Performance Overview of Licin Public Health Center in Tuberculosis Control Based on the Malcolm Baldrige Criteria for Performance Excellence (MBCfPE)
Abstract
Background: Tuberculosis (TB) remains a global health threat, with a death toll reaching 1.3 million. Indonesia has set a target to eliminate TB by 2030, with a treatment success rate of 90%. However, the achievement at Licin Public Health Center in Banyuwangi Regency in 2023 was only 76%, indicating the need for performance evaluation. This study aims to describe the performance of Licin Public Health Center in TB control based on the Malcolm Baldrige Criteria for Performance Excellence (MBCfPE). Methods: This study employed a descriptive quantitative approach with a cross-sectional design. The research sample consisted of 12 TB officers and 29 TB patients. Data were collected through questionnaires completed by the respondents and analyzed using the Baldrige Assessment. Results: The results showed that the performance of Licin Public Health Center was at the benchmark leader level with an excellent rating, achieving a score of 796.3 points out of a possible 1,000. The highest percentage score was found in the Workforce Focus category, while the lowest was in Strategic Planning, indicating strengths in human resource management and areas for improvement in long-term program planning. Conclusions: The performance of Licin Public Health Center in tuberculosis control ranks as superior among similar organizations, both at the regional and national levels. Nevertheless, improvements are still needed in areas such as organizational structure, strategy, patient satisfaction, and budget utilization to support the sustainable success of TB treatment.
Full Text:
PDFReferences
Bozzone DM. Tuberculosis. Ringstad A, editor. Minnesota: Abdo Publishing; 2022.
Kementerian Perencanaan Pembangunan Nasional/ Badan Perencanaan Pembangunan Nasional. Peta Jalan Sustainable Development Goals (SDGs) di Indonesia. Jakarta: Kementeri PPN/Bappenas; 2021. Available from: https://sdgs.bappenas.go.id/website/wp-content/uploads/2021/02/Roadmap_Bahasa-Indonesia_File-Upload.pdf (Accessed on 23 May 2025)
WHO. Global Tuberculosis Report 2023. Geneva: World Health Organization; 2023. Available from: https://www.who.int/teams/global-programme-on-tuberculosis-and-lung-health/tb-reports/global-tuberculosis-report-2023 (Accessed on 23 May 2025)
Shah HD, Nazli Khatib M, Syed ZQ, Gaidhane AM, Yasobant S, Narkhede K, et al. Gaps and Interventions across the Diagnostic Care Cascade of TB Patients at the Level of Patient, Community and Health System: A Qualitative Review of the Literature. Tropical Medicine and Infectious Disease. 2022;7(7):136. http://dx.doi.org/10.3390/tropicalmed7070136
Kementrian Kesehatan. Profil Kesehatan. Jakarta: Ministry of Health, Indonesia; 2023.. Available from: https://kemkes.go.id/id/profil-kesehatan-indonesia-2023 (Accessed on 23 May 2025)
Noviyani A, Nopsopon T, Pongpirul K. Variation of tuberculosis prevalence across diagnostic approaches and geographical areas of Indonesia. Quinn F, editor. PLOS ONE. 2021;16(10):e0258809. http://dx.doi.org/10.1371/journal.pone.0258809
Mahmud A, Rahim A, Ahmad Z. Primary Health Care As A Pillar of the End-TB Strategy: a Scoping Review. International Journal of Public Health and Clinical Sciences. 2020;7(5):13–27.
Dinkes Banyuwangi. Profil Dinas Kesehatan Kabupaten Banyuwangi. Banyuwangi: Banyuwangi Health Office; 2023. Available from: https://dinkes.banyuwangikab.go.id/portal/profil-kesehatan-dinkes/ (Accessed on 23 May 2025)
Foo CD, Shrestha P, Wang L, Du Q, García-Basteiro AL, Abdullah AS, et al. Integrating tuberculosis and noncommunicable diseases care in low- and middle-income countries (LMICs): A systematic review. Suthar AB, editor. PLOS Medicine. 2022;19(1):e1003899. http://dx.doi.org/10.1371/journal.pmed.1003899
Essenzi DS. Analysis of Community Health Center Performance on Tuberculosis Control Programs. Journal of Health Innovation and Environmental Education. 2024;1(1):1–6. http://dx.doi.org/10.37251/jhiee.v1i1.1039
Zinatsa F, Engelbrecht M, van Rensburg AJ, Kigozi G. Voices from the frontline: barriers and strategies to improve tuberculosis infection control in primary health care facilities in South Africa. BMC Health Services Research. 2018;18(1):269. http://dx.doi.org/10.1186/s12913-018-3083-0
Siti A, Rah R, Agung NP, Setianingtyas H, Kis K. Performance of Indonesian State Owned Enterprises, Managerial Performance vs. Financial Performance. Global Business Finance Review. 2023;28(4):132–152. http://dx.doi.org/10.17549/gbfr.2023.28.4.132
Sahputra D, Lumbantobing P, Tuppal CP. Assessment of the quality of independent nursing practice in Indonesia based on total quality management indicators. Belitung Nursing Journal. 2021;7(4):294–303. http://dx.doi.org/10.33546/bnj.1324
Mai F, Ford MW, Evans JR. An empirical investigation of the Baldrige framework using applicant scoring data. International Journal of Quality & Reliability Management. 2018;35(8):1599–1616. http://dx.doi.org/10.1108/ijqrm-12-2016-0215
Lawrence NA, Hammoud MS. Strategies to Implement the Baldrige Criteria for Performance Excellence. International Journal of Management Excellence. 2017;9(1):1040. http://dx.doi.org/10.17722/ijme.v9i1.341
Asruddin, Ayubi D, Pujiyanto. Performance of Immunization Program Managers Based on Malcolm Baldrige Criteria for Performance Excellence (MBCFPE) in Puskesmas Tangerang District in 2019. Indian Journal of Public Health Research & Development. 2020;11(3):1442-1447. https://doi.org/10.37506/ijphrd.v11i3.1819
Puchalski Ritchie LM, Mundeva H, van Lettow M, Straus SE, Kip E, Makwakwa A. Impact of peer-trainer leadership style on uptake of a peer led educational outreach intervention to improve tuberculosis care and outcomes in Malawi: a qualitative study. BMC Health Services Research. 2020;20(1):513. http://dx.doi.org/10.1186/s12913-020-05386-0
Lestyoningrum SD, Rachmawati, Prastawa A. The influence of leadership organization towards the cohesion of tuberculosis control team: a cross-sectional study. Journal of Public Health Research and Community Health Development. 2023;7(1):30–38. http://dx.doi.org/10.20473/jphrecode.v7i1.32907
Cole B, Nilsen DM, Will L, Etkind SC, Burgos M, Chorba T. Essential Components of a Public Health Tuberculosis Prevention, Control, and Elimination Program: Recommendations of the Advisory Council for the Elimination of Tuberculosis and the National Tuberculosis Controllers Association. MMWR Recommendations and Reports. 2020;69(7):1–27. http://dx.doi.org/10.15585/mmwr.rr6907a1
Andika S, Faith M. Monitoring and Evaluation Practices and Performance Of Tuberculosis Control Programs In Kakamega County, Kenya. International Journal of Social Sciences Management and Entrepreneurship. 2024;8(2):206–221.
Ritchie LMP, Kip EC, Mundeva H, van Lettow M, Makwakwa A, Straus SE, et al. Process evaluation of an implementation strategy to support uptake of a tuberculosis treatment adherence intervention to improve TB care and outcomes in Malawi. BMJ Open. 2021;11(7):e048499. http://dx.doi.org/10.1136/bmjopen-2020-048499
Arulchelvan S, Elangovan R. Effective communication approaches in tuberculosis control: Health workers’ perceptions and experiences. Indian Journal of Tuberculosis. 2017;64(4):318–322. http://dx.doi.org/10.1016/j.ijtb.2016.11.017
Deshmukh RD, Dhande DJ, Sachdeva KS, Sreenivas AN, Kumar AMV, Parmar M. Social support a key factor for adherence to multidrug-resistant tuberculosis treatment. Indian Journal of Tuberculosis. 2018;65(1):41–47. http://dx.doi.org/10.1016/j.ijtb.2017.05.003
Nezenega ZS, Gacho YH, Tafere TE. Patient satisfaction on tuberculosis treatment service and adherence to treatment in public health facilities of Sidama zone, South Ethiopia. BMC Health Services Research. 2013;13(1):110. http://dx.doi.org/10.1186/1472-6963-13-110
Theron G, Jenkins HE, Cobelens F, Abubakar I, Khan AJ, Cohen T, et al. Data for action: collection and use of local data to end tuberculosis. The Lancet. 2015;386(10010):2324–2333. http://dx.doi.org/10.1016/s0140-6736(15)00321-9
Ngusie HS, Shiferaw AM, Bogale AD, Ahmed MH. Health Data Management Practice and Associated Factors Among Health Professionals Working at Public Health Facilities in Resource Limited Settings. Advances in Medical Education and Practice. 2021;12:855–862. http://dx.doi.org/10.2147/amep.s320769
Na J, Chelliah S. Review of Organizational Atmosphere , Employee Engagement and Organizational Support. Global Business and Management Research: An International Journal. 2022;14(3):1413–1426.
Ogbuabor DC, Okoronkwo IL. The influence of quality of work life on motivation and retention of local government tuberculosis control programme supervisors in South-eastern Nigeria. Lacetera N, editor. PLOS ONE. 2019;14(7):e0220292. http://dx.doi.org/10.1371/journal.pone.0220292
Bahreini R, Gholizadeh M, Gedik FG, Yousefi M, Janati A. Components of contributing conditions to strengthen health system management and leadership capacity building: a systematic review and decision making framework. Leadership in Health Services. 2021;34(4):527–545. http://dx.doi.org/10.1108/lhs-01-2021-0006
Tan C, Kallon II, Colvin CJ, Grant AD. Barriers and facilitators of tuberculosis infection prevention and control in low- and middle-income countries from the perspective of healthcare workers: A systematic review. Quinn F, editor. PLOS ONE. 2020;15(10):e0241039. http://dx.doi.org/10.1371/journal.pone.0241039
Fortes SFR. Implementation of an APP for Supporting Best Practices in Tuberculosis Treatment. Portugal: Universidade do Porto; 2024. Available from: https://repositorio-aberto.up.pt/bitstream/10216/161503/2/686205.pdf (Accessed on 23 May 2025)
Marais F, Kallon II, Dudley LD. Continuity of care for TB patients at a South African hospital: A qualitative participatory study of the experiences of hospital staff. Heslop L, editor. PLOS ONE. 2019;14(9):e0222421. http://dx.doi.org/10.1371/journal.pone.0222421
DOI: https://doi.org/10.33846/hd20601
Refbacks
- There are currently no refbacks.
____________________________________________________________________________________________________________________________________________
Health Dynamics || Open Access Journal || Online version only || Publisher: Knowledge Dynamics || ISSN: 3006-5518 (online) || Contact: healthdynamics.journal@gmail.com; +8801814901991; +6282136364408
