Abstract
Abstract
Introduction
The comorbidity of tuberculosis and diabetes mellitus (TB-DM) is a looming global co-epidemic problem. Despite the Indonesian Government’s ongoing effort to impose regulation for collaborative TB-DM management, the involvement of private primary care providers (PPCs) has not been considered before the COVID-19 pandemic. This study aimed to capture the PPCs’ existing practices and explore their challenges, opportunities, and potential roles in the collaborative TB-DM services and control.
Methods
A descriptive qualitative research design was used to collect data. Two Focus Group Discussions (FGDs) were conducted with 13 healthcare workers (HCWs) from different private clinics and eight private/solo general practitioners (GPs) from Yogyakarta City, Indonesia. We triangulated these data with data from FGDs of HCWs community health centers (CHCs) and in-depth interviews of three regional health regulators, five hospitals staff members, and a representative of national health insurance. The discussions were audio-recorded, transcribed verbatim, and subjected to thematic analysis.
Results
PPCs have not been initiated into the implementation of the collaborative TB-DM programme. The themes identified in this study were health system-related barriers, knowledge and perception of HCWs, lack of implementation of bi-directional screening, and needs of multisector role. The potential roles identified for PPCs include involvement in health promotion, bi-directional screening, patient referral, and data reporting according to the TB-DM programme indicators. However, more thorough improvement of PPCs’ capacity and logistic supplies are needed to provide comprehensive TB treatment.
Conclusion
Although PPCs’ involvement in implementing collaborative TB-DM services has yet to be considered, their potential role should not be neglected. Therefore, it is essential to increase their involvement by enhancing their capacity and improving the Public-Private Mix. PPCs’ engagement should be initiated and maintained to ensure the sustainability of the programme.
Publisher
Springer Science and Business Media LLC
Reference39 articles.
1. International Union Against Tuberculosis and Lung Disease and World Diabetes Foundation, “Bali Declaration on the Looming TB-Diabetes Co-Epidemic,” IUALTD and WDF. 2015. pp. 1–3. [Online]. Available: http://www.theunion.org/bali-declaration.pdf.
2. WHO. The top 10 causes of death: World Health Organization; 2018. https://www.who.int/en/news-room/fact-sheets/detail/the-top-10-causes-of-death (accessed 03 Sept 2020)
3. WHO. Global Tuberculosis Report 2020. Geneva; 2020. [Online]. Available: https://www.who.int/publications/i/item/9789240013131
4. Workneh MH, Bjune GA, Yimer SA. Prevalence and associated factors of tuberculosis and diabetes mellitus comorbidity: a systematic review. PLoS One. 2017;12(4):1–25. https://doi.org/10.1371/journal.pone.0175925.
5. WHO. Collaborative framework for care and control of Tuberculosis and Diabetes. World Health. 2011;314(5805):2 ISBN 978 92 4 150225 2.
Cited by
11 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献