Factors Associated with Hospital Performance in the Implementation of Direct Observed Treatment Short-Course Strategy for Tuberculosis Control in Central Java

Yusniar Ramadhiana1), Yusup Subagio Sutanto1,2),

Ari N Probandari2), Reviono1,2)


1)Dr. Moewardi Hospital, Surakarta

2)Faculty of Medicine, Universitas Sebelas Maret



Background: Tuberculosis (TB) is a major health problem worldwide. The TB epi­demic is larger than previously thought. Lung hospitals and clinics contribute sig­ni­ficantly to the number of patients from all smear positive cases. This study aimed to examine factors associated with hospital performance in the im­ple­men­ta­tion of Direct Observed Treatment Short-Course Strategy (DOTS) for tuber­cu­lo­sis control in Central Java.

Subjects and Method: A retrospective cohort study was conducted in Central Java. A total of 158 hospitals that implemented DOTS strategy were selected for this study. The dependent variable was hospital performance. The hospital performance in TB control was evaluated by success rate of treatment. The inde­pen­dent variables were DOTS team commitment and organization of hospitals, treat­ment, treatment supervision, internal/external networks, and health facility.

Results: As many as 110 hospitals completed data. There was no significant relation­ship between DOTS team commitment, organization of hospitals, super­vision, internal/external networks, health facility, with work hospital perfor­mance. The type of hospital was significantly related to the work hospital perfor­mance with the lower type of hospital showed better hospital performance.

Conclusion: DOTS team commitment, organization of hospitals, supervision, inter­nal/external networks, and health facility, do not have significant association with hospital performance.

Keywords: tuberculosis, DOTS, hospital performance.

Correspondence: Yusniar Ramadhiana. Dr. Moewardi Hospital, Surakarta, Central Java.

Email: yramadhiana@gmail.com. Mobile: 082328045532.

DOI: https://doi.org/10.26911/theicph.2018.04.42

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