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Strengthening Tuberculosis Preventive Treatment Through Management Functions in Primary Health Centers; Evidence From Jambi, Indonesia

Proceedings Academic Universitas Jambi · Vol. 2 No. 1 (2026) · pp. 82–91

DOI
10.22437/proca.v2i1.51176
Published
2026-01-14
Publisher
LPPM Universitas Jambi
Language
en
License
creativecommons.org/licenses/by/4.0

Abstract

Tuberculosis (TB) remains a major primary health concern in Indonesia. Preventive treatment (TPT) is a key strategy to reduce the risk of TB disease among high risk populations. Effective program management at Primary Health Centers (Puskesmas) is essential to ensure optimal implementation of TPT. However, limited evidence is available on how management functions are applied at the frontline level in supporting TPT delivery. Objective: To assess the implementation of management functions such as planning, organizing, actuating, and controlling in TPT programs at Primary Health Centers in Jambi, Indonesia. Methods: A quantitative cross sectional study was conducted involving 60 TB program officers across 20 Primary Health Centers in Jambi. Data were collected using a structured questionnaire covering four management functions. Descriptive and bivariate analyses were performed to identify strengths and weaknesses in management implementation. Results: The study revealed that planning and organizing functions were relatively strong across most health centers, particularly in the identification of eligible TPT targets and allocation of resources. In contrast, actuating and controlling functions were less consistently implemented, leading to challenges in ensuring adherence, follow up, and monitoring of TPT completion. Key obstacles included limited human resources, insufficient supervision, and workload distribution issues. Conclusion: Management functions play a crucial role in strengthening TPT implementation at the primary care level. Interventions to improve actuating and controlling functions, including enhanced supervision, monitoring, and capacity building, are needed to optimize TPT program performance in Jambi and potentially in other similar high burden settings.

Keywords

Collaboration network of the authors

22 authors · 71 co-authorship links

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  • Universitas Jambi
  • Affiliation unknown
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Co-authorOrganisationJoint articles
Rd. HalimAffiliation unknown2
Fitria Eka PutriAffiliation unknown1
Andy AmirAffiliation unknown1
Adila SolidaAffiliation unknown1
Adriani AdrianiAffiliation unknown1
M. RidwanAffiliation unknown1
Dwi NoerjoediantoAffiliation unknown1
Hendra Dhermawan SitanggangAffiliation unknown1
Rizki Ibnu RahmadAffiliation unknown1
Ummi KalsumAffiliation unknown1
Fajrina HidayatiAffiliation unknown1
Maratus SholehaAffiliation unknown1
Tri Yunis Miko WahyonoAffiliation unknown1
Bella Armia PutriAffiliation unknown1
guspianto guspiantoAffiliation unknown1
Sri Astuti SiregarAffiliation unknown1
Herlambang HerlambangUniversitas Jambi1
Ismi Nurwaqiah IbnuAffiliation unknown1

Affiliations come from OpenAlex; journal OAI-PMH metadata carries none. Authors without an OpenAlex ID are matched by name, which can merge or split people.

Metadata source: OAI-PMH (metadata jurnal) https://online-journal.unja.ac.id/index.php/PROCA/oai, first harvested 6 Nov 2026, last seen 8 Nov 2026.
Original metadata (oai_dc) 
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	<dc:title xml:lang="en">Strengthening Tuberculosis Preventive Treatment Through Management Functions in Primary Health Centers; Evidence From Jambi, Indonesia</dc:title>
	<dc:creator xml:lang="en">Ena Sari, Rumita</dc:creator>
	<dc:creator xml:lang="en">Suryani Nasution, Helmi</dc:creator>
	<dc:creator xml:lang="en">Augina Meckarische, Arnild</dc:creator>
	<dc:creator xml:lang="en">Nurwaqiah Ibnu, Ismi</dc:creator>
	<dc:subject xml:lang="en">Tuberculosis</dc:subject>
	<dc:subject xml:lang="en">TPT</dc:subject>
	<dc:subject xml:lang="en">Preventive treatment</dc:subject>
	<dc:subject xml:lang="en">Management functions</dc:subject>
	<dc:subject xml:lang="en">Primary Health Centers</dc:subject>
	<dc:description xml:lang="en">Tuberculosis (TB) remains a major primary health concern in Indonesia. Preventive treatment (TPT) is a key strategy to reduce the risk of TB disease among high risk populations. Effective program management at Primary Health Centers (Puskesmas) is essential to ensure optimal implementation of TPT. However, limited evidence is available on how management functions are applied at the frontline level in supporting TPT delivery. Objective: To assess the implementation of management functions such as planning, organizing, actuating, and controlling in TPT programs at Primary Health Centers in Jambi, Indonesia. Methods: A quantitative cross sectional study was conducted involving 60 TB program officers across 20 Primary Health Centers in Jambi. Data were collected using a structured questionnaire covering four management functions. Descriptive and bivariate analyses were performed to identify strengths and weaknesses in management implementation. Results: The study revealed that planning and organizing functions were relatively strong across most health centers, particularly in the identification of eligible TPT targets and allocation of resources. In contrast, actuating and controlling functions were less consistently implemented, leading to challenges in ensuring adherence, follow up, and monitoring of TPT completion. Key obstacles included limited human resources, insufficient supervision, and workload distribution issues. Conclusion: Management functions play a crucial role in strengthening TPT implementation at the primary care level. Interventions to improve actuating and controlling functions, including enhanced supervision, monitoring, and capacity building, are needed to optimize TPT program performance in Jambi and potentially in other similar high burden settings.</dc:description>
	<dc:publisher xml:lang="en">LPPM Universitas Jambi</dc:publisher>
	<dc:date>2026-01-14</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>https://online-journal.unja.ac.id/PROCA/article/view/51176</dc:identifier>
	<dc:identifier>10.22437/proca.v2i1.51176</dc:identifier>
	<dc:source xml:lang="en">Proceedings Academic Universitas Jambi; Vol. 2 No. 1 (2026):  The 2nd Jambi International Seminar on Education (JISE); 82-91</dc:source>
	<dc:source>10.22437/proca.v2i1</dc:source>
	<dc:language>en</dc:language>
	<dc:relation>https://online-journal.unja.ac.id/PROCA/article/view/51176/23538</dc:relation>
	<dc:rights xml:lang="en">Copyright (c) 2026 Rumita Ena Sari, Helmi Suryani Nasution, Arnild Augina Meckarische, Ismi Nurwaqiah Ibnu</dc:rights>
	<dc:rights xml:lang="en">https://creativecommons.org/licenses/by/4.0</dc:rights>
</oai_dc:dc>