Early Detection of Tuberculosis in Primary Health Centers of West Lombok (2023-2024) : A Mixed-Methods Study

Authors

DOI:

https://doi.org/10.32807/jkp.v20i1.1959

Keywords:

Tuberculosis, Early Detection, Contact Tracing, Community Health Centers, West Lombok.

Abstract

Tuberculosis (TB) remains a major global health challenge, with Indonesia ranking second globally in TB burden. Despite the high prevalence in West Lombok Regency, case detection remains suboptimal. This study aimed to assess TB case detection through early detection activities at community health centers in West Lombok using a parallel convergent mixed-methods design. Quantitative data from the Tuberculosis Information System (SITB) registers (2023–2024) of four community health centers were descriptively analyzed, while qualitative data were obtained through semi-structured interviews with TB program managers and analyzed thematically. The highest number of cases was reported in Sekotong and Kediri, while Narmada had the lowest. Contact tracing coverage exceeded 90% in Narmada and Labuapi, improved in Sekotong, but declined to 49.45% in Kediri despite increased cases. Identified barriers included low community participation, limited population identification, and insufficient field resources. In conclusion, early TB detection in West Lombok shows regional disparities, highlighting the need for strengthened community-based strategies, enhanced education, and improved administrative support to optimize contact tracing and TB control.

References

Badan Pusat Statistik Provinsi Nusa Tenggara Barat. (2024). Statistik kesehatan 2024. BPS Provinsi NTB.

Hidayat, M., & Wulandari, N. (2020). Administrative barriers and diagnostic delays among TB suspects in Eastern Indonesia: A cross-sectional study. Tropical Medicine & International Health, 25(8), 1011–1018.

Kartasasmita, C. B. (2020). Epidemiologi tuberkulosis: Tantangan eliminasi di Indonesia. FK Unpad Press.

Kementerian Kesehatan Republik Indonesia. (2022). Laporan nasional TBC 2022. Kementerian Kesehatan RI.

Lestari, W., & Riono, P. (2020). Health system challenges in TB control in Indonesia: A policy perspective. Health Policy and Planning, 35(8), 1023–1030.

Mahendradhata, Y., Lestari, T., Probandari, A., et al. (2021). Barriers to access for tuberculosis care: A qualitative study among patients in Central Java, Indonesia. BMC Public Health, 21(1), 104. https://doi.org/10.1186/s12889-020-10129-5

Nugraha, C. W., & Putri, T. (2024). Strengthening community-based TB detection strategies: Evidence from Indonesian primary health centers. Journal of Tropical Medicine and Public Health, 55(3), 145–153.

Nugraheni, E., & Kusnanto, H. (2021). Factors affecting contact investigation in tuberculosis program in Indonesia: A systematic review. Public Health of Indonesia, 7(2), 45–54.

Prasetyo, A., & Nugroho, A. (2023). Community-based TB investigation and its impact on contact screening uptake in Kulon Progo District, Yogyakarta, Indonesia. Journal of Public Health Research, 12(2), 223–229.

Putra, A., Rahman, F., & Lestari, M. (2022). Contact investigation performance in Indonesian TB program: A 2022 national evaluation study. BMC Public Health, 22, 1453.

Putra, A. B., & Sari, D. P. (2021). Geographic variation in tuberculosis case detection across Indonesian primary health centers: A multi-district analysis. Journal of Infection in Developing Countries, 15(11), 1682–1689.

Sriwidadi, T., & Yuliana, E. (2021). Social stigma and barriers to TB contact examination: A mixed-methods study in Java Island. Public Health of Indonesia, 7(4), 123–130.

Supriyadi, T., & Wahyuni, C. U. (2020). Primary health care readiness and its impact on tuberculosis case finding in rural Indonesia. International Journal of Tuberculosis and Lung Disease, 24(9), 923–930.

World Health Organization. (2023). Global tuberculosis report 2023. WHO

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Published

2026-02-28

How to Cite

Harmi, K. Y. S., Nurhidayati, Deasy Irawati, Marisa Syafitri Dilaga, Maruni Wiwin Diarti, & Yunan Jiwintarum. (2026). Early Detection of Tuberculosis in Primary Health Centers of West Lombok (2023-2024) : A Mixed-Methods Study. Jurnal Kesehatan Prima, 20(1), 62–71. https://doi.org/10.32807/jkp.v20i1.1959

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