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NAVIGATING BARRIERS: THE NEED FOR INTEGRATED HEALTH INFORMATION SYSTEM FOR TUBERCULOSIS-DIABETES CO-SCREENING

Jurnal Administrasi Kesehatan Indonesia · Vol. 12 No. 1 (2024) · hlm. 162–176

DOI
10.20473/jaki.v12i1.2024.162-176
ISSN
2540-9301, 2303-3592
Terbit
2024-06-28
Penerbit
Universitas Airlangga
Bahasa
eng
Lisensi
creativecommons.org/licenses/by-sa/4.0

Abstrak

Background: Tuberculosis-diabetes mellitus (TB-DM) is a co-epidemic condition representing a double burden for high TB burden countries like Indonesia. Private primary care (PPC) in Indonesia was newly reintroduced to the TB program. Aims: This study explores the challenges PPC healthcare workers (HCWs) face in implementing TB-DM bi-directional screening and strategies to improve it. Methods: An explorative qualitative method was used by conducting two-round focus group discussions (FGDs) with HCWs (n=15) from five private clinics in Yogyakarta Special Region Province Indonesia and triangulated with 10 DM patients and the TB program manager from the provincial health office. The data were audio recorded, transcribed verbatim, and subjected to thematic analysis. Results: HCWs face complex barriers in TB-DM co-screening implementation from patients, HCWs, and health system aspects. An integrated system to remind, support decision-making, report, reduce documentation duplication, monitor, and evaluate co-screening implementation emerged as a potential strategy, although some challenges to deploy. Conclusion: Albeit HIS is promising in enhancing integrated TB-DM screening and management, a comprehensive approach and multisector roles are still needed to overcome impediments to TB-DM bidirectional screening in PPCs. Keywords: diabetes mellitus, health information system, screening, tuberculosis

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  • Muhammadiyah University of Yogyakarta
  • Universitas Harapan Bangsa
  • University of Indonesia
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  • Organisasi berbeda
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Tampilkan sebagai tabel
Rekan penulisOrganisasiArtikel bersama
Harumi Iring PrimastutiMuhammadiyah University of Yogyakarta2
LidiyawatiAfiliasi tidak diketahui1
Anggit WirastoUniversitas Harapan Bangsa1
Trisna Setya DewiAfiliasi tidak diketahui1
Tri Pudy AsmarawatiAfiliasi tidak diketahui1
Erwin Astha TriyonoAfiliasi tidak diketahui1
Hendy WirantaraAfiliasi tidak diketahui1
Feriawan TanAfiliasi tidak diketahui1
Bima Ananta PutraAfiliasi tidak diketahui1
Prima Suci RohmadhenyAfiliasi tidak diketahui1
Wahyu Nanda Eka SaputraAfiliasi tidak diketahui1
Vera Yuli ErvianaAfiliasi tidak diketahui1
Oktomi WijayaAfiliasi tidak diketahui1
Naufal Kurnia RamadhanAfiliasi tidak diketahui1
Supriyatiningsih SupriyatiningsihAfiliasi tidak diketahui1
Dianita SugiyoAfiliasi tidak diketahui1
Dyah Tri Kusuma DewiAfiliasi tidak diketahui1
Sri SundariAfiliasi tidak diketahui1
Amal Chalik SjaafAfiliasi tidak diketahui1
Adang BachtiarAfiliasi tidak diketahui1
Ekorini ListiowatiMuhammadiyah University of Yogyakarta1
Anhari AchadiUniversity of Indonesia1
Dwi AmbarwatiAfiliasi tidak diketahui1
Elsye Maria RosaAfiliasi tidak diketahui1
Eny Retna AmbarwatiAfiliasi tidak diketahui1
Erna RochmawatiAfiliasi tidak diketahui1
Sri SundariAfiliasi tidak diketahui1
Galuh SuryandariAfiliasi tidak diketahui1

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Sumber metadata: OAI-PMH (metadata jurnal) https://e-journal.unair.ac.id/JAKI/oai, pertama di-harvest 9 Nov 2026, terakhir terlihat 9 Nov 2026.
Metadata asli (oai_dc) 
<oai_dc:dc xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/  http://www.openarchives.org/OAI/2.0/oai_dc.xsd">
	<dc:title xml:lang="en-US">NAVIGATING BARRIERS: THE NEED FOR INTEGRATED HEALTH INFORMATION SYSTEM FOR TUBERCULOSIS-DIABETES CO-SCREENING </dc:title>
	<dc:creator>Arini, Merita</dc:creator>
	<dc:creator>Prakoso, Denny Anggoro</dc:creator>
	<dc:creator>Suryanto, Farid</dc:creator>
	<dc:creator>Dewi, Arlina</dc:creator>
	<dc:creator>Basha, Muzaitul Akma Binti Mustapa Kamal</dc:creator>
	<dc:subject xml:lang="en-US">diabetes mellitus</dc:subject>
	<dc:subject xml:lang="en-US">health information system</dc:subject>
	<dc:subject xml:lang="en-US">screening</dc:subject>
	<dc:subject xml:lang="en-US">tuberculosis</dc:subject>
	<dc:subject xml:lang="en-US">public health</dc:subject>
	<dc:subject xml:lang="en-US">health administration</dc:subject>
	<dc:description xml:lang="en-US">Background: Tuberculosis-diabetes mellitus (TB-DM) is a co-epidemic condition representing a double burden for high TB burden countries like Indonesia. Private primary care (PPC) in Indonesia was newly reintroduced to the TB program.
Aims: This study explores the challenges PPC healthcare workers (HCWs) face in implementing TB-DM bi-directional screening and strategies to improve it.
Methods: An explorative qualitative method was used by conducting two-round focus group discussions (FGDs) with HCWs (n=15) from five private clinics in Yogyakarta Special Region Province Indonesia and triangulated with 10 DM patients and the TB program manager from the provincial health office. The data were audio recorded, transcribed verbatim, and subjected to thematic analysis.
Results: HCWs face complex barriers in TB-DM co-screening implementation from patients, HCWs, and health system aspects. An integrated system to remind, support decision-making, report, reduce documentation duplication, monitor, and evaluate co-screening implementation emerged as a potential strategy, although some challenges to deploy.
Conclusion: Albeit HIS is promising in enhancing integrated TB-DM screening and management, a comprehensive approach and multisector roles are still needed to overcome impediments to TB-DM bidirectional screening in PPCs.
Keywords: diabetes mellitus, health information system, screening, tuberculosis</dc:description>
	<dc:publisher xml:lang="en-US">Universitas Airlangga</dc:publisher>
	<dc:date>2024-06-28</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:type xml:lang="en-US">Peer-Reviewed Article</dc:type>
	<dc:format>text/xml</dc:format>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>https://e-journal.unair.ac.id/JAKI/article/view/52672</dc:identifier>
	<dc:identifier>10.20473/jaki.v12i1.2024.162-176</dc:identifier>
	<dc:source xml:lang="en-US">Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia); Vol. 12 No. 1 (2024): June; 162-176</dc:source>
	<dc:source>2540-9301</dc:source>
	<dc:source>2303-3592</dc:source>
	<dc:language>eng</dc:language>
	<dc:relation>https://e-journal.unair.ac.id/JAKI/article/view/52672/31127</dc:relation>
	<dc:relation>https://e-journal.unair.ac.id/JAKI/article/view/52672/29084</dc:relation>
	<dc:coverage xml:lang="en-US">-</dc:coverage>
	<dc:rights xml:lang="en-US">Copyright (c) 2024 Merita Arini, Denny Anggoro Prakoso, Farid Suryanto, Arlina Dewi, Muzaitul Akma Binti Mustapa Kamal Basha</dc:rights>
	<dc:rights xml:lang="en-US">https://creativecommons.org/licenses/by-sa/4.0</dc:rights>
</oai_dc:dc>