Tuberculosis control within Indonesia's hospital accreditation

Area of Science:

• Public Health
• Infectious Disease Control
• Healthcare Management

Background:

• Tuberculosis (TB) poses a significant public health challenge in Indonesia, ranking it among the top three countries globally for TB cases.
• Weak TB data reporting from healthcare facilities, particularly hospitals, hinders effective disease control efforts.
• Despite the implementation of Directly Observed Treatment Shortcourse (DOTS) in hospitals since 1995, new TB case reporting remains low.

Purpose of the Study:

• To evaluate the integration of TB control strategies within hospital accreditation standards in Indonesia.
• To assess the implications of these integrated standards on hospital involvement in the national TB program.
• To understand how accreditation can enhance TB case detection and reporting from hospitals.

Main Methods:

• A comprehensive literature review of TB control standards in hospital accreditation.
• Analysis of relevant regulations, policies, and procedures pertaining to TB control and hospital accreditation.
• Examination of hospital accreditation instruments and annual TB reports to assess compliance and impact.

Main Results:

• Accreditation standards mandate hospitals to implement comprehensive TB control programs, including surveillance, health promotion, and case management.
• Hospitals must allocate adequate resources, facilities, and infrastructure for TB service delivery and control efforts.
• Compliance with regulations for TB services and risk factor control is a key component of hospital accreditation.

Conclusions:

• Hospital accreditation standards for TB control are aligned with national TB control guidelines.
• The integration of TB control into accreditation serves as a strategic approach to improve hospital participation and reporting in the national TB program.
• Accreditation provides a framework for ensuring essential TB control activities are implemented and monitored within hospitals.