1. The document outlines a 6 step process for health analysis and planning prevention services (HAPPS) that includes priority setting, establishing goals, impact objectives, strategy, evaluation, and budgeting. 2. It describes applying the basic priority rating system (BPRS) to identify TB case detection as the top priority in Majalengka District, with an impact objective to increase the case detection rate to 183 per 100,000 people by 2022. 3. A work plan is proposed which includes activities like planning and budgeting for TB programs, training, increasing laboratory and community support through 2022 to achieve the objective.

1. H E A LT H A N A LY S I S F O R P L A N N I N G
P R E V E N T I O N S E R V I C E S ( H A P P S )
E V I F A C H L A E L I
D I N A S K E S E H A T A N
K A B U P A T E N M A J A L E N G K A
J A W A B A R A T

2. SIX STEP PROCESS
1. Priority setting
2. Establishing goals
3. Impact objectives
4. Strategy
5. Evaluation
6. Budget

3. STEP 1 AND 2:
•1. Priority setting
2. Establishing goals

4. BPRS COMPONENTS
Component A - Size of the problem
Component B – Seriousness of the problem
Component C - Estimated effectiveness of the intervention
4
BPRS = (A + 2B) x C
A = Size
B = Seriousness
C = Intervention effectiveness

5. BPRS; BASIC PRIORITY RATING
SYSTEMHealth Problem
Score (0-10) BPRS RANK
A B C (A+2B)*C
Case Detection rate for TB among
Population 109/100.000 National Target is
183/100.000
8 7 8 176 1
Increase in DHF cases by almost 2 x fold
from 2014 as many as 182 cases to 306 in
2015
6 5 6 96 2
Hypertention ranks third in disease patterns
outpatiens of Community Health Centre
4 6 5 80 3
Cases of diarrhea found and handled 20,741
patients (81.99%).
4 5 5 70 4
The discovery of pneumonia cases was only
5,344 people (53.92%)
4 4 4 48 5
New case finding target <5 / 100.000
population
The discovery of cases of leprosy with
disability reached 17 people (75%)
Target of finding new cases of leprosy
without 82% disability by 2015.
4 4 3 36 6
Up to 2015 there were 93 cases of AIDS, and
8 deaths,
CFR AIDS for 2015 reached 8.6%.
5 6 2 34 7

6. PEARL
Then consider PEARL factors
Propriety, Economics, Acceptability, Resources, Legality = P x E x A x R x L = PEARL
Score (0 or 1)*
Health Problem
P E A R L
PEARL
propriety economic acceptibility resources legality
(0 OR 1) (0 OR 1) (0 OR 1) (0 OR 1) (0 OR 1) (0 OR 1)
Case Detection rate for TB among Population
109/100.000 National Target is 183/100.000
1 1 1 1 1 1
Increase in DHF cases by almost 2 x fold from 2014
as many as 182 cases to 306 in 2015
1 1 1 1 1 1
Hypertention ranks third in disease patterns
outpatiens of Community Health Centre
1 1 1 1 1 1
Cases of diarrhea found and handled 20,741
patients (81.99%).
1 1 1 1 1 1
The discovery of pneumonia cases was only 5,344
people (53.92%)
1 1 1 0 1 0
New case finding target <5 / 100.000 population
The discovery of cases of leprosy with disability
reached 17 people (75%)
Target of finding new cases of leprosy without 82%
disability by 2015.
1 1 1 0 1 0
Up to 2015 there were 93 cases of AIDS, and 8
deaths,
CFR AIDS for 2015 reached 8.6%.
1 1 0 1 1 0

7. HEALTH PROBLEM
• In 2016, The Case Detection Rate (CDR) of TB in
Majalengka District is 109/100.000 Population
Impact Objective
The CDR of TB in Majalengka District will increase to
183/100.000 population by 2022.
2. ESTABLISHING GOALS

8. PROBLEM ANALYSIS
GETTING TO THE ROOT OF THE PROBLEM

9. Direct
Contributing
Factors
DeterminantsHealth Problem
Indirect
Contributing
Factors
Level 1
Indirect
Contributing
Factors
Level 2
Low of local
Goverment budget for
TB Programme
Lack of
Laboratory
Facility
Lack of
Training for TB
Programme
Lack of Human
Resources for TB
Programme
Low Health Facility
Low of Policy
Maker
Support
Low of
Financing
support
Lack of local
authority support
Lack of budget for
TB Training
Low CDR
of TB
Low of Community
Participation
Lack of budget
for laboratorium
facility
Low Supporting of
Management system
Stigma for TB
Low of social
and economic
status
Lack of TB
Socialization
Lack of
Community
empowerment
Lack of
Community
empowerment
Lack of financial
resources for
laboratorium
facility
No Planning for
TB Training
Progamme
Poor communication and
information for TB
Progamme between
Health Distrinct and
Planning and Budgeting
Board
Poor communication
and information for TB
Progamme between
Health Distrinct and
Local Goverment
T U B E R C U L O S I S H E A LT H P R O B L E M A N A LY S I S

10. STEP 3 AND 4
3. Impact objectives
4. Strategy

11. STEP 5 AND 6
5. Evaluation
6. Budget

12. EVALUATION PLAN
Objective Indicator How to Measured
When to
Measured
Remark
Increase CDR For TB
% Cade Detection Rate TB from
HF
Target/prediction All Case TB 07 Annual Quarterly
Supporting Management System
for TB
Increase of Budgeting for TB
Programme
Planning and budgeting for TB
Programme (DPA for TM
Programme in 2018)
Annual
Increase Financial Support
Increase of Budgeting for TB
Programme
Document of Planning and
budgeting for TB Programme (DPA
for TM Programme for 2018)
Annual
Increase Policy Maker Support Increase Policy Maker Support
from district level until
subdistrict and village level
Conduct Team Of Elimination of TB
District Level and Subdistrict/
Puskesmas Level
Annual

13. Objective Indicator How to Measured
When to
Measured
Remark
Communication and Information
for TB Programme between Health
district and Planning and budgeting
board
Conduct Communication and
Information for TB Programme
between Health district and Planning
and budgeting board
Conduct meeting with between Health district
and Planning and budgeting board
Quarterly
Communication and Information
for TB Programme between Health
district and Local Goverment
Conduct Communication and
Information for TB Programme
between Health district and Local
Goverment
Compile the Strategy Planning for TB
Elimination with District Team of Elimination
TB
Quarterly
Human Resources Increase of Budgeting for Trainingof
TB Programme
Conduct Planning and Budgeting for Training
of TB Programme
Annual
Training for TB Programme Increase of Budgeting for Trainingof
TB Programme
Identification source of Training for TB
Programme
Annual
Laboratory Supporting Increase Capacity of Laboratory for
Supporting TB Programme
% Laboratory able to TB Diagnose Annnual
Laboratory Supporting Supervision for Capacity of
Laboratory for Supporting TB
Programme
Team TB Supervision Annnual
Laboratory Supporting financial resources for laboratorium
facility
Conduct Planning for financial resources for
laboratorium facility
Annnual
Community Participation Increase Community Participation for
TB Programme
% Media Health Promotion in TB Prevention
and Stigma
Annnual
Sosialization for TB Stigma Increase Community Participation for
TB Programme
% Media and provider Health Promotion in TB
Prevention and Stigma Quartely
Community empowerment Increase comunity empowerment increase Income per Capita Annual

14. WORK PLAN
ACTIVITY WHO WHEN TARGET BUDGET INDICATOR
Planning and budgeting for TB
ProgrammeDPA for TM Programme in
2018
The District Health Office
Majalengka July 2017
1 Document Pre
RKA 2018 0 1 Document Pre RKA 2018
Document of Planning and budgeting
for TB Programme (DPA for TM
Programme for 2018) The District Health Office
Majalengka July 2017
1 Document Pre
RKA 2018 0 1 Document Pre RKA 2018
Conduct Team Of Elimination of TB
District Level and Subdistrict/ Puskesmas
Level
The District Health Office
Majalengka Nov-17
1 draft of TB
Team 15.000.000 1 draft of TB Team
Conduct meeting with between Health
district and Planning and budgeting
board The District Health Office
Majalengka Des-17
1 draft of MoU
TB Programme
and strategy 15.000.000
1 draft of MoU TB Programme
and strategy
Compile the Strategy Planning for TB
Elimination with District Team of
Elimination TB
The District Health Office
Majalengka Nov-17
1 draft of TB
Team 15.000.000 1 draft of TB Team

15. ACTIVITY WHO WHEN TARGET BUDGET INDICATOR
conduct Planning and Budgeting for
Training of TB Programme
The District Health Office
Majalengka Des-17
draft Planning
Training of TB
Programme -
draft Planning Training of TB
Programme
Identification source of Training for TB
Programme
The District Health Office
Majalengka Des-17
draft Planning
Training of TB
Programme -
draft Planning Training of TB
Programme
Superivisi for Capacity of Laboratory to
TB Diagnose
The District Health Office
Majalengka
Januari -
desember 2018
Map Capacity
Laboratory of TB 20000000 Map Capacity Laboratory of TB
Media Health Promotion in TB
Prevention and Stigma
District and PHC Team of TB
Januari -
desember 2018 Media Health
Promotion in TB 35000000 Media Health Promotion in TB
conduct promotion for in TB Prevention
and Stigma
PHC Team of TB
Januari -
desember 2018
100% Family high
risk in PHC Area
343000000
Menu of BOK include promotion
for in TB Prevention and Stigma

16. ACKNOWLEDGMENTS
1. H. Alimudin, MM.MMKes
2. Ucu Supriatna, M.Epid
3. Dr. Hariadi Wibisono, MPH
4. Khaerudin, S.Kep.Ners., MKM

17. REFERENCES
1. National Guidelines for Tuberculosis Control , Ministry of Health 2011
2. Profile Majalengka Health Disrict Office
3. Permenkes number 67 2016 about Tuberkulosis Control