Digital Health to Strengthen District-Based Public–Private Mix Tuberculosis Control in Purwakarta District, Indonesia: A Qualitative Research

Cindra Paskaria (), Deni Kurniadi Sunjaya, Ida Parwati and Muhammad Begawan Bestari
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Cindra Paskaria: Faculty of Medicine, Maranatha Christian University, Bandung 40164, Indonesia
Deni Kurniadi Sunjaya: Doctoral Study Program, Faculty of Medicine, Universitas Padjadjaran, Bandung 40132, Indonesia
Ida Parwati: Doctoral Study Program, Faculty of Medicine, Universitas Padjadjaran, Bandung 40132, Indonesia
Muhammad Begawan Bestari: Doctoral Study Program, Faculty of Medicine, Universitas Padjadjaran, Bandung 40132, Indonesia

IJERPH, 2022, vol. 19, issue 19, 1-11

Abstract: This study aimed to explore the problem that occurs in district-based public–private mix tuberculosis (DPPM TB) in the Purwakarta district, and how digital health can help overcome this problem. This study used a qualitative research design. By purposive sampling, 46 informants were selected to be interviewed and 9 informants participated in focus group discussion. Data were collected during January to November 2020 and analyzed using the content analysis technique. Trustworthiness is obtained through the triangulation method and peer debriefing. The problems identified in public and private partnership were the lack of communication and awareness, the under-reporting of TB cases in the private health sector, and the limitation of the existing information system. Communication is important in delivering information about a tuberculosis program, patient referrals, and contact investigation; therefore, digital health is considered as a potential strategy to facilitate that. Digital health must consider ethical issues, avoid redundancy, be user-friendly, and include intervention packages. We conclude that the lack of communication between the public and the private health sectors in TB control was a major problem in DPPM TB. Digital health is needed to ensure the flow of information and communication between the public and the private health sectors.

Keywords: tuberculosis; district-based public–private mix; digital health (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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