Pattern of referral system on tuberculosis for molecular rapid test in health facilities, Indonesia 2018

Abstract

Background: Tuberculosis (TB) is a one big health problem in the world.Tuberculosis (TB) remains the world’s top infectious diseases cause of death, being responsible for an estimated 1.674.000 deaths worldwide in 2016. In 2016, globally there were an estimated 10·4 million new cases of tuberculosis, and 600 000 new cases with resistance to rifampicin.Prevalence of TB for all types and ages is 660/100,000 population and it is estimated that there are 1,600,000 people with TB. Molucular Rapid Test (MRT) is quick test able to replace test with microscopic diagnosti TB.Objective: The purpose of this study is to find out a description pattern of referral system on tuberculosis for molecular rapid test in health facilities. Methode:Disain study is a cross sectional. Data sources were individual data of patients who performed MRT examinations from 44 health facilities. Data analysis withunivariate and crostabulation.Results: Total sample was 33,630 cases from 44 health facilities. There is an increase in the frequency of MRT examinations every years2014 until July 2018. Patients who refer MRT examinations come from external hospital: public health centers (18.7%), other hospitals (5.8%) and at least from independent / clinical doctors (3.3%). The purpose of conducting referrals to MRT examinations is mostly for examination of new pulmonary tuberculosis (76.1%), then drug resistant tuberculosis (19.8%), HIV-Tuberculosis (3.2%) and the least is DM-Tuberculosis (1.0 %). Conclusion: Referral to MRT examinations mostly comes from internal facilities and at least from independent clinic/clinicians. The most average goal of MRT examination from the referral facility is for new pulmonary tuberculosis .