Tuberculosis (TBC) services and facility vignettes associated with new TBC cases found in community health center/sub-center: Analysis of Indonesia Family Life Survey

Abstract

Indonesia is one of the countries with the highest burden of tuberculosis (TB) in the world. Community health centers and health posts, as primary health facilities, play an important role in the detection and treatment of TB in the community. The purpose of this study was to analyze health services and tuberculosis facilities in community health centers/health posts with new cases of TB in Indonesia. This study used secondary data from the 5th Indonesia Family Life Survey in 2014/2015. This study focused on the level of public health services with new cases of TB as the main outcome. The sample of this study used 955 community health centers/health posts spread throughout Indonesia. Univariate, Chi square and binary logistic regression were used to present the main results of this study. This study revealed that the availability of TB services in health facilities, especially community health centers/health posts and government health offices, is a crucial factor in diagnosing new TB cases. However, spontaneous contact with TB patients and a history of TB did not significantly affect new TB cases. Therefore, increasing access to services, especially in rural areas and sub-health centers, as well as support for diagnostic resources and training of medical personnel are needed to improve early detection and comprehensive control of TB.