Comprehensive Approach to Accelerate Tuberculosis Case Finding among Women and Children Under Five in Rural Indonesia
https://doi.org/10.33860/pjpm.v6i2.4209
Keywords:
Active Case Finding, Mobile X-ray, Tuberculosis, stuntingAbstract
Tuberculosis (TB) continues to be a major worldwide health concern, with some regions in Indonesia facing challenges in achieving case detection objectives. This initiative sought to enhance tuberculosis case detection using mobile X-ray screening, the provision of preventative medication, and the identification of latent tuberculosis infections among household contacts and high-risk groups, especially stunting children. The results indicated that just 6.03% of participants had a history of tuberculosis contact, but 67.84% presented risk factors including malnutrition, exposure to smoking, previous tuberculosis diagnosis, and diabetes. Chest radiography revealed anomalies in 6.03% of individuals, requiring further diagnostic verification. Furthermore, stunting was widespread, with 48% categorized as moderately stunted and 27% as severely stunted. Post-intervention evaluations indicated an enhanced mother's understanding of tuberculosis. Initiatives to enhance tuberculosis case finding among women and children under five in rural regions must be expanded and strengthened to decrease transmission, enhance detection rates, bridge information gaps, mitigate stigma, and increase treatment coverage, ultimately leading to reduced tuberculosis transmission.
References
Dewi, C., Barclay, L., Passey, M., & Wilson, S. (2016). Improving knowledge and behaviours related to the cause, transmission and prevention of Tuberculosis and early case detection: A descriptive study of community led Tuberculosis program in Flores, Indonesia. BMC Public Health, 16(1), 1–12. https://doi.org/10.1186/s12889-016-3448-4
Dinas Kesehatan NTT. (2024). Kebijakan TBC dan Cakupan TB Provinsi Nusa Tenggara Timur.
Faiz, J. F., & Hadi, E. N. (2024). Risk Factors For Latent Tuberculosis Infection ( Ltbi ) Among Household Contacts Of Tb Patients : A Systematic Review. November, 288–302. https://doi.org/DOI: 10.26553/jikm.2024.15.3.288-302
Fox, G. J., Schaaf, H. S., Mandalakas, A., Chiappini, E., Zumla, A., & Marais, B. J. (2017). Preventing the spread of multidrug-resistant tuberculosis and protecting contacts of infectious cases. Clinical Microbiology and Infection, 23(3), 147–153. https://doi.org/10.1016/j.cmi.2016.08.024
Jepapu, M. Y. I., Tira, D. S., & Dodo, D. O. (2023). Implementation of the Pulmonary TB Control Program in Noebeba Health Centre, Noebeba District, South Central Timor Regency. Pancasakti Journal Of Public Health Science And Research, 3(1), 7–15. https://doi.org/10.47650/pjphsr.v3i1.504
Kemenkes RI. (2020). Strategi Nasional Penanggulangan Tuberkulosis di Indonesia 2020-2024. Pertemuan Konsolidasi Nasional Penyusunan STRANAS TB, 135.
Kemenkes RI. (2023). Revisi Strategi Nasional Penanggulangan Tuberkulosis Di Indonesia 2020-2024 Dan Rencana Interim 2025-2026. 286.
Kemenkes RI. (2024a). Annual Report: National TB Program 2023. 1–57.
Kemenkes RI. (2024b). Update Kebijakan, Situasi dan Upaya dalam Penanggulangan Tuberkulosis di Indonesia.
Marais, B. J., & Graham, S. M. (2022). The Value of Chest Radiography in Tuberculosis Preventive Treatment Screening in Children and Adolescents. American Journal of Respiratory and Critical Care Medicine, 206(7), 814–816. https://doi.org/10.1164/rccm.202205-1023ED
Maulana, A. P., Delani, S., Ardiansyah, A., Agusman, R., & Handawati, R. (2024). Analisis Autokorelasi Global dan Lokal Tuberkulosis Paru di Provinsi Nusa Tenggara Timur. Jurnal Kesehatan Vokasional, 9(2), 99–114. https://doi.org/10.22146/jkesvo.92819
Mayopu, B. E., Fretes, F. De, & Tauho, K. D. (2022). Analisis Program Pengendalian Tuberkulosis dengan Strategi DOTS di Puskesmas Manutapen Kupang. Jurnal Epidemiologi Kesehatan Komunitas, 7(2), 482–489. https://doi.org/10.14710/jekk.v7i2.10822
Millward, D. J. (2017). Nutrition, infection and stunting: The roles of deficiencies of individual nutrients and foods, and of inflammation, as determinants of reduced linear growth of children. Nutrition Research Reviews, 30(1), 50–72. https://doi.org/10.1017/S0954422416000238
Morales, F., Montserrat-de la Paz, S., Leon, M. J., & Rivero-Pino, F. (2024). Effects of Malnutrition on the Immune System and Infection and the Role of Nutritional Strategies Regarding Improvements in Children’s Health Status: A Literature Review. Nutrients, 16(1), 1–16. https://doi.org/10.3390/nu16010001
Mulya, F. (2023). Analisis Program Penanggulangan TBC di Indonesia dalam Upaya Pencapaian Target Eliminasi TBC Tahun 2030. Fakultas Kesehatan Masyarakat Universitas Indonesia, 1(January), 0–22.
Nataprawira, H. M., Cesilia, C., Tirtosudiro, M. A., Rinawan, F. R., Wulandari, D. A., Sudarwati, S., Hikmat, I. H., Nugraha, H. G., Auguswina, R., Sari, R. M., Susanah, S., & Kartasasmita, C. B. (2024). “Tuberculosis (TB) Status in Under-Five Children with Stunting in Bandung.” Global Pediatric Health, 11(38). https://doi.org/10.1177/2333794X241304375
Qin, Z. Z., Barrett, R., Ahmed, S., Sarker, M. S., Paul, K., Adel, A. S. S., Banu, S., & Creswell, J. (2022). Comparing different versions of computer-aided detection products when reading chest X-rays for tuberculosis. PLOS Digital Health, 1(6 June), 1–11. https://doi.org/10.1371/journal.pdig.0000067
Roberts, M., Tolar-Peterson, T., Reynolds, A., Wall, C., Reeder, N., & Rico Mendez, G. (2022). The Effects of Nutritional Interventions on the Cognitive Development of Preschool-Age Children: A Systematic Review. Nutrients, 14(3), 1–15. https://doi.org/10.3390/nu14030532
Ryan, P. (2009). Integrated Theory of Health Behavior Change. Clinical Nurse Specialist, 23(3), 171–172. https://doi.org/10.1097/nur.0b013e3181a47c8f
Sajjad, S. S., Sajid, N., Fatimi, A., Maqbool, N., Baig-Ansari, N., & Amanullah, F. (2020). The impact of structured counselling on patient knowledge at a private TB program in Karachi. Pakistan Journal of Medical Sciences, 36(1), S49–S54. https://doi.org/10.12669/pjms.36.ICON-Suppl.1713
Susilawati, N. M., Octrisdey, K., & Fransiska. (2023). Prevalensi Penderita Tuberkulosis Paru Di Puskesmas Oekabiti Kecamatan Amarasi Kabupaten Kupang Periode 2017-2020. Jurnal Kesehatan Dan Kedokteran, 2(1), 49–53. https://doi.org/10.56127/jukeke.v2i1.538
Wagnew, F., Alene, K. A., Kelly, M., & Gray, D. (2024). Undernutrition increases the risk of unsuccessful treatment outcomes of patients with tuberculosis in Ethiopia: A multicenter retrospective cohort study. Journal of Infection, 89(1), 106175. https://doi.org/10.1016/j.jinf.2024.106175
WHO, G. T. R. (2024). Global Tuberculosis Report. In WHO (Issue September). https://doi.org/978 92 4 156450 2
Wolde, H. M., Zerihun, B., Sinshaw, W., Yewhalaw, D., & Abebe, G. (2024). Comparison of the yield of two tuberculosis screening approaches among household contacts in a community setting of Silti Zone, Central Ethiopia: a prospective cohort study. BMC Pulmonary Medicine, 24(1), 1–12. https://doi.org/10.1186/s12890-024-02950-w
Word Health Organization. (2024). Tuberculosis: Key Facts. https://www.who.int/news-room/fact-sheets/detail/tuberculosis
Zaidi, S. M. A., Coussens, A. K., Seddon, J. A., Kredo, T., Warner, D., Houben, R. M. G. J., & Esmail, H. (2023). Beyond latent and active tuberculosis: a scoping review of conceptual frameworks. EClinicalMedicine, 66, 102332. https://doi.org/10.1016/j.eclinm.2023.102332
Zhang, C., Yang, X., Meng, X., Wu, L., Liu, X., Gao, J., Liu, S., Wu, J., Huang, D., Wang, Z., & Su, X. (2023). Discovery of Novel PTP1B Inhibitors with Once-Weekly Therapeutic Potential for Type 2 Diabetes: Design, Synthesis, and In Vitro and In Vivo Investigations of BimBH3 Peptide Analogues. In Journal of medicinal chemistry (Vol. 66, Issue 4, pp. 3030–3044). https://doi.org/10.1021/acs.jmedchem.2c02003
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Copyright (c) 2025 Margareta Teli, Simon Sani Kleden , Irfan, Aemilianus Mau , Wanti, Pius Selasa, Maria Hilaria, Maria F. Vinsensia D.P. Kewa Niron, Yualeny Valensia, Oklan B.T. Liunokas, Marni Tangkelani, Matje M. Huru (Author)

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