Governance Efforts for TB-Friendly Village Development during the COVID-19 Pandemic: Lessons Learned from Depok City, West Java, Indonesia

Dumilah Ayuningtyas; Rulliana Agustin; Rini Prasetyo; Theresa Febrianti; Esther Ulibasa; Sandra Barinda

doi:10.3889/oamjms.2022.10892

Authors

Dumilah Ayuningtyas Department of Health Policy and Administration, Faculty of Public Health, University of Indonesia, Depok, Indonesia https://orcid.org/0000-0002-7621-326X
Rulliana Agustin Undergraduate Study Program, Faculty of Medicine, University of Indonesia, Depok, Indonesia https://orcid.org/0000-0003-2587-7717
Rini Prasetyo Undergraduate Study Program, Faculty of Medicine, University of Indonesia, Depok, Indonesia
Theresa Febrianti Undergraduate Study Program, Faculty of Medicine, University of Indonesia, Depok, Indonesia
Esther Ulibasa Undergraduate Study Program, Faculty of Medicine, University of Indonesia, Depok, Indonesia
Sandra Barinda Undergraduate Study Program, Faculty of Medicine, University of Indonesia, Depok, Indonesia https://orcid.org/0000-0002-7823-3942

DOI:

https://doi.org/10.3889/oamjms.2022.10892

Keywords:

Tuberculosis, Academic, Business, community, government, and media stakeholder, TB-friendly village, Governance, Community involvement

Abstract

BACKGROUND: In 2020, TB patients in Indonesia reached 8.5% of the total number of TB patients globally, as the country with the second-highest TB cases. Depok is the city in the West Java region that has experienced an increase in TB cases. The existence of tuberculosis-friendly villages will reduce the stigmatization of tuberculosis (TB) patients and increase treatment compliance.

AIM: This study aims to analyze various aspects of Depok City’s readiness to develop TB-friendly village governance –– including government commitment, infrastructure, resources, and organizational culture –– within the scope of academic, business, community, government, and media (ABCGM)’s role or penta-helix.

METHODS: The initial stage of preparation involved conducting a literature review. This research employed an online survey of 230 respondents and 40 TB patients using a quantitative approach. The qualitative approach involved 15 stakeholders through interviews, discussions, and a website-based search.

RESULTS: Overall, the respondents were well-informed about TB, but attitudes (50.9%) and behavior (41.3%) regarding TB prevention need improvement. The government budget is adequate, but coordination is lacking between stakeholders and community involvement.

CONCLUSION: Depok City is not yet ready to develop TB-friendly villages in terms of human resources and organizational aspects. It is necessary to improve communication, information, and education regarding TB prevention and establish leadership policies as a legal basis to strengthen the governance and management of TB-friendly villages. Moreover, community involvement is an essential pillar of developing these villages.

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