PUSKESMAS WALELAGAMA

Desa Walelagama, Kecamatan Walelagama, Jayawijaya, Papua

Puskesmas Walelagama located in Walelagama sub-districts, serves the 1,864 people (projection 2010) from
6 villages (desa): Pugima, Walelagama, Kulaken, Wamusage, Itlay Halitopo, and Kubulakma1. The Puskesmas
only serves for out-patient and is managed by Bapak Odik Haluk, SKM.

Mba santi bisa ditambahkan info layanan puskesmas dan staffnya ya?

Type of Services Provided for TB and HIV/AIDS.

In TB related service program, this puskesmas provides services of microscopy for TB diagnosed and TB
treatment for sensitive drugs. While, in HIV/AIDS related service program, this puskesmas provides HIV test,
ART services, prevention of mother to child transmission (PMTCT), and sexually transmitted infection (STI)
services. Commented [RP1]: Mohon dicek kembali
Since 2014 TB CEPAT has been implementing active case finding activities involving TB Mobile, Every quarter, Commented [SS2R1]: Ok, Mbak
this puskesmas conduct TB mobile to actively find TB cases in community, collaboration with TB Cepat. Three
Village TB Post (Pos TB Desa) were established (but only one is active) as bases for the kaders to do monthly
activities including new cases detected and referral for sputum examination and adherence patients support. Commented [RP3]: Bener nda mba? Mohon
A total 414 people with presumptive TB, 18 were sputum smear positive TB, 13 were cured. koreksinya. Ada capaian gitu ga mba? Aku jadi
kepo
TB situation Commented [SS4R3]: Saya masih menunggu
M&E TB CEPAT (yg sedang di luar area). Tadi pagi
saya sudah menelpon Koordinator Programnya.
1
Kecamatan Walelagama dalam Angka, BPS, 2016
 TB Case Notification

TB ALL FORMS 2016-2017 TB CASES PER PATIENTS' TYPE

2016-2017
275

300
18
250
16 2
200 14
extra-pulmonary
12 5
132

150
previously treated-
10
smear +
100
8 2
5 0
new-smear -
50 6
17

4 new-smear +
9

4
0

0
PRESUMPTIVE TB PATIENTS PEDIATRIC TB 2 5
TB 3
0
2016 2017 2016 2017

*2017 data up to Quarter 3

Source: SITT accessed on 10 October 2017

TB/HIV collaboration

TB patients with known HIV status

REDUCING HIV BURDEN AMONG TB
PATIENTS increased from 41% (2016) to 56%
(2017). ART for 3 TB/HIV patients in
17

18
16 2017 TB cohort was 33%.
14
12
10
9

8
7

6
5

4
3

2
1
0

0
2016 2017

Total patients Known HIV status TB/HIV Received ART

*2017 data up to Quarter 3

Source: SITT accessed on 10 October 2017

2
 TB Treatment Outcome

TB TREATMENT OUTCOME 2016

The success rate of TB
treatment of TB patients
6
cohort 2016 was 59%.
5

4
3

3
3

2
1

1
0

0
CURED COMPLETED LOST TO DIED FAILED NOT
FOLLOW UP EVALUATED

Source: SITT accessed on 10 October 2017

Activities supported through USAID-Challenge TB Project

Technical Assistance with DHO.

Challenges
Most TB patients working in the informal sector where wages are low and work is not steady reported
indirect cost hindering prompt uptake of and adherence to treatment. Long distances to health facilities
and transportation challenges aggravated this situation.

TB HIV still highly stigmatized disease in the community, a lack of family support presented challenges in
terms of adherence.