This presentation is prepared for Asia Pacific Union Conference about patient's right on tuberculosis, in Hilton Hotel, Sydney, Australia, on September 1, 2015.

1. Hartono Rakiman
CEPAT-LKNU/ INDONESIA
Presented at APR Union Conference
Sydney, September 1st, 2015
PATIENT’S RIGHTS,
RIGHTS OF COMMUNITIES IN IMPROVING
THE QUALITY OF BASIC SERVICES

2. OUTLINE
Background
Objectives
Method
Results
Follow up action

3. BACKGROUND
Minimum Service Standard (MMS)100%
Identification and disease management , included in TB
Communities need to be involved in
improving access
Primary Health Centers (PHCs) often
fail to provide routine, high quality
and responsive patient care.

4. OBJECTIVES
To ensure the right
of accessing quality TB
diagnosis & treatment
services

5. METHOD
ASSESSMENT
Client exit interviews
Clinical observations

6. METHOD
ASSESSMENT
1. Ex-patient TB
2. Community leader
3. Religious leader
4. Cadre
THE ASSESSOR
1. TB patient at PHCs
2. Health personnel
WHO TO ASSESS

7. METHOD
ASSESSMENT
1. Accessibility,
2. Quality of infrastructure,
3. Waiting times,
4. The hospitality of health personnel,
5. Cost and out of pocket payments,
6. Counseling services,
7. Patient education,
8. Availability of drugs,
9. Side effect management,
10. The community TB care group,
11. The discipline of health officer,
12. Clinic hours.
WHAT TO ASSESS

8. RESULTS
15 of 23 PHCs were
scored as excellent
(scored 75% or above)

9. RESULTS:
Room for TB services
70%
Space for sputum
collection
42%
Waiting room for TB
patients
43%
Laboratory for sputum
microscopy
72%
Community TB Care
Group present
52%
Accessible by public
transport
64%
Equal attention and care
as other patients
72%
AREAS OF
IMPROVEMENT

10. Thank You
FOLLOW UP
• Community TB Care Group
• Feedback shared with PHCs and the TB-HIV
Working Group meetings

11. Thank YouThank You