kesehatan Kabupaten Kulon Progo 2014; 2014.
Dinas Perhubungan DIY. Kondisi Jaringan Transportasi Wilayah. 2004;9.
Zhang T, Tang S, Jun G, Whitehead M. Persistent Problems of Access to Appropriate, Affordable TB Services in Rural China: Experiences of Different Socio-Economic Groups. BMC Public Health 2007 [cited 2014 Dec 22];7:19.
Jackson S, Sleigh AC, Wang G, Liu X. Poverty and The Economic Effects of TB in Rural China. Int Union Against Tuberc Lung Dis 2006;10(January):1104–10.
Leung, C. C., Yew, W. W., Tam, C. M., Chan, C. K., Chang, K. C., Law, W. S., Wong, M. Y., Au KF. Socio-Economic Factors and Tuberculosis: A District-Based Ecological Analysis in Hong Kong. Int J Tuberc Lung Dis 2004;8(8):958–64.
Cheng G, Tolhurst R, Li RZ, Meng QY, Tang S. Factors Affecting Delays in Tuberculosis Diagnosis in Rural China: A Case Study in Four Counties in Shandong Province. Trans R Soc Trop Med Hyg 2005;99(5):355–62.
Prussing C, Castillo-Salgado C, Baruch N, Cronin W a. Geo-Epidemiologic and Molecular Characterization to Identify Social, Cultural, and Economic Factors Where Targeted Tuberculosis Control Activities Can Reduce Incidence in Maryland, 2004-2010. Public Health Rep 2013;128 Suppl:104–14.
Nunes C. Tuberculosis Incidence in Portugal: Spatiotemporal Clustering. Int. J. Health Geogr.2007;6:30.
Yazdani-Charati J, Siamian H, Kazemnejad A, Vahedi M. Spatial Clustering of Tuberculosis Incidence in the North of Iran. Glob J Health Sci 2014;6(6):288–94.
Sabawoon W, Sato H, Kobayashi Y, Pardis A. Regional Differences in Delay to Tuberculosis Treatment in Afghanistan: A Cross-Sectional Study. Appl Geogr 2011;31(3):1123–31.
Kiwanuka SN, Ekirapa EK, Peterson S, Okui O, Rahman MH, Peters D, et al. Access to and Utilisation of Health Services for The Poor in Uganda: A Systematic Review of Available Evidence. Trans R Soc Trop Med Hyg 2008;102(11):1067–74.
Dooley KE, Lahlou O, Ghali I, Knudsen J, Elmessaoudi MD, Cherkaoui I, et al. Risk Factors for Tuberculosis Treatment Failure, Default, or Relapse and Outcomes of Retreatment in Morocco. BMC Public Health 2011;11(1):140.
PerMenKes RI. Peraturan Menteri Kesehatan Republik Indonesia Nomor 75 Tahun 2014 tentang Pusat Kesehatan Masyarakat. Jakarta: 2014.
Macintyre S, Macdonald L, Ellaway A. Do Poorer People Have Poorer Access to Local Resources and Facilities? The Distribution of Local Resources by Area Deprivation in Glasgow, Scotland. Soc Sci Med 2008;67(6):900–14.
Chaturvedi HK, Mahanta J, Pandey A. Treatment Seeking for Febrile Illness in North East India: An Epidemiological Study in The Malaria Endemic Zone. Malar J 2009;8(301).
Gu D, Zhang Z, Zeng Y. Access to Healthcare Services Makes A Difference in Healthy Longevity Among Older Chinese Adults. Soc Sci Med 2009;68(2):210–9.
Wardani DWSR. Kajian Determinan Sosial Kejadian Tuberkulosis Paru Berbasis Geospasial dan Model Prediksinya di Bandar Lampung. 2014;
Widada ST. Analisis Spasial Kejadian TB Paru BTA (+) Menggunakan Sistem Informasi Geografis (SIG) di Kota Yogyakarta. 2008;
Lonnroth K, Castro KG, Chakaya JM, Chauhan LS, Floyd K, Glaziou P, et al. Tuberculosis Control and Elimination 2010-50: Cure, Care, and Social Development. Lancet 2010 [cited 2014 Dec 11];375(9728):1814–29.
Lönnroth K. Risk Factors and Social Determinants of TB. The Union NAR Meeting 24 Feb 2011. The Stop TB Department WHO; 2011.
Sanchez-perez HJ, Flores-hernández JA, Jansá JM, MartÃn-mateo M. Pulmonary Tuberculosis and Associated Factors in Areas of High Levels of Poverty in Chiapas, Mexico. Int J Epidemiol 2001;30(2):386–93.
Sanchez-Perez HJ, del Mar Garcia Gil M, Halperin D. Pulmonary tuberculosis in the border region of Chiapas, Mexico. Int J Tuberc Lung Dis 1998;2(1):37–43.
Kementerian Kesehatan RI. Strategi Nasional Pengendalian TB di Indonesia 2010-2014. Jakarta: 2011.
WHO. Global Strategy and Targets for Tuberculosis Prevention, Care and Control After 2015. Geneva: 2013.
Media Y. Pengetahuan, Sikap dan Perilaku Masyarakat tentang Penyakit Tuberkulosis (TB) Paru di Kecamatan Sungai Tarab, Kabupaten Tanah Datar, Provinsi Sumatera Barat. Media Litbang Kesehat 2011;21:82–8.
KepMenKes RI. Keputusan Menteri Kesehatan Republik Indonesia Nomor 128/Menkes/SK/II/2004 tentang Kebijakan Dasar Pusat Kesehatan Masyarakat. Jakarta: 2004.
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