Model kemitraan puskesmas-praktisi swasta dalam penanggulangan tuberkulosis paru di kecamatan kalasan, kabupaten sleman, provinsi diy= public-private mix on tb control: engaging private practitioners in kalasan sub-dist

ABSTRACT Background: Indonesia has adopted DOTS strategy since 1995. However, problems in low case detection have widely been recognized. The objective of this study was to develop publicprivate mix (PPM) in TB control through engaging private practitioners (PPs) in Kalasan Sub District, Sleman District. Method: Action research was applied and the intervention consisted of advocating the need for collaboration, disseminating DOTS strategy, and distributing newsletter. Data were collected from interviews, group discussions, secondary data and analysed descriptively. Result: The diagnostic phase revealed low understanding of DOTS among PPs, albeit a high enthusiasm. Thirteen PPs were identified and mostly chose to refer TB suspects. One PP selected the diagnosis role, and 3 PPs provided treatment. In planning action phase, a theoretical model was discussed and finally resulted in a practical model for engaging PPs. PPs started referring TB suspects in the taking action phase. During 10 months, PPs identified 30 TB suspects and 4 smear positives. The final evaluating action phase identified implementation problems. Conclusion: A PPM model to engage PPs in TB control based on health centre has been implemented, using advocacy strategy. Sustainability of this partnership depends on health centre capacity, policy and commitment from district health office. Keywords: public-private mix, Tuberculosis, action research, private practitioner 1. Departemen Kesehatan RI. Pedoman Nasional Penanggulangan Tuberkulosis,2003. 2. WHO. Global Update On TB. National TB Monitoring and Evaluation Meeting. 2004. 3. Loekito, H.E. Beberapa Segi yang Menarik dari Penderita Tuberkulosis Paru yang Berobat di Puskesmas Banjarnegara. 198