Tuberculosis control within Indonesia's hospital accreditation.

Abstract

Background: Tuberculosis (TB) is an infectious disease that is a major problem in Indonesia, placing Indonesia among the three major countries with the highest TB cases in the world. In addition, reporting of TB data from health service facilities, especially hospitals, is still weak. Since the implementation of Directly Observed Treatment Shortcourse (DOTS) in hospitals in 1995, the number of new TB case reports from hospitals is still low. In order to increase hospital participation in TB control, the government has made a breakthrough strategy, which is the integration of the DOTS strategy in hospital accreditation.Design and methods: This study conducted a literature review and document analysis related TB control standards in hospital accreditation and the implication for the involvement of hospitals in national TB program. This study analyzed regulations, policies, and procedures, including hospital accreditation instruments and annual reports of TB.Results:Accreditation standards related to TB control include: i) Hospital must implement a tuberculosis control program in the hospital, including monitoring and evaluation through activities such as health promotion, tuberculosis surveillance, controlling risk factors, detection and treatment of tuberculosis cases, providing immunity and preventive drugs; ii) Hospital prepares resources for service delivery and tuberculosis control; iii) hospital provides facilities and infrastructures for tuberculosis services in accordance with regulations; and iv) hospital conducts tuberculosis services and efforts to control tuberculosis risk factors in accordance with regulations.Conclusions: Standards and elements of the assessment of TB control components in accreditation are adjusted to the national TB control guidelines. Significance for public health Accreditation is an essential element to assess the quality of the hospital handling health problems in the clinical setting. Implementing the hospital accreditation in Indonesia especially for the DOTS strategy requires several standards according to the national TB control guidelines. As a result, achieving optimal TB control through the hospital accreditation and ensuring the quality of care for a patient can be reached. The health worker and public health system take responsibility to ensure implementing the standards of accreditation to control TB cases and achieve effective management.