Telehealth untuk mendukung

program TB pada dan pasca

krisis Covid-19
https://www.kncvtbc.org/uploaded/2019/05/Session-6.3-The-role-of-digital-health-technologies-in-delivering-patient-centere
d-care-v-16-5-Egwuma-Efo-ENG.pdf
https://www.who.int/tb/areas-of-work/digital-health/Digital_health_End
TBstrategy.pdf?ua=1
Examples of different adherence
monitoring technologies
(A) 99DOTS, a feature phone-based
adherence technology (with permission from
Everwell Health Solutions)

(B) SureAdherence, a video DOT strategy

(with permission from SureAdherence Mobile
Technologies)

(C) evriMED, a digital pillbox (with permission

from the Wisepill Technologies)

(D) an ingestible sensor–based adherence

monitoring approach (Source: Belknap et
al.37).

DOT, directly observed therapy; LED,

lightemitting diode; SIM, subscriber
identification module; TB, tuberculosis.
Subbaraman, Ramnath, et al. "Digital adherence technologies
for the management of tuberculosis therapy: mapping the
landscape and research priorities." BMJ global health 3.5
(2018): e001018.
Telehealth
•  Delivery of health care services, where patients and providers are
separated by distance.
• Telehealth uses ICT for the exchange of information for the diagnosis
and treatment of diseases and injuries, research and evaluation, and
for the continuing education of health professionals.
• Telehealth can contribute to achieving universal health coverage by
improving access for patients to quality, cost-effective, health services
wherever they may be. It is particularly valuable for those in remote
areas, vulnerable groups and ageing populations.

https://www.who.int/gho/goe/telehealth/en/
Former experience (Ebola)
In Guinea, one of the countries at the epicentre of the 2014-2015 Ebola
epidemic, reduced health services led to a 53 per cent decrease in the
diagnosis of TB, and a doubling of the mortality rate from the disease,
as a result from direct and indirect impacts on TB health services.

https://www.ijidonline.com/article/S1201-9712(16)31194-8/fulltext
Ansumana, Rashid, et al. "Impact of infectious disease epidemics on tuberculosis diagnostic, management, and
prevention services: experiences and lessons from the 2014–2015 Ebola virus disease outbreak in West
Africa." International Journal of Infectious Diseases 56 (2017): 101-104.
What should health authorities do to provide sustainability of essential TB services
during the COVID-19 pandemic? What services can be leveraged across both diseases?

• Health authorities should maintain support to essential TB services,

including during emergencies such as COVID-19. People-centred
delivery of TB prevention, diagnosis, treatment and care services
should be ensured, in tandem with the COVID-19 response.
• Use of digital health technologies should be intensified to support
patients and programmes through improved communication,
counselling, care, and information management, among other
benefits.
• Proactive planning, procurement, supply and risk management
• Capacity building
https://www.paho.org/hq/index.php?option=com_content&view=article&id=15759:tuberculosis-and-covid-19-wh
at-health-workers-and-authorities-need-to-know&Itemid=1926&lang=en