Investigator(s)
| WHO Technical Officer |
Katrin Bote WHO SEARO -Neglected Tropical Diseases Katrin Bote 
|
| Principal Investigator |
Ivan Pradipta Faculty of Pharmacy, Universitas Padjadjaran, Jl. Raya Bandung Sumedang KM 21, Jatinangor Sumedang, Jawa Barat. INDONESIA- 45363. Ivan Pradipta
|
Title(s) and abstract
| Scientific title | Engaging community pharmacy in tuberculosis detection (ENHANCE): a systematic and structured implementation study in Indonesia. |
| Public title | Engaging community pharmacy in tuberculosis detection (ENHANCE): a systematic and structured implementation study in Indonesia |
| Background | Indonesia has the second-highest TB incidence in the world. According to national data, almost 40% of TB cases are still not reported, which highlights serious issues with TB patient detection. Previous patient pathway studies in Indonesia surprisingly showed that the community pharmacy is the most favourable facility for TB patients to get their first aid medication for TB symptoms. At the same time, our recent systematic scoping review showed that pharmacy personnel can support increasing TB case finding by screening and referring suspected TB patients to a health facility for further TB examination. Although there is global endorsement and scientific evidence to do so, the practice of pharmacy personnel for TB patient detection is still lacking in Indonesia. Our previous survey among 1,129 pharmacy personnel in Indonesia revealed that only 2% of those practised TB patient detection in their pharmacy. All these situations highlight the need for a systematic and structured pharmacy engagement program for the activity of TB patient detection to support national and global targets in detecting TB cases in the community. |
| Objectives | An implementation study is required to develop an innovative program to support the local and national government in accelerating TB targets, especially in the aspect of TB case finding. Objective: This study aims to systematically and structurally implement and evaluate a community pharmacy program for TB patient detection in Indonesia. |
| Study Methods | A systematic and structured implementation program will be piloted in a sub-district of Bandung City from January to December 2024. The program will engage pharmacy personnel in screening and referring suspected TB patients to a community health centre (CHC) for further TB examination. This study will involve 20 pharmacies and a CHC. To achieve a systematic and well-structured program, sequential research activities will be performed, incorporating quantitative and qualitative approaches, i.e., 1) building a strong coalition with the key actors (the local government, professional organizations, and research team), 2) developing an adaptable program based on the local context, 3) socialization with the program and training activities for the program implementors and stakeholders, 4) program implementation and evaluation. |
| Expected outcomes and use of results | Research outputs: 1) A policy brief on how to link pharmacies to CHCs in TB patient detection for further implementation and scaling up of the program in Indonesia. 2) The essential data for developing an implementation guide in engaging pharmacies in TB patient detection. 3) A manuscript for international publication. 4) Local research dissemination to share all the findings and lessons learned. |
| Keywords | tuberculosis, case finding, pharmacies, communities |
Research Details
| Student research | No |
| Start Date | 01-Jan-2024 |
| End Date | 31-Dec-2024 |
| Key Implementing Institution | Faculty of Pharmacy, Universitas Padjadjaran, Jawa Barat, Indonesi |
| Multi-country research | No |
| Nationwide research | No |
| Indonesia | |
| Research Domain(s) | Communicable Disease Research |
| Research field(s) | Tuberculosis |
| Involves human subjects | Yes |
| Operational Research | |
| Data Collection | Primary data |
| Proposal reviewed by other Committee | No |