Under-Reported Tuberculosis Cases and Related Factors at the Hospital Level in Kudus, Central Java

Rusnoto1), Bhisma Murti1), Reviono1), Vitri Widyaningsih1),Eti Poncorini Pamungkasari1), Harsini1), Agus Kristiyanto1),Chatarina Umbul Wahyuni2), Ahmad Nur Syafiq3)

1)Universitas Sebelas Maret, Surakarta, Central Java, Indonesia

2)Universitas Airlangga, Surabaya, East Java, Indonesia

3)Universitas Muhammadiyah Kudus, Central Java, Indonesia 



Background: Tuberculosis (TB) is an infectious disease of global concern. The number of TB cases in Indonesia has increased from year to year. One of the TB control problems stems from the inaccuracy in disease reporting. The previous studies have reported that there is still a large gap between the number of new cases reported and those that are not reported. This study aimed to determine the factors affecting the incidence of underreported tuberculosis cases at the hospital level in Kudus, Central Java.

Subjects and Method: This was a cross-sectional study conducted at hospital in Kudus in 2019. A sample of 700 TB cases was selected for this study. The dependent variable was unreported case. The independent variables were TB officer’s competency, doctor in charge competency, and staff commitment. The data were collected from the Integrated Tuberculosis Information System (ITIS) and the medical record. The data were analyzed using logistic regression.

Results: The incidence of underreported cases increased with lack of TB officer’s competency (OR= 19.90; p= 0.001), lack of doctor in charge competency (OR= 10.48; p= 0.001), and low staff commitment (OR= 7.88; p= 0.001).

Conclusion: The incidence of underreported cases increases with lack of TB officer’s competency, lack of doctor in charge competency, and low staff commitment.

Keywords: underreported tuberculosis case, competency, commitment, healthcare officer

Correspondence: Rusnoto. Universitas Sebelas Maret Surakarta. Jalan Ir. Sutami 36 Kentingan, Jebres, Surakarta 57126, Central Java, Indonesia. Email: rusnoto@student.uns.ac.id. Mobile: 081225057052.

DOI: https://doi.org/10.26911/ICPHepidemiology.FP.08.2021.16

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