The DOI matches its Crossref record; 18 of the 18 references it cites were found in a registry or an index.
Lost to Follow-Up among Tuberculosis Patients during the Public-Private Mix Era in Rural Area of Indonesia
Open accessAbstract
BACKGROUND: Indonesia’s national Tuberculosis (TB) strategy is public-private mix (PPM). The PPM aims to treat patients who have lost sight during TB treatment as these patients are TB carriers and at risk of transmitting TB. The purpose of this study was to identify predictive factors for loss to follow-up (LFTU) among TB patients receiving treatment when the PPM was at place in Indonesia. METHODS: The design of this study was a retrospective cohort study. The data used in this study was sourced from the Tuberculosis Information System (SITB) of Semarang which was recorded routinely during 2020-2021. Univariate analysis, crosstabulation, and logistic regression were performed on 3434 TB patients meeting the minimum variables. RESULTS: The participation of health facilities in reporting TB during the PPM era in Semarang reached 97.6% consisting of 37 primary healthcare center (100%), 8 public hospitals (100%), 19 private hospitals (90.5%), and a community-based pulmonary health center (100%). The regression analysis reveal that the predictive factors of LTFU-TB during the PPM are the year of diagnosis (AOR=1.541; p-value=<0.001; 95% CI=1.228-1.934), referral status (AOR=1.562, p-value=0.007; 95% CI=1.130-2160), healthcare and social security insurance ownership (AOR=1.638; p-value=<0.001; 95% CI=1.263-2.124), drugs source (AOR=4.667; p-value=0.035; 95% CI=1.117-19.489). CONCLUSIONS: The PPM strategy in dealing with LTFU patients should focus on TB patients without Healthcare and Social Security Insurance and who receive TB treatment rather than program drugs.
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“Patients who discontinue treatment too early are one of the leading causes of treatment failure40.”
From Prevalence of extrapulmonary tuberculosis and factors influencing successful treatment outcomes among notified cases in South India (2025) · cites this paper as [40]
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Cites
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Harding, E. (2019) · The Lancet Respiratory Medicine · doi:10.1016/s2213-2600(19)30418-7 · Cited by 437
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Public–Private Mix Models of Tuberculosis Care in Pakistan: A High-Burden Country Perspective
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VidyaRaj, C. K., Vadakunnel, M. J., Mani, B. R., Anbazhagi, M., Pradhabane, G., Venkateswari, R., Palavesam, S., Venkatesh, K., Usharani, B., Sriramkumar, S. R., et al. (2025) · Scientific Reports · doi:10.1038/s41598-025-92613-5 · Cited by 31
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Rahayu, S. R., Nugroho, A., Ningrum, D. N. A., Merzistya, A. N. A., Wijayantiningrum, T., Simanjuntak, J. S., Maali, M. Z., Hafidh, K. A., Salsabila, A. P., Pranindita, S. K., et al. (2026) · Healthcare Informatics Research · doi:10.4258/hir.2026.32.1.4
Self-citationNihaya, A. U., & Cholisoh, Z. (2026) · Journal of Pharmaceutical And Sciences · doi:10.36490/journal-jps.com.v9i2.1704
Metadata
- Authors
- Rahayu, S. R., Susilastuti, M. S., Saefurrohim, M. Z., Azam, M., Indrawati, F., Supriyono, M., Miarso, D., Safitri, B. D., Daniswara, S., Merzistya, A. N., Amilia, R., Affandi, M. D., Wahidah, N. W., Isbandi, Wandastuti, A. D., Laila, A. K., & Muflikhah, Z.
- Affiliations
- State University of Semarang (ID)
- Universitas Gadjah Mada (ID)
- Corresponding author
- Sri R. Rahayu
- ORCID
- Venue
- Ethiopian Journal of Health Sciences
- Publisher
- African Journals Online (AJOL)
- Published
- 2023-01-01
- Volume
- 33
- Issue
- 1
- Pages
- 115-122
- ISSN
- 1029-1857 (ISSN-L)
- 2413-7170
- PMC
- PMC9987293
- OpenAlex
- W4323653123
- Cited by
- 4
- References
- 18
- Citations by year
- 2026: 2 · 2025: 2
- FWCI
- 0.83
- Type
- journal article
- Language
- en
- Open access
- diamond
- dx.doi.org
- Licence
- cc-by
- Locations
- Ethiopian Journal of Health Sciences (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- Universitas Negeri Semarang
- Topics
- Health Sciences › Medicine › Infectious Diseases › Tuberculosis Research and Epidemiology
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Healthcare Systems and Reforms
- Health Sciences › Medicine › Infectious Diseases › Infectious Diseases and Tuberculosis
- Keywords
- tuberculosis, loss to follow-up, public-private mix, tuberculosis treatment, predictive factors, health insurance, drug sources, referral status, rural Indonesia, Semarang
- MeSH terms
- Delivery of Health Care, Humans, Indonesia, Retrospective Studies, Tuberculosis, Lost to Follow-Up
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