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National Strategic Plan For Tuberculosis (TB) 2017-2025

National Strategic Plan for Tuberculosis (TB) 2017-2025

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National Strategic Plan for Tuberculosis (TB) 2017-2025

Introduction

Tuberculosis (TB) remains a major public health concern globally, with an estimated 10 million new cases and 1.5 million deaths annually. In Indonesia, TB is a leading cause of morbidity and mortality, with an estimated 824,000 new cases and 93,000 deaths in 2017.

The National Strategic Plan for Tuberculosis (TB) 2017-2025 is a comprehensive framework developed by the Indonesian Ministry of Health to guide TB control and elimination efforts in the country. The plan aims to achieve the following objectives:

• Reduce the incidence of TB by 90% by 2035
• Reduce TB-related mortality by 95% by 2035
• Eliminate TB as a public health problem by 2050

Key Pillars

The National Strategic Plan for TB 2017-2025 is built around four key pillars:

1. Case Detection and Treatment

• Strengthen active case finding through community-based screening and contact tracing
• Improve access to quality TB diagnosis and treatment services
• Implement patient-centered care models to enhance adherence and treatment outcomes

2. Prevention and Control

• Promote TB prevention through vaccination, chemoprophylaxis, and infection control measures
• Strengthen surveillance and monitoring systems to track TB trends and identify high-risk populations
• Address social determinants of TB, such as poverty, overcrowding, and malnutrition

3. Research and Innovation

• Support research on TB diagnostics, treatment, and prevention
• Develop and implement new tools and technologies to improve TB control efforts
• Explore innovative approaches to address emerging challenges, such as drug resistance

4. Partnerships and Collaboration

• Engage with communities, civil society organizations, and the private sector to mobilize resources and support TB control
• Strengthen partnerships with international organizations and development partners to access technical and financial assistance
• Foster collaboration and knowledge sharing among stakeholders

Implementation

The National Strategic Plan for TB 2017-2025 is being implemented through a phased approach, with specific targets and indicators set for each phase. The implementation process involves:

• Developing and updating operational guidelines and technical manuals
• Training healthcare providers and community workers on TB diagnosis, treatment, and prevention
• Establishing and strengthening referral networks and diagnostic facilities
• Monitoring and evaluating progress towards targets and making necessary adjustments

Progress and Challenges

Since its launch in 2017, the National Strategic Plan for TB 2017-2025 has made significant progress in reducing TB incidence and mortality in Indonesia. Key achievements include:

• A 10% decline in TB incidence from 317 per 100,000 population in 2017 to 284 per 100,000 population in 2021
• A 15% decline in TB-related mortality from 116 per 100,000 population in 2017 to 99 per 100,000 population in 2021
• Increased access to TB diagnosis and treatment services, with over 90% of TB cases now diagnosed and treated

Despite these achievements, challenges remain in achieving the ambitious targets set by the National Strategic Plan. These challenges include:

• Limited access to healthcare services in remote and underserved areas
• Drug resistance, which poses a significant threat to TB control efforts
• Stigma and discrimination associated with TB, which can hinder access to care
• Funding constraints, which may limit the implementation of essential TB interventions

Conclusion

The National Strategic Plan for Tuberculosis (TB) 2017-2025 provides a comprehensive roadmap for TB control and elimination in Indonesia. Through its focus on case detection, prevention, research, and collaboration, the plan aims to significantly reduce TB incidence and mortality and ultimately eliminate TB as a public health problem. Continued commitment and support from all stakeholders are crucial to achieving these ambitious goals.

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