UNIVERSITAS AIRLANGGA



Detail Article

Administrasi dan Kebijakan Kesehatan

ISSN 1412-8853

Vol. 10 / No. 3 / Published : 2012-09

Order : 12, and page :187 - 193

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Original Article :

Active case treatment is more cost effective for early stage lung tb treatment

Author :

  1. Ni Ketut Ardani*1
  1. Dinas Kesehatan Kabupaten Jember

Abstract :

ABSTRACT The magnitude of lung TB problem has forced any involved-institutions to be committed in managing thoroughly. It is compulsory to have a correct  intervention  or accurate treatment regime for curative purposes. Jember Regency is executing Passive Case  Treatment (PCT), which  lung TB patients  should come to puskesmas to take the Tuberculosis Drug (ATD) in a certain day and hour. The method was not effective, an idea to create an ATD delivery to patients’ homes was  executed, it is called  Active  Case  Treatment (ACT). The  purpose of this research is to determine the  most  cost effective between PCT and ACT for lung TB patients  using  a quasy  experimental research with prospective plan of 16 Puskesmas in Jember Regency. Conducted from beginning of September until end of November 2010, the sample was all lung TB patients  who came for treatment in September 2010.  Sample criteria were: new  case, 15–50 years of age, did not suffer HIV and Diabetes Mellitus, was not malnourished, and was not allergic to ATD. Data collection was done through  interview,  questionnaires and  filling documents exploration.  Research result  is achieved by comparing  total cost  with program  objective (QoL=  quality of life) of each treatment. The result showed that to increase 1 QoL scale of PCT needed an amount  of IDR. 35,295.00, while to increase 1 QoL scale ACT was IDR 14,377.00. The cost  of ACT was smaller than PCT. Conclusion derived  from the result was that ACT is more cost  effective than PCT. Keywords: CEA, Tuberculosis, Quality of life

Keyword :

CEA, Tuberculosis, Quality of life,


References :

Badan Pusat Statistik Kabupaten Jember,(2007) Jember Dalam Angka Jember : Badan Pusat Statistik Kabupaten Jember

Depkes RI,(2008) Pedoman Nasional Penanggulangan Tuberkulosis Jakarta : Depkes RI

Dhingra V.K., Rajpal S,(2003) Health Related Quality of Life (HRQL) Scorring Tuberculosis india : Indian Journal of Tuberculosis, Nomor 50

Dhingra V.K., Khan S,(2010) A Sosciologycal Study On Stigma Among TB Patients In Deelhi India : Indian Journal of Tuberculosis Volume 57 Nomor 1

Donaldson C., Currie G., Mitton C,(2002) Cost Effectivesness Analysis in Health Care: Contraindications England : British Medical Journal, Tahun 2002, Volume 325, Nomor 891

Meera D., Sarhma N., Ingle G.K,(2008) Impact of Tuberculosis on the Quality of Life india : Indian Journal Community Med, Tahun 2008. Volume 33, Januari 2008

Prasetyowati I., Wahyuni U.C,(2009) Pengaruh Pencahayaan, Kepadatan Penghuni dan Kelembaban Terhadap Terjadinya TB pada Anak Jemb



Archive Article

Cover Media Content

Volume : 10 / No. : 3 / Pub. : 2012-09
  1. Influence Analyses Of Officers Organizational And Occupational Commitment To Leprosy Program Performance In Public Health Center Of Bojonegoro Regency
  2. Recommendation Of Development Qwl (quality Of Work Life) Based On Qwl Effect Analysis On Nurse Job Satisfaction In Leprosy Hospital Of Sumberglagah Pacet Mojokerto
  3. Recommendations For Improving The Organizational Learning Of Creativity In Leprosy Hospital Sumberglagah
  4. Improvement Task Performance, Contextual Performance And Job Satisfaction Of Radiology Unit Staff Based On Job Characteristic, Motivation And Work Attitude Analysis In St. Vincentius Catholic Hospital Surabaya
  5. Performance Evaluation Using Malcolm Baldrige National Quality Award For Improving Quality Service
  6. Analysis Of The Influence Of Predisposing, Enabling And Reinforcing Factors On Compliance Of Pulmonary Tb Treatment In Bojonegoro
  7. A Strategy Design Of Marketing Based On Product Life Cycle As An Effort To Increase Visits To Ketapang Al Hikmah Clinic In Sampang Regency
  8. Analysis Influence Self Leadership Development Of The Head Of Public Health Centers On Performance Of Public Health Centers
  9. Recommendations To Improve Maternity Health Facility In The Work Area District Health Center Jrangoan Sampang
  10. Characteristics Analysis Of Customers And The Types Of Brand Associations As An Efforts To Improve The Utilization Of Voluntary Counselling And Testing Clinic
  11. Efforts To Improve Inpatient Transaction Processing System
  12. Active Case Treatment Is More Cost Effective For Early Stage Lung Tb Treatment
  13. Operational Research Use Modified Problem Solving Cycle To Improve Performance Of Manager