Ansit Kolab TB HIV

8/17/2019 Ansit Kolab TB HIV

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ANALISA SITUASI P2TB

JAWA TIMUR


2/24

LATAR BELAKANG

Epidemiologi global, WHO 2013 :• Diperkirakan ada 8,6 juta kau !" pada

ta#un 2012 , dimana 1,1 juta orang $13%&

paien !"'H()

• Diperkirakan ada *+0000 orang menderita

!"'-D. dan 1/0000 orang diantarana

meninggal dunia $33,33%&

• au !" pada anita ebanak 2, jutadengan kematian *10000 $1*,2 %& dan

160000 diantarana tjd pada anita dg H()

poiti4 $3%&


3/24

EPIDEMI GLOBAL

GLOBAL REPORT2013

GLOBAL REPORT2014

57 !"D(E.(.559

8,6 7!5 ,0 7!5

E-5!(59D(E.(.559

13 7!5 $300 ribuH();&

1+ 7!5 $360 ribuH() ;&

E-5!(59W59(!55.E95 !"

*10000 +10000


4/24

BEBAN TB 2013

Absolut Jumlahper hari

Jumlahper jam

Rate (per100.000pendudu

!

Prevalens

11.000.000

30.137 1.2! 1"

Gl#$aL

Ins%&ens".000.000

2'.!7 1.027 12!

M#r(al%(a

s

1.100.000

3.01' 12 1!

Prevalens

!)0.000

1.)!3 7) 272

Innes%a

Ins%&ens'!0.000

1.2!0 2 1)3

M#r(al%(as

!'.000

17 7 2


5/24

"01#$ Estimated number o% &'RTB)ases out o% noti*ed TB +ases ,0- o%all +ases are in 1" +ountries

(#!Russian ed.$

/1000*13+,

(1!ndia$2"000

*21+,

("!)hina$3/000

*1)+,

(4!5hilippines$

,300

(/! 5aistan$1#000

(6!7outh A%ri+a$

2600

(3! 8raine$6/00

(10!ndonesia$2,00

(11!Ka9ahstan$2200

(1"!:ietnam$3100 (2! &;anmar$

6000

(,!89beistan$4600


6/24

-aa%an %n&%/a(#r (aa

P2 TB


7/24

J8&LA< KA787 TB =ANG'>BAT ' JA?A T&8R TA


8/24

- An@a )'R 5asien Baru TB Bta(!

KabKota 5ro. Jatim Tahun "01/5A)TANNGANJ8K

TRENGGALEK K>TA BAT8

BLTART8L8NGAG8NG

5>N>R>G>&ALANG

7'>ARJ>K>TA 5R>B>LNGG>

NGA?BANGKALAN

7A&5ANGKE'R

K>TA BLTAR&>J>KERT>

J>&BANG&AGETAN

BAN=8?ANGT8BAN JAT&

GRE7K 5A78R8AN

K>TA &ALANGB>N'>?>7>L8&AJANG

K>TA 78RABA=A&A'8N

5R>B>LNGG>B>J>NEG>R>

LA&>NGANK>TA KE'R

78&ENE57T8B>N'>

JE&BERK>TA &A'8N

K>TA &>J>KERT>5A&EKA7ANK>TA 5A78R8AN

0 "0 /0 20 ,0 100 1"0 1/012

"1"3

#0#0#1###3#,

/1/"

/////3/2/6313"3#3#33323,

362123242424

4"4#43

4646,0,"

10010#1#4

Target Minimal : 70%


9/24

An@a )NR 7eluruh 5asien TBKabKota 5ro. Jatim Tahun "01/

5A)TANTRENGGALEK

NGANJ8K BLTAR

T8L8NGAG8NG&ALANG

T8BAN&>J>KERT>

KE'R

NGA?BANGKALANK>TA BAT8 J>&BANG

5>N>R>G>7'>ARJ>

B>J>NEG>R>L8&AJANG

B>N'>?>7> JAT&

&AGETAN7A&5ANG

5R>B>LNGG>BAN=8?ANG

GRE7K K>TA 5R>B>LNGG>5A78R8AN

JE&BER5A&EKA7AN7T8B>N'>

&A'8N78&ENE5

K>TA BLTARLA&>NGAN

K>TA KE'RK>TA &ALANG

K>TA 78RABA=A

K>TA &A'8NK>TA 5A78R8ANK>TA &>J>KERT>

0 30 100 130 "00 "30 #00 #30##

32343,

2341444,,1,",3,,

6/6/6266

103104110110111

11411,

1161"/1#01#01#"1##1#2

1/4130

13312"

12,14,

""# "61#/,

Global Report !O T"# 2014

1$3100&000 P''(


10/24

5rosentase An@a Kenaian )NRKabKota 5ro. Jatim Tahun "01/

20

30

/0

#0"0

10

0

10

"0

#0

/0 ##

"/""

1#1"

10106 , , 4 2 2 / / / #

0 01""#///4,

111#1/1/

14"1"#"/

#,

3"20

Target (enai)an *+R t": 3, -%


11/24

An@a )NR 7eluruh 5asien TBKabKota 5ro. Jatim Tahun "013

(per 100.000 pdd!MAGETAN

BOJONEGORO TUBAN

NGANJU NGAWI

OTA BATUMOJOERTO

PA-ITAN JOMBANG

PONOROGO

PROBOLINGGOSIDOARJOBLITAR

PAMEASAN TRENGGALE

TULUNGAGUNGPASURUAN

MALANGMADIUN

JATIMEDIRI

BANUWANGIBONDOWOSO

OTA PROBOLINGGO

BANGALANLUMAJANGSAMPANG

LAMONGANOTA MALANG

JEMBERSITUBONDO

GRESI OTA BLITAR

OTA MADIUNSUMENEP

OTA SURABAAOTA EDIRI

OTA PASURUANOTA MOJOERTO

0 20 '0 !0 )0 100 120 1'0 1!0 1)0 200

000

03

711

1171"

232'323233333'3!3)

'1'2

''!'!

'! 7)!0

!'!!

707'

7)7)

)3""

1))

1"2


12/24

An@a Keberhasilan 5en@obatan 5asien TBBaru Bta (!

KabCKo 5ro. Jatim "01#

K>TA BLTARK>TA 78RABA=AK>TA BAT87A&5ANG

K>TA KE'RK>TA &ALANG

BLTAR&ALANG

GRE7K T8L8NGAG8NG

J>&BANG5R>B>LNGG>K>TA &A'8N

5A78R8ANNGA? JAT&

K>TA 5A78R8ANB>N'>?>7>

7'>ARJ>LA&>NGAN5>N>R>G>

JE&BER5A&EKA7AN

K>TA &>J>KERT>&A'8N

78&ENE5&AGETANBANGKALAN7T8B>N'>

K>TA 5R>B>LNGG>L8&AJANG

BAN=8?ANGTRENGGALEK

T8BAN5A)TAN

KE'RNGANJ8K

B>J>NEG>R>

&>J>KERT>

40 ,0 60 100

424,,0,1

,",#

,2,6,6,66060

606061

61616"

6#6#6#6#

6/6/6/

6/6/63636363

626464646,6,

6,6,

Target Minimal : .0%


13/24

An@a Keberhasilan 5en@obatan 5asien TBBaru Bta (!

KabCKo 5ro. Jatim "01/ 7' T? "

5A)TANK>TA BAT8

K>TA BLTARNGANJ8K

K>TA &A'8N&>J>KERT>

K>TA 78RABA=AK>TA KE'R

7A&5ANGK>TA &ALANG

NGA?

&ALANG J>&BANGGRE7K

JAT&B>N'>?>7>

BLTAR7'>ARJ>

5R>B>LNGG>5A78R8AN

LA&>NGAN&AGETAN

&A'8N JE&BER

T8BAN5A&EKA7AN

BAN=8?ANG78&ENE5

KE'RL8&AJANG

K>TA 5A78R8AN5>N>R>G>7T8B>N'>

K>TA 5R>B>LNGG>BANGKALAN

TRENGGALEK K>TA &>J>KERT>

T8L8NGAG8NG

B>J>NEG>R>

0 10 20 30 '0 0 !0 70 )0 "0 100

1/#0

22242,

424,46

,1,/

,2

,2,4,,,660616161616"6#6#6#

6#6/6/6/6/6/6/636363626264646,


14/24

5A7EN TB ANAK ' JAT& TA


15/24

'istribusi 5asien TB &'R 'iobati5er KabKota

5ro. Jatim Tahun "006 sd"013(Total $ ,0#!

#(a Sra$a4aa$ Gres%/a$ S%ar5#a$ Malan6a$ Je$er#(a Malan6a$ Pasrana$ La#n6ana$ J#$an6#(a e&%r%a$ S%($#na$ Saan6a$ Pr#$#l%n66#a$ e&%r%a$ Tln6 A6n6a$ N6an5/a$ La5an6a$ M#5#/er(#a$ Ban4an6%AB8O 99999a$ P#n#r#6#a$ B#5#ne6#r#a$ Bl%(ara$ T$ana$ N6a%a$ Ban6/alana$ Ma6e(ana$ Ma&%n#(a Ma&%na$ Sra$a4aa$ Senea$ B#n#s##(a Pr#$#l%n66##(a Pasran#(a Bl%(ar#(a Ba(a$ Tren66ale/a$ Pae/asana$ Pa:%(an

0

30

100

130

"00

"30

#00

#30###

22/6/#/1

#1"#14141#1"1"1010666,,444422233////#""""""


16/24

)apaian Kolaborasi TB


17/24

NO KABUPATEN/KOTA JUMLAH KASUS TB MDR +

1. SURABAYA 5.036 3587.1

2. JEMBER 3.114 712.3

3. PASURUAN 2.042 221.1

4. SIDOARJO 2011 462.3

5. BANYUWANI 1.86! 120.6

6. MALAN 1.801 472.6

7. SUMENEP 1.563 70.4

8. RESIK 1.485 624.2

!. PROBOLINO 1.328 70.5

10. BOJONEORO 1.218 10 0.8

10 KABUPATEN/KOTA KASUS TB

TERBANYAK

+ KASUS TB MDR*

K i " d h


18/24

Ke@iatan" ;an@ sudahdilasanaan

Penean as%en TB &% ;as4an/esPen6a(an 5e5ar%n6 La$< Ja6a M(

La$#ra(#r% &an Pe$er&a4aan La$/es&a*RUS81,

Penan6anan as%en TB MDR &% RS R5/an&an RS S$ R5/an.

Microtraining ;as4an/es sa(el%( n(/

/elan5(an en6#$a(anIn(ens%=/as% enean TB ana/

#la$#ras% TB8>I? &% ;as4an/es

Pen6a(an Je5ar%n6 &% RS< D#/(er Pra/(e/

K i t " d h


19/24

Ke@iatan" ;an@ sudahdilasanaan

S#s%al%sas% E@%( S(ra(e6%/ $a6% Pen6a$%l/e(san /a$a(en/#(a *as% &an a$%&,.

Pen6a(an T% MTPTRO a$a(en#(a.


20/24

PERMASALAHAN

1.Bel sea ;as4an/es (erla(% DOTS

ela/sana/an r#6ra TB s(ra(e6%DOTS< (er(aa RS.

2. Pen4e&%a Pela4anan esea(an

Peer%n(a &an Sas(a Ca. Pena(ala/sanaan TB &% RS &an DPM$el

sesa% s(an&ar ( 4an6&%(e(a/an.

$. S(an&ar eneraan IST-

*In(erna(%#nal


21/24

PERMASALAHAN

3. Bel (erse&%an4a JN 4an6 en:a/selr

ar6a ne6ara< en6a/%$a(/an :aa%an

r#6ra TB (%&a/ #(%al.'. Men%n6/a(n4a /ass TB MDR 4an6

$el &%#$a(%.

. Men%n6/a(n4a /eren(anan (era&a TBa/%$a( asala la%n< Seer(% >I?<er#/#/ DM< 6%% $r/< &ll


22/24

RENCANA TINDAK LANJUT

1. Men6e$an6/an Public Private Mix

elal% 5e5ar%n6 &% sea ;as%l%(asela4anan /esea(an< $a%/ eer%n(aan sas(a

2. S#s%al%sas% IST- &% RS &an DPM &en6anen6e$an6/an s%s(e a/re&%(as% &anser(%=/as% 4an6 eas//an la4anan

TB 4an6 $er/al%(as3. Men6#(%al/an &ana JN &an

ean;aa(/an &ana BO &%

s/esas.


23/24

RENCANA TINDAK LANJUT

'. Pen6e$an6an /#la$#ras% r#6ra TB8>I?< TB8DM &an en%n6/a(/an a4ar##(%; la%nn4a

. Pen6a(an srve%lans TB< sea;as4an/es DOTS en66na/an SITT82.

!. U5% -#$a Alr R5/an Peer%/saan

M%/r#s/#%s &an TB 12 Ele/(r#n%/.7. e:aa(an Be$as TB


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TER&A KA7

Ansit Kolab TB HIV

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