Accelerative, Effective and Efficient Tuberculosis (TB) Response to TB Elimination on 2035 in Medan Year 2017

Indonesia includes the rank of two highest TB loads in the world. Incidence rate of TB in the city of Medan High, the case of TB drug resistance (RO) highest in North Sumatra, low cure rate, high drop out. Research aims to excavate 1) implementation of the mitigation program TB 2) implementation process 3) community participation and NGOS in TB countermeasures program. Research, qualitative study of research informant includes head of health office, head of Puskesmas, manager of TB Private Hospital, physicians of private Practice and clinic, NGO engaged in the response of TB. Data is gathered through in-depth interviews with informant. Processing and analysis of data is done through the stages of creating transcripts and analyzed by content analysis. The results showed that the policy of TB's handling was appropriate, the implementing actors were right, all the Puskesmas has been implementing the DOTS strategy, but still many people who do not know Puskesmas serve TB for free. Hospital support and physicians of private practice in the reporting of low TB cases resulted in many cases missing, impacting the increased cases of TB MDR so that government burden in the reduction of TB is getting heavier while TB budget is still Dominated by foreign donors. NGOS have played a role in the management of TB but the coordination is not maximized, in the implementation of there are still overlapping reporting activities to the stakeholders is not smooth, Public Private Mix already exists but has not played a lot. In order to reach the elimination of TB year 2035 the Municipal health Department of Medan has compiled a regional action plan (RAD) Countermeasures TB Regulation status of the mayor. It is recommended that RAD should be implanted accordingly, right from the internal and external environment and the accuracy of the accelerometer, effective and efficient process to the elimination of TB.