Filename: Sequence 01 - Dina Rampa

Dina Rampa’s Transcript

00:13 – 00:19 At first, I coughed for 3 weeks.

00:20 – 00:22 I didn’t find doctor to heal it.
00:23 – 00:30 Then I got bloody sputum, so I went to Puskesmas.
00:31 – 00:34 After my sputum was being examined, then I knew that I had TB.
00:36 – 00:40 I was treated for 6 months (category I), but it was failed.
00:40 – 00:45 The next 8 months I underwent another treatment (Category II) but still
failed.
00:47 – 00:48 And finally, I took the MDR TB drug.
00:49 – 00:53 After I took the drug for TB MDR, I was declared cured.
00:54 – 01:00 The bacteria of MDR TB are very strong and difficult to eradicate.
01:01 – 01:07 After undergoing the 6-months or 8-months treatment but still no
improvement.
01:08 – 01:11 The bacteria are too strong, so it is difficult to treat.
01:16 – 01:20 When I took the medicine, I got nausea and lack of appetite.
01:21 – 01:27 After several months of treatment, my appetite was back to normal.
01:29 – 01:35 During the treatment, I ate every food that doesn’t cause vomiting.
01:36 – 01:44 I also hugged my bolster firmly until it pressed against my stomach so
that I didn’t vomit.
01:45 – 01:50 Just stayed calm and did no motion.
01:51 – 01:54 I wanted to be cured so I did my best to take the medicine
01:55 – 01:59 Considering I was pregnant when I took MDR TB drugs.
02:00 – 02:03 I thank to God for blessing me until my daughter was born.
02:03 – 02:07 A pregnant woman may still take MDR TB medicine.
02:07 – 02:25 My daughter took the medicine (prevention therapy for contact to MDR
TB patient) for 6 months, not for treatment but to minimize the probability of
transmission.
02:26 – 02:28 She is 3 years old now and she is entering Play Group Class. She is very
smart.
02:31 – 02:33 My body weight is increased
02:34 - 02:35 I also have good appetite.
02:37 – 02:41 My advice to other MDR TB patients is to keep the spirit in fighting
against the illness
02:42 – 02:50 Take medication completely, and the healing will come if we don’t
despair.
02:51 – 03:02 Prevention therapy for children under 5 years old is also important to
prevent children from being infected.
03:04 – 03:09 We have been suffered because of the disease so don’t let our children
fall into it.
03:11 – 03:20 Patients of MDR TB should take the medicine completely.
03:22 – 03:25 Usually the injection drug is administered for 6 months, but I got it for
8 months.
03:30 – 03:36 If you don’t take the medicine regularly, then you should start the
treatment from the beginning.
Filename: Sequence 02 - dr.Sieltiel 01
Dr. Tiel’s Transcript

00:09 – 00:15 Tools that our hospital owns to treat TB are relatively complete.
00:16 – 00:22 The Xpert machine was granted to us in 2017.
00:23 – 00:28 We have 18 patients with MDR TB.
00:29 – 00:34 Most of them are still undergoing the treatment, several patients have
finished their medication and the rest were died.
00:35 – 00:41 MDR TB patients are they who has resisted to rifampicin.
00:41 – 00:47 The case of MDR TB is increasing, coupled by the case of pulmonary
TB which is high indeed in Timika.
00:54 – 00:58 We have just found 6 new cases of MDR TB, which is supposed to be
10 new cases.
00:58 – 01:07 And the case of TB relapse developing MDR TB, is supposed to be 100
cases. But we have found several cases only.
01:08 – 01:09 That’s why, it is still become our big homework
01:11 – 01:24 In Mimika Regency, we have announced that we own Xpert tool so that
every patient in Puskesmas whom suspected to have MDR TB, their sputum will be
tested by using this tool to find out whether it is an MDR TB or not.
01:26 – 01:33 Xpert is a tool that used to test for the rifampicin resistance of a
specimen of sputum.
01:33 – 01:38 If the result is positive, then counted as a new MDR case.
01:39 – 01:42 Xpert test will give the result in a short duration
01:44 – 01:51 It only needs 2 hours until the results are known, and the accuracy is
98%. It is a recommended test.
01:53 – 02:01 Every patient with productive cough for more than 2 weeks is prioritized
to be tested.
02:03 – 02:05 HIV patient who has cough
02:08 – 02:13 And everyone who closely contact with MDR TB patient are also
prioritized.
02:14 – 02:26 We have, together with Mimika Health Department, announced to other
health facilities that all patients whom suspected to MDR TB, their sputum can be
tested in our hospital.
02:27 – 02:40 MDR TB treatment needs long-term therapy, because of the drug’s low
effectiveness.
02:41 – 02:47 Now, the short regimen has been found. But we have not already used
it.
02:49 – 02:54 The short regimen needs only 11 months with every day administration
of injectable drug.
02:54 – 02:58 Meanwhile, the long regimen needs 19 to 24 months.
03:00 – 03:16 It depends on patient’s immunity and response to the initial therapy, to
choose either the short regimen or the long regimen will be given to the patient.
03:17 – 03:22 If patient took the medicine irregularly, they might be developed
resistance to 2nd line drug.
03:22 – 03:27 It means the patient becomes XDR TB.
03:27 – 03:30 XDR TB is more difficult to treat.
03:32 – 03:39 Their lungs and other organs will be damaged because of their non-
compliance to take medicines.
03:40 – 04:02 Patient with bad adherence will be phoned by us, if there is no response
then we report it to the supervisor in the Health Department. After that, the supervisor
will give the medicine or pick the patient up to the hospital.
04:02 – 04:06 This kind of coordination gives good result.
04:07 – 04:21 We hope that anyone who has cough to be checked at the healthcare
facility, not only Puskesmas but also hospital.
04:22 – 04:27 Special messages to MDR TB patients, they should undergo the
treatment till the end.
04:27 – 04:40 If there is any side effect, come back to the doctor as soon as possible.
The doctor will help to find the solution. The most important thing is the bacteria can
be killed.
04:43 – 04:48 To start the treatment is determined by Clinical Expert Team
04:48 – 04:50 So that the initial treatment will be given at the hospital.
04:51 – 04:56 If there is no serious complication, we will refer the patient to
Puskesmas.
04:57 – 05:02 For follow-up examination, the patient can visit Puskesmas first then
Puskesmas will refer the sample/specimen to the hospital.
05:06 – 05:10 When the MDR TB case is found, we will send a letter to Health
Department.
05:11 – 05:20 Then the Puskesmas will be informed by the Health Department to
conduct the data of contact investigation. Everyone who closely contact with the patient
will be screened.
05:36 – 05:41 As prevention treatment, we usually give levofloxacin and ethambutol.
05:42 – 05:46 Child < 5 years old will be given levofloxacin alone.
05:47 – 06:02 The prevention treatment aims to give more protection so that the
probability for being infected will be decreased. MDR TB can be transmitted easily
through cough or even when the patient talks to others. So that it is very dangerous.
06:03 – 06:09 Contact investigation aims to get information about other MDR TB
case around the patient.
06:10 – 06:20 If there is no other MDR TB case, then everyone who closely contact
with the patient will get prophylaxis.
06:21 – 06:25 I am the coordinator of TB in RSUD Mimika.
06:26 – 06:30 I have worked in TB since 2010.
06:32 – 06:41 I have already found many cases of TB and I am very eager to eradicate
TB in Mimika.
Filename: Sequence 03 - dr.Rini 01
Dr. Rini’s Transcript

00:08 – 00:21 I have become a Pediatrician since 2000, and I found many cases of
severe TB among children under 5 years old, including babies under 1 years old.
00:21 – 00:30 Most of the cases are meningitis TB, lymphadenitis TB, and miliary TB.
00:32 – 00:44 If there is a child with severe TB, that child must be infected from an
adult who is suffered from TB.
00:45 – 00:52 The adult didn’t look for medication or know if their illness could infect
children around him/her.
00:55 – 01:03 Meningitis TB in a child can affect the brain’s development.
01:04 – 01:13 It can cause death or if the child survives then he/she can not grow as
normal as other healthy children.
01:14 – 01:17 What a pity. This illness can be prevented.
01:18 – 01:26 Vaccination is the first prevention effort we can do, by giving BCG to
a newborn.
01:28 – 01:39 If a child lives with an adult who is suffered from TB, that child should
be given prevention drug
01:41 – 01:44 INH (Isoniazid) which is taken every single day for 6 months.
01:45 – 01:53 Those are simple things we can do to prevent severe TB in children.
01:54 – 02:06 Remember, severe TB can cause death or disability, but it can be
prevented.
02:09 – 02:14 Usually a child with severe TB develops seizure, and this condition
needs hospitalization.
02:14 – 02:18 In the hospital, it will be confirmed whether he/she has TB or not.
02:26 – 02:36 To take INH for 6 months can prevent TB illness among children who
closely contact with adult TB patient.
02:37 – 02:41 There is no serious side effect after taking this drug.
02:44 – 02:49 Isoniazid has small size, so it is not a big deal to give the drug.
02:50 – 03:09 Instead of giving a treatment, it is better to prevent severe TB before it
is too late. Because severe TB can increase the risk of death or disability, not only
physical but also mental disability.
03:10 – 03:16 If this is happened, then a child can not grow optimally and be a useful
person in the future.
Filename: Sequence 04 - dr. Marhelen 01
Dr. Marhelen’s Transcript

00:09 – 00:18 TB burden in Puskesmas Timika Jaya is increased by years. In 2017,

there were 45 patients.
00:19 – 00:24 In 2018, the current year, there are 36 patients and the amount is
possible to be raised.
00:24 – 02:28 One factor that caused this escalation is the contact investigation which
began to be intensively carried out.
00:29 – 00:36 All patients, not only smear positive but also smear negative, receive
home visit.
00:38 – 00:49 Common symptom of TB, theoretically, are 2 or more weeks of cough
with sputum, loss of body weight, midnight sweating.
00:51 – 00:54 But there are also patients who come with cough only.
00:55 – 00:59 In puskesmas, we treat those patients with broad-spectrum drugs for 2
weeks.
00:59 – 01:05 If there is no improvement, then we perform smear test.
01:05 – 01:07 In this condition, there is a possibility for the result to be positive.
01:10 – 01:14 If there is a patient with TB, we perform contact investigation.
01:20 – 01:25 We visit the patient’s house. Every person in the house, adult and
children, are examined.
01:26 – 01:37 If there is one of symptoms I have mentioned before then we suggest
that person to perform smear test.
01:38 – 01:41 Particularly in children, we use scoring system to help determining TB
diagnosis.
01:42 – 01:51 If the result is negative, then we give IPT for children under 5 years old.
01:52 – 02:03 The objective of giving IPT is to reduce the probability of a healthy
child for being infected by other TB patients.
02:20 – 02:27 So that the child is going to grow and develop well, he/she can go to
school.
02:29 – 02:40 It is too late if the child develops TB meningitis if he/she doesn’t take
IPT.
02:40 – 02:51 If there is someone with one of the symptoms that I have mentioned
above, we suggest you find a doctor or puskesmas as soon as possible.
02:52 – 02:59 We will give medication if either smear test or chest x-ray shows
positive result.
03:01 – 03:12 And for children who closely contact to a TB patient, bring them to the
puskesmas so the children can take IPT.
03:34 – 03:42 Keep the environment clean is one of efforts we can do to prevent TB
transmission.
03:43 – 03:47 The house should have good air circulation.
03:48 – 03:58 We can also suggest other people with cough, not only our family but
also our neighbors, to go to Puskesmas.
Filename: Sequence 05 - Rita Ossey 01
Rita Ossey’s Transcript

00:09 – 00:20 I got bloody vomiting first before I knew that I had TB. I also
had continuous cough.
00:21 – 00:28 Then I was admitted to the hospital because of miscarriage.
00:29 – 00:33 Then I got severe ill.
00:35 – 00:41 In 2017 I got that illness. We went to Asmat then moved back
to Timika by ship.
00:43 – 00:44 To take the medicine
00:45 – 00:55 First time I took the medicine with my children, as well as the
second time. At the third time I asked my husband to accompany me taking the
medicine.
00:57 – 00:58 Then we went back to our house.
01:02 – 01:07 I got cough without any symptom. I still felt fit. Just cough
followed by headache.
01:10 – 01:12 I usually take the medicine over there (Puskesmas)
01:16 – 01:38 Aprilius also got sick. He was sick because his uncle went away.
Aprilius got brain concussion. His uncle promised, in Kaimana, that he would not be
there for a long period, only 1 month, while carrying Aprilius along with him.
Apparently, he went back to Timika 2 years later.
01:39 – 01:41 Then he was sick.
01:42 – 01:45 He was sick because of a problem inside his head.
01:46 – 01:54 He ate, then He got fever. He said “Mom, I had headache”. He
slept then he woke up and went out from the house to play.
01:57 – 01:58 Then his body weight was decreased.
02:00 – 02:10 No, we didn’t bring him to the hospital. The nurse visited our
house and examined him.
02:12 – 02:21 The nurse provided care and brought Aprilius to hospital by
ambulance.
02:23 – 02:24 Aprilius also took the medicine.
02:26 – 02:31 I have taken the medicine for 3 months before Aprilius started
the treatment.
02:33 – 02:37 Doctor and nurse gave treatment.
02:40 – 02:48 I felt difficult to breath and pain inside my chest and stomach.
02:49 – 02:53 I felt pain throughout my body, headache, and
02:57 – 02:58 Now
03:00 – 03:08 I felt headache, so I looked for the doctor in Puskesmas
Mapurujaya. Then I was referred to RSUD. The IV cath was inserted in to my vein and
I was given IV fluid.
03:10 – 03:13 I was hospitalized for 3 days, then I was discharged.
03:14 – 03:16 My breath was relieved when I went back to my house.
03:19 – 03:26 I could look for food in the forest, I could ???, but I still had
cough.
03:29 – 03:39 At that time, I used to have headache for almost every day. I was
not feeling well.
03:40 – 03:41 That was the feeling I had.
03:42 – 03:44 Then I took the medicine
03:46 – 03:51 I got the medicine, took it regularly, after that I felt better.
03:53 – 03:59 My children also took the medicine, because they were at a high
risk of being infected by TB and became sick as I experienced. So that all of them took
the medicine.
04:03 - 04:08 They took the medicine regularly. After they woke up, they took
the medicine.
04:10 – 04:15 I gave them the drug before having breakfast.
04:19 – 04:27 I have told them (her neighbor/family, it is not clearly enough),
I said “You should start the treatment, the girl in the house as well”
04:28 – 04:40 I told them “After you wake up, avoid drinking coffee or eating
areca nut. At 5 a.m., you should take the medicine first.”
04:41 – 04:51 “All bacteria inside our body should be killed by taking the
medicine. After that we can eat everything that we want to.” I said it all to them in
every single day.
04:52 – 04:59 In my village too, I told that doctors and nurses in Timika
suggested to do that.
05:03 – 05:05 I also told my brother and sister to do that.
05:09 – 05:15 (the words are not clearly enough)
05:15 – end (speaking traditional language)
Filename: Sequence 06 - dr. Armin 01
Dr. Armin’s Transcript

00: 07 – 00:14 As we have known before that TB is the biggest infectious disease in
amount in Indonesia.
00:15 – 00:18 Over the world it is in the 2nd position.
00:18 – 00:28 Our working area become the biggest contributor of TB patients in
Timika.
00:31 – 00:37 The government has priority to eradicate TB in Timika.
00:38 – 00:45 TB is the most case of illness in Puskesmas Mapuru Jaya. The amount
of TB patients exceeds the target that has been appointed.
00:46 – 00:55 We should set for a strategy to eradicate TB in our working area.
00:58 – 01:03 We performed contact investigation, so that we could achieve 100% of
target finding.
01:04 – 01:15 Contact investigation is carried out by visiting TB patients’ house, door-
to-door, looking for anybody with TB symptom.
01:28 – 01:37 If there is anyone that suspected as TB, then we suggest them to go to
puskesmas for further examination.
01:37 – 01:43 Simple test that we perform is smear test.
01:44 – 01:49 To our friends in other puskesmas, you might follow the activity that
we have done, which is contact investigation.
01:50 – 01:59 We can find TB patients early through contact investigation.
02:00 – 02:10 From contact investigation we can find also children under 5 years old
who closely contact to TB patient.
02:11 – 02:21 If exist, we will give them treatment called IPT, in order to prevent TB
transmission.
02:22 – 02:27 IPT stands for Isoniazid Preventive Therapy.
02:27 – 02:37 Isoniazid is an antibiotic that given to a child, to protect him/her from
being infected by TB bacteria.
02:38 – 02:43 A child will take the drug for 6 months regularly.
02:46 – 03:00 Because of the benefit, all health workers are recommended to give IPT
actively for those children under 5 years old who closely contacted to TB patient.
Filename: Sequence 07 - Nelsi 01
Nurse Nelsi’s Transcript

00:07 – 00:12 This is the location of MDR TB, about 5 km from our Puskesmas.
00:12 – 00:19 We are very eager to help patients with MDR TB in spite of the
limitation in this facility.
00:21 – 00:30 Every time there is a new case of TB, we perform contact investigation.
00:31 – 00:42 Because of our very wide working area, we don’t perform contact
investigation at the time the patient is diagnosed.
00:42 – 00:49 We prepare our needs for 1 – 2 days, one week is a maximum, before
visiting patient’s house.
00:50 – 01:12 We have no vehicle, so we ask for help through NGO or borrow our
doctor’s private car to reach the remote village.
01:13 – 01:21 Most of the village are dangerous, and the health workers are
dominantly women, so we decide not to perform investigation alone.
01:22 – 01:29 Other difficulties are uncertain address from the patient
01:29 – 01:39 And high mobility as a lifestyle of the community in our working area.
01:40 – 01:55 They have a house in a certain village, but they usually go to the beach
looking for crabs or sago to be sold so they can earn some money.
01:55 – 02:03 These cause the contact investigation should be carried out for up to
three times for one patient.
02:04 – 02:12 To have a high enthusiast in performing contact investigation, first to be
considered is to work by heart.
02:13 – 02:21 When our heart controls us, we can face any obstacles.
02:23 – 02:34 Our Puskesmas are still being renovated, so that we have limited
resource.
02:38 – 02:45 To work by heart will produce many ideas in managing TB patients.
02:47 – 03:06 First we ask about the existence of TB symptom of people who closely
contact to TB patient, particularly to smear positive patient, when we perform contact
investigation.
03:07 – 03:15 Patients with smear positive are more potential in transmitting TB
bacteria. These people with close contact to TB patient must be screened.
03:16 – 03:22 People with TB symptom is suggested to go to the puskesmas.
03:23 – 03:33 Children under 5 years old are also suggested to go to the puskesmas.
In puskesmas, they will be given IPT.
03:35 – 03:45 Another problem is about financial. We have suggested the patient to
go to the puskesmas, but they said that they don’t have enough money.
03:45 – 03:59 We felt sorry for the condition so that we decided to collect money
among other health workers. The money that collected then handed over to the patient.
03:59 – 04:06 Sometimes our presence is refused by the patient.
04:07 – 04:14 It is because of their misunderstanding and lack of information related
to their illness.
04:15 – 04:29 They also consider their selves, also children under 5 years old without
any symptom, as healthy people. This consideration then become their reason to reject
any medication.
04:29 – 04:43 Sometimes patients with TB do not develop any symptom like dyspnea,
bloody sputum, or weight-loss, even though the smear result is positive.
04:43 – 04:45 Then they decide not to take the medicine.
04:46 – 04:54 It is a challenge for us, to ensure them of the bacteria and the possibility
to transmit other people around the patient if they do not undergo the treatment
regularly.
05:05 – 05:13 They also said that the illness they have now is because of magical touch
or genetic.
05:14 – 05:35 My advice to all TB patients are to take the medicine regularly and
completely, all family members are brought to the Puskesmas to be evaluated, for
children without any symptom will get IPT.
Filename: Sequence 08 - Yuliana
Yuliana’s Transcript

00:09 – 00:15 At first, I lost my appetite and body weight.

00:16 – 00:20 After that, I got cough and midnight sweating.
00:22 – 00:30 Then I visited hospital, I underwent several examinations such as
sputum smear test and chest x-ray.
00:31 – 00:32 I was diagnosed as pulmonary disease (i.e. TB).
00:35 – 00:42 Then I took some drugs for 6 months.
00:45 – 00:52 At that time there was a war near our village, but I still took the drugs
regularly in hospital.
00:52 – 00:57 When I didn’t have enough money, I went to a clinic which located near
my house to take the drugs.
01:00 – 01:10 After finishing the treatment for 6 months, I got sick again.
01:12 – 01:19 Then I visited Puskesmas.
01:20 – 01:26 The health workers did re-examination and found that I still had TB.
01:27 – 01:34 I started the treatment from the beginning and was given the injectable
drug. I took the medicine regularly, both oral and injectable drugs.
01:34 – 01:50 Sometimes I didn’t have enough money, so I came to the Puskesmas by
foot. I wanted to be cured, so I could pay attention to my children and grandchildren.
01:53 – 01:57 I was very eager to be cured.
02:01 – 02:07 I started to walk from my house at 10 o’clock and arrived at 12 o’clock
in the Puskesmas.
02:08 – 02:10 Then I was injected.
02:11 – 02:16 I went back to my house also by walking on foot.
02:17 – 02:31 Every month I took the medicine in Caritas Hospital (i.e. RSMM) then
I went back to my house in Mapurujaya.
02:32 – 02:42 If I had enough money, I would come to the hospital in Timika to take
the medicine. But if I didn’t, I would take the medicine at the clinic in Mapurujaya.
02:44 – 03:03 I was afraid of my children would get infected, so I took the preventive
drugs for them.
03:04 – 03:16 I found no difficulty in giving the preventive drug to my children. They
didn’t vomit too. They took the medicine and eat as usual.
03:16 – 03:42 At the beginning of the treatment, my body weight was 31 kgs. After
undergoing treatment for 2 months, my body weight was increased to 38 kgs.
03:43 – 03:53 Ladies and gentlemen, if you want to be cured then you should take the
medicine regularly, went to the hospital routinely to get injectable drug as I have done
before.
03:54 – 03:59 You should do those things if you want to be cured.
04:01 – 04:10 I fight against TB to see my children and grandchildren grow up.
04:15 – 04:22 It was going to be worth it even though I should spend up to 2 hours to
walk.
04:23 – 04:37 So, ladies and gentlemen, if there is a child who closely contact to the
TB patient, the child should take preventive drugs.
04:38 – 04:47 You should prevent children from being infected and undergo the
medication in the hospital routinely.
Filename: Sequence 09 - Dwi Kasniati 01
Nurse Dwi and Kasni ‘s Transcript

00:17 - 00:23 Our achievement of TB finding in 2017 was 63% from the target.
00:24 – 00:29 There were 45 cases, TB with HIV were 3 patients, Children with TB
were 3 patients.
00:32 – 00:39 Until the 3rd trimester of 2018, there were 37 patients with TB in our
working area.
00:40 – 00:44 This year, Puskesmas Timika Jaya has performed 100% of contact
investigation.
00:46 – 00:49 We have given IPT to 80% of the target that appointed.
00:57 – 01:11 After doing the contact investigation toward TB patients, we always
offered the parents to give IPT to their children.
01:12 – 01:18 Here, most of the children have received IPT and they have already
finished it.
01:19 – 01:26 Meanwhile, some of the parents refused to give IPT for their children.
01:26 – 01:33 We do not give up, and we always suggest them to give IPT for their
children whenever they visit us at the Puskesmas.
01:34 – 01:43 We explain of how important the IPT is in order to decrease the risk of
TB transmission among children.
01:44 – 01:52 IPT is given to every child who closely contact to TB patient without
developing any symptom of TB.
01:53 – 02:01 Parents who refused IPT said that their children are healthy, so they
don’t need to take any medicine.
02:03 – 02:09 They also said that their children are still too young to take medicine,
especially taking medication for 6 months.
02:10 – 02:15 But we do not give up for explaining how important the IPT is.
02:15 – 02:26 First, to keep the lung away from TB bacteria. Children under 5 years
old have low immunity, different from adults.
02:26 – 02:31 We try to educate them again and again, to give IPT for their children.
02:33 – 02:46 As TB staff we should be enthusiast, don’t need to feel discourage
although it is a communicable disease. We should work together to fight against TB.
02:47 – 02:58 We may perform contact investigation by visiting patient’s house and
we look for any person who develop TB symptom. Then we suggest them to go to the
Puskesmas.
02:58 0 03:02 So, we can eradicate TB before 2035.
03:03 – 03:12 Together with TB staff, let’s fight against TB in the land of Papua by
giving IPT to every child under 5 years old.
03:13 – 03:16 Keep up the spirit to eradicate TB in Papua.
Filename: Sequence 10 - dr. Siska 01
Dr. Siska’s Transcript

00:09 – 00:23 From January 2018 to September 2018, we have found 1120 suspects
of TB in RSMM.
00:24: - 00:29 And we have treated 556 patients with TB.
00:31 – 00:40 Increase in TB cases was followed by increase in TB-HIV and TB-DM
as well.
00:41 – 00:46 DM and HIV have important role in TB cases.
00:47 - 00:58 The impact of DM and HIV towards TB are to prolong the duration of
TB treatment and increase the risk of death.
00:59 – 01:16 As the TB coordinator in RSMM, I recommend all patients with TB
should perform the test for DM and HIV in order to give treatment quickly and
precisely.
Filename: Sequence 11 - Theresia 01
Nurse Teti’s Transcript

00:09 – 00:16 RSMM is the hospital that treat most of TB patients in Timika, Papua.
00:16 – 00:35 We collaborate with several Puskemas in Timika by applying referral
system, where all patients without comorbid or with mild TB would be referred to
Puskesmas. Meanwhile, severe TB patients are still treated at the hospital.
00:35 – 00:44 The benefit of treating patients in Puskesmas are patients would get
faster service, to press the budget of transportation.
00:45 – 00:57 Therefore, we recommend all TB patients to get treatment in Pukesmas,
do not hesitate or worry that Puskesmas will give medication as similar as the
medication in the hospital.