Assessing the perceived quality of care in MDR TB treatment services in Jakarta, Indonesia
Document type: mthesis
Download file(s):
455703 (610 KB)
Abstract:
INTRODUCTION: Assuring quality of MDR TB care is essential to ensure high treatment outcome. The MDR TB program in Indonesia is struggling with poor treatment results. So far, not much research has been done on the quality of care of MDR TB services particularly from the patient’s perspective. OBJECTIVES: To assess the quality of MDR TB care services in hospitAl and health centres in Jakarta from the patient’s perspective. METHODOLOGY: Literature review, interviews with patients and providers and focus group discussion with patients using a mix of qualitative and quantitative methods. FINDINGS: MDR TB patients in Jakarta from their perspective feel that support (financial support for visiting Health Facility), availability of services, interaction between provider and patients, and communication and information are the most important issues hampering quality of care. Patients treated at the hospital and health centres had different perceptions on quality of MDR TB care for four quality dimensions: support, communication and information, infrastructure and professional competence. We also found that providers and patients have quite different views on defining and ranking important quality dimensions. CONCLUSIONS: Information about the patients’ satisfaction regarding overall service provision and addressing the needs from the patient is crucial for success and optimal impact of the program. RECOMMENDATIONS: In order to address the needs of MDR TB patients based on their perception of quality of care we recommend including and implementing patient centred approaches in Indonesia and integrating these approaches in the operational plan for PMDT expansion.
Authors:
Sugiharto, J.
Country:
Indonesia
Category:
Research
Department:
Development, Policy and Practice
Institute:
KIT - Royal Tropical Institute
Keywords:
disease prevention and control
,
health services
Language:
eng
Organization:
KIT - Royal Tropical Institute
Organization:
VU - Vrije Universiteit Amsterdam
PAGE:
vii, 80
Place:
Amsterdam
Publisher:
KIT - Royal Tropical Institute [etc.]
Year:
2012
Region:
Southeast Asia
Right:
© 2012 Sugiharto
Subject:
Health and Nutrition
Title:
Assessing the perceived quality of care in MDR TB treatment services in Jakarta, Indonesia
Training:
Master of Public Health