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A public-private partnership for TB control in Timika, Papua province, Indonesia

Ardian, Muhamed, Meokbun, E., Siburian, L., Malonda, E., Waramori, G., Penttinen, P., Lempoy, J., Kenangalem, Enny, Tjitra, E. and Kelly, P. M. (2007). A public-private partnership for TB control in Timika, Papua province, Indonesia. International Journal of Tuberculosis and Lung Disease,11(10):1101-1107.

Document type: Journal Article
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Title A public-private partnership for TB control in Timika, Papua province, Indonesia
Author Ardian, Muhamed
Meokbun, E.
Siburian, L.
Malonda, E.
Waramori, G.
Penttinen, P.
Lempoy, J.
Kenangalem, Enny
Tjitra, E.
Kelly, P. M.
Journal Name International Journal of Tuberculosis and Lung Disease
Publication Date 2007
Volume Number 11
Issue Number 10
ISSN 1027-3719   (check CDU catalogue  open catalogue search in new window)
Start Page 1101
End Page 1107
Total Pages 7
Publisher International Union Against Tuberculosis and Lung Disease
HERDC Category C1 - Journal Article (DEST)
Abstract SETTING: A district-level tuberculosis (TB) control programme in Papua Province, Indonesia.

OBJECTIVE: To describe a successful partnership between the District Health Department, a private company and non-governmental health care providers.

METHODS: Routinely collected surveillance data were analysed. A conceptual model was constructed to describe TB control in the district. Data were compared with the National TB Control Programme (NTP) performance indicators.

RESULTS: Funding for the programme's TB clinic is provided by a private company (PT Freeport Indonesia). The NTP provides the policy framework, treatment guidelines and some supplies. TB clinic staff are included in training programmes and the TB laboratory in the provincial quality assurance system. TB clinic staff are responsible for diagnosis, treatment, default tracing, recording and reporting, health education and community mobilisation. The largest proportion of TB patient referrals came from the community hospital (41%). The TB notification rate (311/100000), TB-HIV (human immunodeficiency virus) co-infection (12%) and multidrug-resistant (MDR) TB (2%) are significantly higher in Mimika, but the treatment success rate for smear-positive patients (91%) is similar to Indonesian national figures.

CONCLUSIONS: For true progress in attaining the United Nations Millennium Development Goals for TB in Indonesia, innovative local solutions utilising public-private partnerships are essential. The Mimika model is one such solution that should be tested elsewhere.
Keywords tuberculosis
health services
public-private partnership
Indonesia
tuberculosis-control
sulawesi
 
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Created: Mon, 08 Sep 2008, 16:16:22 CST