Digital Health to Strengthen District-Based Public–Private Mix Tuberculosis Control in Purwakarta District, Indonesia: A Qualitative Research

This study aimed to explore the problem that occurs in district-based public–private mix tuberculosis (DPPM TB) in the Purwakarta district, and how digital health can help overcome this problem. This study used a qualitative research design. By purposive sampling, 46 informants were selected to be interviewed and 9 informants participated in focus group discussion. Data were collected during January to November 2020 and analyzed using the content analysis technique. Trustworthiness is obtained through the triangulation method and peer debriefing. The problems identified in public and private partnership were the lack of communication and awareness, the under-reporting of TB cases in the private health sector, and the limitation of the existing information system. Communication is important in delivering information about a tuberculosis program, patient referrals, and contact investigation; therefore, digital health is considered as a potential strategy to facilitate that. Digital health must consider ethical issues, avoid redundancy, be user-friendly, and include intervention packages. We conclude that the lack of communication between the public and the private health sectors in TB control was a major problem in DPPM TB. Digital health is needed to ensure the flow of information and communication between the public and the private health sectors.

[1]  D. Sunjaya,et al.  Initiating a district-based public–private mix to overcome tuberculosis missing cases in Indonesia: readiness to engage , 2021, BMC Health Services Research.

[2]  P. Leavy.  The Oxford Handbook of Qualitative Research , 2020 .

[3]  Jae Seuk Park,et al.  Tuberculosis Surveillance and Monitoring under the National Public-Private Mix Tuberculosis Control Project in South Korea 2016–2017 , 2020, Tuberculosis and respiratory diseases.

[4]  R. Padmawati,et al.  Acceptability of mandatory tuberculosis notification among private practitioners in Yogyakarta, Indonesia , 2019, BMC Research Notes.

[5]  Bahrullah Akbar,et al.  Effects of Leadership, Organizational Culture, and Competence on Procurement of Government Goods and Services at the Directorate of Prevention and Control of Direct Communicable Diseases of the Ministry of Health of the Republic of Indonesia , 2019 .

[6]  Mike Osberg,et al.  Quality Tuberculosis Care in Indonesia: Using Patient Pathway Analysis to Optimize Public–Private Collaboration , 2017, The Journal of infectious diseases.

[7]  A. Siregar,et al.  Feasibility study of strengthening the public–private partnership for tuberculosis case detection in Bandung City, Indonesia , 2017, BMC Research Notes.

[8]  M. Gagnon,et al.  Evaluating clinicians' user experience and acceptability of LearnTB, a smartphone application for tuberculosis in India. , 2017, mHealth.

[9]  M. Uplekar.  Public-private mix for tuberculosis care and prevention. What progress? What prospects? , 2016, The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease.

[10]  A. Nasution.  Government Decentralization Program in Indonesia , 2016 .

[11]  R. Garfein,et al.  Digital health for the End TB Strategy: developing priority products and making them work , 2016, European Respiratory Journal.

[12]  S. Swaminathan,et al.  Perceptions of Private Medical Practitioners on Tuberculosis Notification: A Study from Chennai, South India , 2016, PloS one.

[13]  Mariette Bengtsson,et al.  How to plan and perform a qualitative study using content analysis , 2016 .

[14]  E. Nardell,et al.  Turning off the tap: stopping tuberculosis transmission through active case-finding and prompt effective treatment , 2015, The Lancet.

[15]  S. Swaminathan,et al.  The Usefulness and Feasibility of Mobile Interface in Tuberculosis Notification (MITUN) Voice Based System for Notification of Tuberculosis by Private Medical Practitioners – A Pilot Project , 2015, PloS one.

[16]  M. Grobusch,et al.  Factors influencing specialist care referral of multidrug- and extensively drug-resistant tuberculosis patients in Gauteng/South Africa: a descriptive questionnaire-based study , 2013, BMC Health Services Research.

[17]  J. Creswell,et al.  Engaging the private sector to increase tuberculosis case detection: an impact evaluation study. , 2012, The Lancet. Infectious diseases.

[18]  Kunihiko Ito,et al.  Computerized surveillance system of tuberculosis in Japan: its evolution, achievement and challenges. , 2012, Kekkaku : [Tuberculosis].

[19]  David Evans,et al.  A qualitative review: the stigma of tuberculosis. , 2011, Journal of clinical nursing.

[20]  Miguel P Caldas,et al.  Research design: qualitative, quantitative, and mixed methods approaches , 2003 .

[21]  M. Marshall.  Sampling for qualitative research. , 1996, Family practice.

[22]  Fred D. Davis.  User Acceptance of Information Technology: System Characteristics, User Perceptions and Behavioral Impacts , 1993, Int. J. Man Mach. Stud..

[23]  Klaus Krippendorff,et al.  Content Analysis: An Introduction to Its Methodology , 1980 .