Workshop on TB Surveilance and

Programme Monitoring and EvaluationBangalore, 20-24 July 2009

Indonesia

Surveys in Country :1. TB Prevalence survey

2. Tuberculin survey

3. TB Mortality survey

4.HIV Prevalence in TB

5.Drug Resistancy Survey

1. TB Prevalence survey

Objectives:

a. To determine the National TB Prevalence in Indonesia

b. To collect data on knowledge, attitude and practice (KAP) toward TB among population aged 15 years and above

c. To collect data on TB natural history and preventive measures in population aged <15 years old

Results of TB Prev. Survey (2004)

Hospital & BP4 Primary Health Care Private Practicioners

SUMATRA 44% 43% 12%

KTI 31% 53% 16%

JAVA 49% 21% 29%

Initiation of treatment

76.9

56.5

15.8 13.3

0

10

20

30

40

50

60

70

80

90

Say they

know

1 correct

symp

3 sympt >3 sympt

Urban

Rural

National

KNOWLEDGE OF PATIENTS ABOUT TB

Regional Prevalence

75-16211966-142104Indonesia

105-32521592-286189Eastern Indonesia

37-976733-8559Java-Bali

23-34118220-300160Sumatra

CIPrevalence Adj.CIPrevalenceRegions

2. Tuberculin surveyObjective:

1. To estimate the prevalence of tuberculous infection among

children attending first, second and third classes of primary

schools in each of the selected provinces.

2. To compute annual risk of tuberculous infection for the

estimated prevalence

Project sites:

1. West Sumatera

2. West Java

3. NTT

4. South Kalimantan

5. North Sulawesi

Training for field workers

3. TB Mortality Survey

Objectives:

a. To develop cause of death reporting

mechanisms within the vital registration

system.

b. Monitoring the MDG targets related to TB

through generating cause specific mortality

statistics as evidence for policy formulation

and resource allocation.

Project Sites

Papua6

West Kalimantan5

Gorontalo4

Central Java3

DKI Jakarta2

Lampung1

ProvinceNo

4. HIV Prevalence in TB

• WHO Estimation : 0.6 – 0.8%

• Project sites and results:

– Bali : 3.8%

– East Java : 0.8%

– Papua : 14%

– Yogyakarta : 2%

5. DRS

• Conducted in Central and East Java

• 2% from TB cronic in central Java

• East Java

A+c+b C+a

A

Plans for the future related TB Program

INCREASING CDR BY DIFFERENT FOCUS INTERVENTION OF

THE REGION AREAS

- Improving KAP of patients, family and community conducted by TV, HE Community

HW, IEC HW Staff, Radio, Newspaper, etc.