M. Becx-bleumink et al., High tuberculosis notification and treatment success rates through community participation in central Sulawesi, Republic of Indonesia, INT J TUBE, 5(10), 2001, pp. 920-925
Citations number
16
Categorie Soggetti
Cardiovascular & Respiratory Systems
Journal title
INTERNATIONAL JOURNAL OF TUBERCULOSIS AND LUNG DISEASE
SETTING: Central Sulawesi Province, Republic of Indonesia.
OBJECTIVE: To increase tuberculosis case notification and maintain high tre
atment success rates through community participation in a tuberculosis fiel
d programme.
DESIGN: Comparison of tuberculosis case notification and treatment results
in a community based tuberculosis programme (CBTP), before and after introd
uction of the programme and between areas where the programme was and was n
ot introduced.
RESULTS: During 1998, the CBTP was introduced in two of the four rural dist
ricts of the Central Sulawesi province, covering 224 (29%) of the 772 villa
ges and 362 700 (33%) of the 1109 100 population in these districts. In the
CBTP villages the notification rate of new smear-positive patients per 100
000 population increased from 51 in 1996 and 48 in 1997 to 166 in 1998. In
the 548 non-CBTP villages the rates were 62, 60 and 70, respectively. The s
putum conversion rate at the end of the first 2 months of the treatment was
over 85% in both the CBTP and the non-CBTP villages. In the CBTP villages
the treatment success rate (cure and treatment completion) was 90.4%, 89.5%
and 93.7% in 1996, 1997, and 1998. For the non-CBTP villages these rates w
ere respectively 85.4%, 86.8% and 85.9%. In 1998 the sputum conversion and
treatment success rates were significantly higher in the CBTP villages than
in the non-CBTP villages.
CONCLUSION: Through community participation, the notification of new smear-
smear positive patients increased substantially, while sputum conversion an
d treatment success rates remained high.