Faculty of Public Health - Andalas University - OCS, 13th IEA SEA Meeting and ICPH - SDev

Font Size: 
IINVOLVEMENT OF PRIVATE PRACTICE DOCTOR IN THE DISCOVERY OF SUSPECT TUBERCULOSIS OF CHILDREN IN SURABAYA CITY
Rosita Dwi Yuliandari

Last modified: 2018-08-07

Abstract


Introduction: Tuberculosis in children is a special problem distinct from Tuberculosis in adults and is one of the leading causes of death in children and infants in Tuberculous endemic countries. Problems encountered in childhood tuberculosis is a matter of diagnosis, treatment and prevention. Symptoms and signs Tuberculosis of the child is often not typical, so need carefulness in the history and physical examination. Pulmonary tuberculosis is very small (paucibacillary), making it difficult to obtain Tuberculosis bacilli to confirm the diagnosis of Tuberculosis. This study aims to improve the role of independent practicing physicians in the discovery and treatment of Tuberculosis cases in accordance with Directly Observed Treatment Short Course program.

Methode: The design in this study was quasi experimental (quasi experimental). The sample in this study is self-practicing physicians who are in the area of ​​Surabaya City selected using sample random sampling.

Results: The results showed that there were differences in the unexpected findings of tuberculosis of children in the last 3 months by region (RR = 1.125), there were differences in the unexpected findings of child tuberculosis during the study by region (RR = 3.667), there were differences in the unexpected findings of child tuberculosis by sex RR = 0.705), there was a difference of age-based tuberculosis (RR = 2,234) unexpected findings, there was a difference of unexpected findings of Tuberculosis based on duration of practice in Surabaya (RR = 4,976), there were differences in the unexpected findings of Tuberculosis based on length of practice at the study sites (RR = 2,257), there were differences in the unexpected findings of tuberculosis based on the length of practice per day at the study sites (RR = 3.278),

Conclusion: There has been an increase in unexpected findings of child tuberculosis in the intervention group through workshops and periodic counseling. The need for increased monitoring and evaluation activities in the unexpected findings of Tuberculosis and Tuberculosis in Surabaya.

Keywords: Tuberculosis, Children, Diretlty Observed Treatment Short Course