?url_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Adc&rft.relation=http%3A%2F%2Fwww.badankebijakan.kemkes.go.id%2Frepositori%2Fid%2Feprint%2F2267%2F&rft.title=IDENTIFICATION+AND+EXPLORATION+OF+FACTORS+THAT+CONTRIBUTE+TO+THE+LOW+RATE+OF+TUBERCULOSIS+CASE+DETECTION+IN+KELURAHAN+CIPINANG%2C+EAST+JAKARTA&rft.creator=Pasaribu%2C+Luxi+Riajuni&rft.subject=WF+140-900+Diseases+of+the+Respiratory+System&rft.description=This+research+identifies+and+explores+factors+that+contribute+to+the+low+detection+rate+by+investigating+whether+there+were+economic%2C+social%2C+and+cultural+circumstances+impacting+on+the+community%2C+health+system+and+practice+of+TB+Case+Detection+conducted+by+health+providers+in+the+area.+The+study+also+identified+the+reason+for+missing+and+delayed+cases.+This+research+was+conducted+in+Kelurahan+Cipinang+in+East+Jakarta%2C+a+particularly+endemic+area+with+a+low+TB+Case+Detection+Rate.+The+domestic+environments+of+the+respondents+have+also+been+investigated+to+identify+whether+there+was+any+relationship+with+the+problem.+++++++This+research+applied+case+study+method+to+address+the+research+questions.+The+study+participants+were+13+community+people+which+included+patients%2C+suspected+TB+persons%2C+relapsed+TB+persons%2C+housewife%2C+teachers%2C+and+health+cadre%3B+6+formal+and+informal+community+leaders%3B+and+3+health+providers+of+Kelurahan+Cipinang+and+Puskesmas+Kelurahan+Cipinang.+The+data+was+collected+by+in-depth+semi-structured%2C+individual+interviews%2C+the+researcher+investigated+%22how%22+or+%22why%22+questions+and+events+that+were+not+controlled+or+behaviours+that+could+not+be+manipulated+in+the+current+phenomena+of+the+case+in+their+natural+context.+++++++This+research+found+several+factors+that+contribute+to+the+low+rate+of+TB+case+detection+in+Kelurahan+Cipinang%2C+East+Jakarta.+The+major+problem+found+was+the+poverty+in+the+community.+These+poor+people+experience+social%2C+physical%2C+psychological%2C+and+behavioural+disadvantages+that+were+linked+to+each+other+and+relevant+to+the+research+questions.+The+social+circumstances+that+were+found+in+the+community+were+lack+of+education%2C+the+religious+and+cultural+beliefs%2C+homelessness%2C+poor+quality+of+housing%2C+bad+water+and+sanitation+of+the+canal%2C+and+no+money+for+transport%2C+for+the+registration+fee+at+the+Puskesmas%2C+and+for+the+laboratory+examination+fee.+The+physical+circumstances+that+were+found+in+the+community+participants+were%3A+poor+nutrition%2C+TB+symptoms%2C+and+emaciated.+The+psychological+circumstances+that+were+found+in+the+community+were+low+self-worth%2C+stress%2C+anxiety%2C+stigma%2C+and+no+family+support.+The+behavioural+circumstances+that+occurred+were+delaying+visiting+the+Puskesmas%2C+seeking+help+from+friends%2C+smoking%2C+gambling%2C+and+drugs.+Meanwhile%2C+the+Puskesmas+had+problems+in+implementing+the+DOTS+strategies+especially+of+microscopic+examination.+They+did+not+have+adequate+infrastructure+and+facilities+to+provide+accurate+examination+and+to+have+safe+work+environment.+Inadequate+training+for+health+providers+also+had+lead+to+a+lack+of+teamwork+between+staff+of+the+Puskesmas.+Lack+of+communication+between+health+providers+and+community+leaders+contributed+to+the+lack+of+political+commitment+in+the+system+and+practice+of+DOTS+including+the+TB+Case+Detection.+Strategies+are+recommended+to+address+the+problems+and+to+alleviate+the+poverty.+These+recommendations+are+likely+to+be+very+successful+because+they+were+developed+from+the+suggestions+made+by+participants.&rft.publisher=Pusat+Penelitian+dan+Pengembangan+Biomedis+dan+Teknologi+Dasar+Kesehatan&rft.date=2012&rft.type=Monograph&rft.type=NonPeerReviewed&rft.identifier=++Pasaribu%2C+Luxi+Riajuni++(2012)+IDENTIFICATION+AND+EXPLORATION+OF+FACTORS+THAT+CONTRIBUTE+TO+THE+LOW+RATE+OF+TUBERCULOSIS+CASE+DETECTION+IN+KELURAHAN+CIPINANG%2C+EAST+JAKARTA.++Project+Report.+Pusat+Penelitian+dan+Pengembangan+Biomedis+dan+Teknologi+Dasar+Kesehatan.+++++