Predictive Indexes of Tuberculosis Case Under Reporting of Hospital in Kudus, Central Java, Indonesia

Abstract

Under-reporting case of tuberculosis is patients who are not reported to the national TB surveillance system after diagnosis resulting in an inaccurate estimate of TB burden. This study examined some indicators (indexes) leading to tuberculosis under-reporting case in hospital in Kudus city. This study employed Explanatory mixed-methods design. In quantitative study, it assesses nine indicators of under-reporting tuberculosis case to determine how many indicators relating to under-reporting case. Meanwhile in qualitative study it digs the perceptions and information from medical staffs and doctors of hospital regarding the reasons of chosen indicators of under-reporting case. A multilevel logistic regression analysis was conducted for quantitative data, and content analysis for qualitative data. The findings of the quantitative and qualitative parts of study were mixed at the interpretation. This study showed that some indicators relating to under-reporting case of tuberculosis in the multilevel analysis are: 1) doctor’s competence (OR=0.09; CI95%= 0.05 to 0.17; p