ansit kolab tb hiv
TRANSCRIPT
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ANALISA SITUASI P2TB
JAWA TIMUR
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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%&
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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 $360 ribuH() ;&
E-5!(59W59(!55.E95 !"
*10000 +10000
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BEBAN TB 2013
Absolut Jumlahper hari
Jumlahper jam
Rate (per100.000pendudu
!
Prevalens
11.000.000
30.137 1.2! 1"
Gl#$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
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"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
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-aa%an %n&%/a(#r (aa
P2 TB
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J8&LA< KA787 TB =ANG'>BAT ' JA?A T&8R TA
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- 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%
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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''(
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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, -%
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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
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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%
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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,
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5A7EN TB ANAK ' JAT& TA
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'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////#""""""
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)apaian Kolaborasi TB
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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
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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
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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$a(en#(a.
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PERMASALAHAN
1.Bel sea ;as4an/es (erla(% DOTS
ela/sana/an r#6ra TB s(ra(e6%DOTS< (er(aa RS.
2. Pen4e&%a Pela4anan esea(an
Peer%n(a &an Sas(a Ca. Pena(ala/sanaan TB &% RS &an DPM$el
sesa% s(an&ar ( 4an6&%(e(a/an.
$. S(an&ar eneraan IST-
*In(erna(%#nal
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PERMASALAHAN
3. Bel (erse&%an4a JN 4an6 en:a/selr
ar6a ne6ara< en6a/%$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%% $r/< &ll
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RENCANA TINDAK LANJUT
1. Men6e$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 $er/al%(as3. Men6#(%al/an &ana JN &an
ean;aa(/an &ana BO &%
s/esas.
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RENCANA TINDAK LANJUT
'. Pen6e$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