TUBERCULOSIS PREVENTIVE EFFORTS IN PHARMACEUTICAL SERVICES IN PRIMARY LEVEL HEALTH FACILITIES: A Qualitative Study
DOI:
https://doi.org/10.36387/jiis.v11i1.2429Keywords:
tuberculosis, preventive efforts, primary level health facilitiesAbstract
Tuberculosis (TB) is an infectious disease that remains a global health problem, with a high mortality rate, exceeding that of HIV/AIDS. In Indonesia, the incidence of TB-HIV reaches 36,000 cases, while cases of drug-resistant TB (TB-RO) are estimated at 12,000. The role of pharmacists in pharmaceutical services at primary healthcare facilities is very important, especially in drug management and clinical pharmacy. However, their role in TB preventive efforts does not yet have clear implementation standards. This study aims to develop guidelines related to TB preventive efforts in pharmaceutical services at primary healthcare facilities. This study used a qualitative method through in-depth interviews with officials from the Directorate of Pharmaceutical Services of the Ministry of Health and the central board of the Indonesian Pharmacists Association. The interviews aimed to obtain preliminary data for the development of a questionnaire that was then used in a cross-sectional study of pharmacists in primary healthcare facilities. The results showed five main domains in TB preventive efforts by pharmacists, namely: roles in clinical pharmacy services, drug management, TB case finding, community empowerment, and TB management. This study is expected to serve as a basis for the development of standardized standards for the role of pharmacists in TB prevention in primary healthcare facilities to improve the effectiveness of TB services and control in Indonesia.
References
Christof, C., Nußbaumer-Streit, B., & Gartlehner, G. (2020). WHO Guidelines on Tuberculosis Infection Prevention and Control. In Gesundheitswesen (Vol. 82, Issue 11). https://doi.org/10.1055/a-1241-4321
Dinkes Depok. (2022). Pengawas Menelan Obat (PMO) Tuberkulosis Paru. https://dinkes.depok.go.id/User/DetailArtikel/apa-peran-pengawas-menelan-obat-pmo-tuberkulosis-paru
Direktorat Jenderal Pencegahan dan Pengendalian Penyakit Kementerian Kesehatan Republik Indonesia. (2020). Petunjuk Teknis Pendampingan Pasien TBC Resistan Obat Oleh Komunitas.
Dirjen P2P Kemkes RI. (2020). Rencana Aksi Program (RAP) Tahun 2020-2024. Kementerian Kesehatan RI, 2(1/Mei), 1–33.
García, P. J., Hernández-Córdova, G., Pourjavaheri, P., Gómez-Paredes, H. J., Sudar, S., & Bayer, A. M. (2018). Knowledge, attitudes and practices related to tuberculosis in pharmacy workers in a cross-sectional survey in El Agustino, Peru. PLoS ONE, 13(7), 1–11. https://doi.org/10.1371/journal.pone.0196648
Gemmeke, M., Koster, E. S., Rodijk, E. A., Taxis, K., & Bouvy, M. L. (2021). Community pharmacists’ perceptions on providing fall prevention services: a mixed-methods study. International Journal of Clinical Pharmacy, 43(6), 1533–1545. https://doi.org/10.1007/s11096-021-01277-4
Goletti, D., Delogu, G., Matteelli, A., & Migliori, G. B. (2022). The role of IGRA in the diagnosis of tuberculosis infection, differentiating from active tuberculosis, and decision making for initiating treatment or preventive therapy of tuberculosis infection. International Journal of Infectious Diseases, 124, S12–S19. https://doi.org/10.1016/j.ijid.2022.02.047
Green, B. N., & Johnson, C. D. (2015). Interprofessional collaboration in research, education, and clinical practice: working together for a better future. Journal of Chiropractic Education, 29(1), 1–10. https://doi.org/10.7899/jce-14-36
IAI. (2022). AD ART Ikatan Apoteker Indonesia (XX). https://iai.id/page/ad-art
Kemenkes RI. (2016). PMK Nomor 67 Tahun 2016. In Kementerian Kesehatan RI. http://hukor.kemkes.go.id/uploads/produk_hukum/PMK_No._67_ttg_Penanggulangan_Tuberkolosis_.pdf
Kemenkes RI. (2020a). Strategi Nasional Penanggulangan Tuberkulosis di Indonesia 2020-2024. Pertemuan Konsolidasi Nasional Penyusunan STRANAS TB, 135. https://tbindonesia.or.id/wp-content/uploads/2021/06/NSP-TB-2020-2024-Ind_Final_-BAHASA.pdf
Kemenkes RI. (2020b). Tata Laksana Tuberkulosis. In Indonesia. https://tbindonesia.or.id/wp-content/uploads/2021/06/UMUM_PNPK_revisi.pdf
Kemenkes RI. (2022). Laporan Program Penanggulangan Tuberkulosis Tahun 2022. Kemenkes RI, 1–156. https://tbindonesia.or.id/pustaka_tbc/laporan-tahunan-program-tbc-2021/
Kemenkes RI. (2023). Strategi Imunisasi Nasional. Kemenkes, 1–85. https://www.kemkes.go.id/app_asset/file_content_download/16653827576343b965228c40.04885132.pdf
Kemenkes RI. (2024). Direktorat Pengelolaan dan Pelayanan Kefarmasian | Direktorat Jenderal Kefarmasian dan Alat Kesehatan. https://farmalkes.kemkes.go.id/strukor/penyanfar/
Kementerian Kesehatan Republik Indonesia. (2020). Penanganan Infeksi TB laten. https://tbindonesia.or.id/wp-content/uploads/2021/01/Isi-Juknis-ILTB-FINAL-ok_published.pdf
Kementrian Kesehatan. (2016). PMK No.72 Tahun 2016 tentang Standar Pelayanan Kefarmasian di RS. Kementerian Kesehatan Republik Indonesia, June.
Kementrian Kesehatan. (2023). UU Kesehatan No.17 Tahun 2023.
Kementrian Kesehatan. (2024). PP No.28 (Issue 226975). https://kemkes.go.id/id/peraturan-pemerintah-ri-no-28-tahun-2024-tentang-peraturan-pelaksanaan-uu-kesehatan
Kesehatan, K. (2021). PMK No.24Tahun 2021. PMK No.24 Tahun 2021, 11(88), 1–16.
Khurana and Dhingra. (2019). What is New in Management of Pediatric Tuberculosis. Recent Trends in Obstetrics and Gynecology, 56. https://www.indianpediatrics.net/mar2019/213.pdf%0Ahttp://books.google.com.au/books?hl=en&lr=&id=AGfx1BpvriIC&oi=fnd&pg=PA88&ots=OePrel-mKL&sig=W4tQjmrP8muoOuU1cpHfpzen0PU
Lestari, O. P. (2019). Gambaran Pelaksanaan Manajemen Logistik Obat Anti Tuberkulosis (OAT) Lini Pertama Di Kotamadya Jakarta Barat Tahun 2019. https://lib.fkm.ui.ac.id/detail?id=131903&lokasi=lokal
Maheswari, K., Azizunisa, Priya, B. L., & Sharma, J. (2019). an Overview on Role of Community Pharmacist in Prevention and Control. 8(3), 1371–1383.
Nadia, W., Hasan, D., Hersunaryati, Y., Penerapan, K., Pelayanan, S., Klinik, F., & Rawat, P. (2022). Kajian Penerapan Standar Pelayanan Farmasi Klinik di Puskesmas Rawat Inap Jakarta Tahun 2015. Syntax Literate ; Jurnal Ilmiah Indonesia, 7(11), 16925–16939. https://doi.org/10.36418/SYNTAX-LITERATE.V7I11.11899
Offu, O., Anetoh, M., Okonta, M., & Ekwunife, O. (2015). Engaging Nigerian community pharmacists in public health programs: Assessment of their knowledge, attitude and practice in Enugu metropolis. Journal of Pharmaceutical Policy and Practice, 8(1), 1–7. https://doi.org/10.1186/s40545-015-0048-0
RI, K. K. (2016). PMK No.73 Tahun 2016 Standar Pelayanan Kefarmasian di Apotek. August. http://farmalkes.kemkes.go.id/unduh/permenkes732016standar-pelayanan-kefarmasian-di-apotek/
Singh, K. P., Carvalho, A. C. C., Centis, R., D’Ambrosio, L., Migliori, G. B., Mpagama, S. G., Nguyen, B. C., Aarnoutse, R. E., Aleksa, A., van Altena, R., Bhavani, P. K., Bolhuis, M. S., Borisov, S., van’t Boveneind-Vrubleuskaya, N., Bruchfeld, J., Caminero, J. A., Carvalho, I., Cho, J. G., Forsman, L. D., … Denholm, J. T. (2023). Clinical standards for the management of adverse effects during treatment for TB. The International Journal of Tuberculosis and Lung Disease : The Official Journal of the International Union against Tuberculosis and Lung Disease, 27(7), 506–519. https://doi.org/10.5588/IJTLD.23.0078
TB Indonesia. (2023). Peringatan Hari Tuberkulosis Sedunia 2024: Gerakan Indonesia Akhiri Tuberkulosis (GIAT) - TBC Indonesia. https://tbindonesia.or.id/peringatan-hari-tuberkulosis-sedunia-2024-gerakan-indonesia-akhiri-tuberkulosis-giat/
Wachidin, A., Baskoro, R. S., & Sari, A. H. (2020). Edukasi Pendidik Sebaya (peer Group) Kepada Pasien TB Resisten Obat Agar Patuh Menjalani Terapi Pengobatan. Jurnal Dinamika Sosial Budaya, 22(2), 306. https://doi.org/10.26623/jdsb.v22i2.2582
World Health Organization. (2020). Definitions and reporting framework for tuberculosis. In Eurosurveillance (Issue 16). https://apps.who.int/iris/bitstream/handle/10665/79199/9789241505345_eng.pdf
World Health Organization. (2021). Global TB Report 2021. In WHO. https://www.who.int/teams/global-tuberculosis-programme/tb-reports/global-tuberculosis-report-2021
Wulanda, A. F., & Delilah, S. (2021). Efektivitas Imunisasi BCG terhadap Kejadian Tuberkulosis Anak di Kabupaten Bangka. Jurnal Kesehatan Poltekkes Kemenkes RI Pangkalpinang, 9(1), 37–41. https://doi.org/10.32922/jkp.v9i1.333
Downloads
Published
Issue
Section
License
Copyright (c) 2026 JIIS (Jurnal Ilmiah Ibnu Sina): Ilmu Farmasi dan Kesehatan

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
