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

Authors: Ardian, M.1; Meokbun, E.2; Siburian, L.3; Malonda, E.4; Waramori, G.5; Penttinen, P.3; Lempoy, J.5; Kenangalem, E.6; Tjitra, E.7; Kelly, P. M.

Source: The International Journal of Tuberculosis and Lung Disease, Volume 11, Number 10, October 2007 , pp. 1101-1107(7)

Publisher: International Union Against Tuberculosis and Lung Disease

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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: Indonesia; health services; public-private partnership; tuberculosis

Document Type: Regular Paper

Affiliations: 1: District Ministry of Health, Timika, Indonesia; International SOS, Tembagapura, Indonesia; Public Health and Malaria Control Department, PT Freeport Indonesia, Timika, Indonesia 2: District Ministry of Health, Timika, Indonesia 3: International SOS, Tembagapura, Indonesia; and Public Health and Malaria Control Department, PT Freeport Indonesia, Timika, Indonesia 4: Rumah Sakit Mitra Masyarakat, Timika, Indonesia 5: Public Health and Malaria Control Department, PT Freeport Indonesia, Timika, Indonesia 6: District Ministry of Health, Timika, Indonesia; and National Institute of Health Research and Development–Menzies School of Health Research Programme, Timika, Indonesia 7: National Institute of Health Research and Development, Ministry of Health, Jakarta, Indonesia

Publication date: October 1, 2007

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  • The International Journal of Tuberculosis and Lung Disease publishes articles on all aspects of lung health, including public health-related issues such as training programmes, cost-benefit analysis, legislation, epidemiology, intervention studies and health systems research. The IJTLD is dedicated to the continuing education of physicians and health personnel and the dissemination of information on tuberculosis and lung health world-wide.

    Certain IJTLD articles are selected for translation into French, Spanish, Chinese or Russian. They are available on the Union website

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