Projects: Indonesia

TB is the third major cause of mortality in Indonesia, and ranks third on WHO’s list of high burden countries (2000). The DOTS strategy implemented by the Indonesian National TB Program (NTP) currently covers 86% of existing health centers (HCs) with case finding, but has been able to detect fewer than 10% of expected new cases. In Yogyakarta Province in 1997-98, the case notification rate was only 10 per 100,000, half the national rate. It is thought that hospitals detect many TB cases, estimated to be about 3 times as many as the HCs, but these hospital figures are not included in the reporting system of the NTP.

In collaboration with the Royal Netherlands Tuberculosis Association (KNCV), the TB Initiative will support the Hospital DOTS and Linkage Project (HDL): Integration of Hospitals in TB control in Yogyakarta. Public and private hospitals in the province are being incorporated into the National Tuberculosis Program’s DOTS strategy. A referral system between health centers and hospitals has been established, and a unified laboratory quality control network developed.

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Results