STRATEGIES TO STRENGTHEN DECISION MAKERS AND STAKEHOLDERS IN TUBERCULOSIS ELIMINATION BY 2030

Abstract

Tuberculosis (TB) remains a significant health challenge, especially in areas such as Solok District. In 2021, the number of TB suspects was 3,322 people, increasing to 7,417 people in 2022. The TB Case Notification Rate (CNR) reached 23.6%, with a Treatment Coverage (TC) achievement of 40%. The proportion of TB cases in children is 8.3%. This study aimed to identify possible strategies to strengthen local government commitment to TB control. Using a qualitative approach, the study reviewed previous literature for comparison and presented the results in a narrative manner. Primary data was obtained by conducting in-depth interviews with 8 (eight) informants by purposive sampling. The results showed the need for greater commitment from local governments and relevant stakeholders in TB control. This is evidenced by the absence of policies governing TB control, inadequate budget allocation, lack of human resources, and lack of readiness and strategies to achieve TB elimination by 2030. Strategies that need to be implemented for TB control include strengthening the commitment and leadership of local governments and cross-sectoral cooperation such as the legislature, professional organisations, and the community. These measures are expected to have a significant impact on achieving the national target of TB elimination by 2030.