Innovations in TB Screening and Preventive Therapy Services for PLHIV in Yogyakarta City, Indonesia
Tuberculosis preventive therapy (TPT) for people living with HIV (PLHIV) has been recommended by Indonesia’s National TB Program since 2014 but has seen limited implementation. This study describes TB screening and TPT initiation from 2019 to 2022 among eight healthcare facilities supported by the Z...
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MDPI AG
2025-01-01
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| Series: | Tropical Medicine and Infectious Disease |
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| author | Dani Catrianiningsih Guardian Yoki Sanjaya Geoff Chan Betty Weri Yolanda Nababan Rina Triasih Desthi Diah Intani Endang Sri Rahayu |
| author_facet | Dani Catrianiningsih Guardian Yoki Sanjaya Geoff Chan Betty Weri Yolanda Nababan Rina Triasih Desthi Diah Intani Endang Sri Rahayu |
| author_sort | Dani Catrianiningsih |
| collection | DOAJ |
| description | Tuberculosis preventive therapy (TPT) for people living with HIV (PLHIV) has been recommended by Indonesia’s National TB Program since 2014 but has seen limited implementation. This study describes TB screening and TPT initiation from 2019 to 2022 among eight healthcare facilities supported by the Zero TB Yogyakarta (ZTB) project. ZTB assigned a dedicated nurse to assist with active TB screening among PLHIV and recommended the immediate initiation of TPT as an innovation implemented. Data were obtained from the national HIV program reporting system, routinely reported by ART clinics from 2019 to 2022. We conducted a descriptive analysis, comparing the pre-intervention and intervention periods. During the intervention, there was a significant increase in PLHIV visits to healthcare facilities where TPT eligibility was assessed. At health centers, TB screening coverage for PLHIV decreased toward the end of the baseline period but recovered during the intervention. The number of PLHIV starting TPT also rose during the intervention. While the direct impact of ZTB is difficult to measure, the changes observed indicate progress in integrating TB/HIV services and enhancing TB prevention among PLHIV. Ongoing support, training, and supervision of healthcare facilities are crucial for improving TB screening and TPT provision. |
| format | Article |
| id | doaj-art-338833f0eb384da888bf3387e2f51466 |
| institution | Kabale University |
| issn | 2414-6366 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Tropical Medicine and Infectious Disease |
| spelling | doaj-art-338833f0eb384da888bf3387e2f514662025-01-24T13:51:26ZengMDPI AGTropical Medicine and Infectious Disease2414-63662025-01-011012810.3390/tropicalmed10010028Innovations in TB Screening and Preventive Therapy Services for PLHIV in Yogyakarta City, IndonesiaDani Catrianiningsih0Guardian Yoki Sanjaya1Geoff Chan2Betty Weri Yolanda Nababan3Rina Triasih4Desthi Diah Intani5Endang Sri Rahayu6Center for Tropical Medicine, Universitas Gadjah Mada, Yogyakarta 55281, IndonesiaDepartment of Health Policy and Management, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta 55281, IndonesiaTB Elimination and Implementation Science Group, Burnet Institute, Melbourne, VIC 2004, AustraliaCenter for Tropical Medicine, Universitas Gadjah Mada, Yogyakarta 55281, IndonesiaCenter for Tropical Medicine, Universitas Gadjah Mada, Yogyakarta 55281, IndonesiaCenter for Tropical Medicine, Universitas Gadjah Mada, Yogyakarta 55281, IndonesiaYogyakarta City Health Office, Disease Control, Yogyakarta 55165, IndonesiaTuberculosis preventive therapy (TPT) for people living with HIV (PLHIV) has been recommended by Indonesia’s National TB Program since 2014 but has seen limited implementation. This study describes TB screening and TPT initiation from 2019 to 2022 among eight healthcare facilities supported by the Zero TB Yogyakarta (ZTB) project. ZTB assigned a dedicated nurse to assist with active TB screening among PLHIV and recommended the immediate initiation of TPT as an innovation implemented. Data were obtained from the national HIV program reporting system, routinely reported by ART clinics from 2019 to 2022. We conducted a descriptive analysis, comparing the pre-intervention and intervention periods. During the intervention, there was a significant increase in PLHIV visits to healthcare facilities where TPT eligibility was assessed. At health centers, TB screening coverage for PLHIV decreased toward the end of the baseline period but recovered during the intervention. The number of PLHIV starting TPT also rose during the intervention. While the direct impact of ZTB is difficult to measure, the changes observed indicate progress in integrating TB/HIV services and enhancing TB prevention among PLHIV. Ongoing support, training, and supervision of healthcare facilities are crucial for improving TB screening and TPT provision.https://www.mdpi.com/2414-6366/10/1/28TB screenedTB prevention therapypeople living with HIV |
| spellingShingle | Dani Catrianiningsih Guardian Yoki Sanjaya Geoff Chan Betty Weri Yolanda Nababan Rina Triasih Desthi Diah Intani Endang Sri Rahayu Innovations in TB Screening and Preventive Therapy Services for PLHIV in Yogyakarta City, Indonesia Tropical Medicine and Infectious Disease TB screened TB prevention therapy people living with HIV |
| title | Innovations in TB Screening and Preventive Therapy Services for PLHIV in Yogyakarta City, Indonesia |
| title_full | Innovations in TB Screening and Preventive Therapy Services for PLHIV in Yogyakarta City, Indonesia |
| title_fullStr | Innovations in TB Screening and Preventive Therapy Services for PLHIV in Yogyakarta City, Indonesia |
| title_full_unstemmed | Innovations in TB Screening and Preventive Therapy Services for PLHIV in Yogyakarta City, Indonesia |
| title_short | Innovations in TB Screening and Preventive Therapy Services for PLHIV in Yogyakarta City, Indonesia |
| title_sort | innovations in tb screening and preventive therapy services for plhiv in yogyakarta city indonesia |
| topic | TB screened TB prevention therapy people living with HIV |
| url | https://www.mdpi.com/2414-6366/10/1/28 |
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