Under-Reported of Tuberculosis Patients at Private Health Care Facilities in Indonesia
Kristina L Tobing, Feri Ahmadi, Oster Suriani Simarmata, Dian Perwitasari, Dina Bisara Lolong, Jonathan Marbun, Lamria Pangaribuan, Ina Kusrini
Objectives: This study investigates the level of an under-reported tuberculosis patient in private health facilities in Indonesia.
Methods: The population of the study was private health care patients diagnosed or treated with tuberculosis. Samples were diagnosed tuberculosis patients or treated patients on January 1 until March 31, 2017, whether new patients, transfers, relapses, the patient is dropping out of treatment (default), a patient of failure, and another patient. Design of study cross-sectional. Variables collected to date of patient identity include name, age, full address, Population Identification Number, treatment, laboratory examination, laboratory results, type of tuberculosis drug. Under-reported tuberculosis is patients diagnosed and or treated but not reported to the national tuberculosis surveillance system.
Results: The total patient were 7,342 in the private health care facilities. The under-reporting tuberculosis case was from private health facilities (74.9%). Furthermore, the highest percentage of tuberculosis patients that were not reported was from non-hospitals such as clinics, practitioners, and private laboratories (98.9%), compared to private hospitals (71.4%).
Conclusions: The highest number of tuberculosis patients in private health facilities were recorded in hospitals compared to non-hospitals. The under-reporting rate was highest in private non-hospital facilities such as clinics, practitioners, and private laboratories compared to private hospitals.