GENERAL INFORMATION

• KEDUNGPANE PRISON : OPERATED SINCE 1993

• NUMBER OF CONVICTS : 1286 CONVICTS (JAN’ 2017)
• CAPACITY : 615 CONVICTS
• NUMBER OF PRISON STAFFS : 120 STAFFS
• NUMBER OF MEDICAL STAFFS : 6 STAFFS, CONSIST OF
1 CHIEF, 2 GENERAL PRACTITIONERS, 1 DENTIST
1 NURSE, 1 ADMINISTRATOR
• NUMBER OF KADEER/ VOLUNTEERS INMATE : 20
• NUMBER OF CELL : 12
 MOTTO :

Clean - Orderly - Secure - Comfortable

KEDUNGPANE PRISON CLINIC
Type of Service 1. DOTS Clinic
2. TB-HIV Collaborative Activities
3. VCT / PITC Health Service
4. Dental and Oral Health Service
5. GP Service

Number of Trained Staff DOTS - 5 StaffS

VCT /PITC - 5 StaffS
Lab - 2 StaffS
 10 MOST OF DISEASE (JAN-DES 2016)
1. RESPIRATORY DISEASE = 2242
2. DERMATITIS = 885
3. DENTAL = 325
4. MUSCULO SKELETAL = 184
5. HYPERTENSION = 158
6. ACCIDENT & POISONED = 148
7. DIARRHEA = 108
8. GASTRITIS = 63
9. DIABETES MELLITUS = 36
10. OTITIS EXTERNA = 32
REFFERAL OUT PATIENT IN PRISON
25 23

20 19
18
17
15
15 14
13 13 13
12 12

10
7

0
Jan Feb Mar Apr May Juni Jul Aug Sept Oct Nov Dec

Total 2016 = 176

 FLOW SERVICES OF TB PROGRAM

DIDAPAT/ PERIKSA TAHANAN BARU/

RAWAT JALAN NAPI PINDAHAN

SUSP. TB SKRINING NONS SUSP. TB

TEST BTA SPS

BTA (+) BTA (-)

OAT
PMO

ADA TAK ADA

PEMERIKSAAN DAHAK
LANJUTAN PERBAIKAN PERBAIKAN

BTA (+) BTA (-)

TERAPI LANJUTAN

BTA (+) BTA (-)

GAGAL TERAPI LANJUTAN PMO FASE LANJUTAN

ULANG AWAL

PEMERIKSAAN DAHAK 1 BULAN SEBELUM AP DAN AP

FLOW SERVICES OF TB-HIV PROGRAM
Skrining:

- Pemeriksaan Tahanan/WBP baru

-Pengamatan gejala saat rawat jalan

Suspek HIV Suspek TB

VCT/PITC Sputum BTA

HIV (-) HIV (+) TB (-) TB (+)

-KIE Evaluasi Awal KIE OAT Program DOTS

-Ulangi 3 bln
bila ada fk risiko Penetapan Stadium Klinis VCT/PITC

Skrining TB Skrining IO Lain

HIV (+) HIV (-)
TB Aktif (-) TB Aktif (+) IO (-) IO (+)

Lanjutkan
TB DOTS Profilaksis Primer jika Terapi IO Sesuai Program HIV
memenuhi syarat

Penilaian Syarat ART Profilaksis Sekunder

Memenuhi syarat Tidak memenuhi syarat

Konseling Pra ART ART bekerjasama dengan RSUD

TB DATA 2014
Periode # Suspect SS (+) SS (-) EP Re-Treatment
Cases
2014 Q-1 0 0 0 0 0
2014 Q-2 0 0 0 0 0
2014 Q-3 9 1 1 0 0
2014 Q-4 1 0 0 0 0
2014 10 1 1 0 0
TREATMENT OUTCOME 2014
• PATIENT TB = 2 (1 SMEAR SPUTUM POSITIVE & 1 SMEAR SPUTUM NEGATIVE )
CURED :1
COMPLETED : 1
DIED :0
FAILED :0
DEFAULT :0
TRANSFERRED OUT : 0
TB DATA 2015
Periode # Suspect SS (+) SS (-) EP Re-Treatment
Cases
2015 Q-1 7 1 0 0 0
2015 Q-2 1 0 0 0 0
2015 Q-3 2 1 0 0 0
2015 Q-4 1 0 0 0 0
2015 11 2 0 0 0
TREATMENT OUTCOME 2015
• PATIENT TB = 2 (ALL SMEAR SPUTUM POSITIVE)
CURED :2
COMPLETED : 0
DIED :0
FAILED :0
DEFAULT :0
TRANSFERRED OUT : 0
TB DATA 2016
Periode # Suspect SS (+) SS (-) EP Re-Treatment
Cases
2016 Q-1 2 0 0 0 0
2016 Q-2 9 1 0 0 0
2016 Q-3 133 8 4 1 0
2016 Q-4 0 0 5 0 0
2016 144 9 9 1 0
25 Total HIV Test 2016 = 158
22 Result Test HIV Pos = 2
20 20
20 19

15 14
13
12
11
10
10 9
6
5
2
1 1
0 0 0 0 0 0 0 0 0 0
0
Jan Feb Mar Apr Mei Juni Jul Aug Sept Oct Nov Des
HIV Test Pos
7
6 6
6
5 5 5
5
4
4
3 3 3 3 3
3
2
2

0
Jan Feb Mar Apr Mei Juni Jul Aug Sept Oct Nov Des
 MASS SCREENING OF PRISON
• 24 AUGUST – 05 SEPTEMBER 2016
# of
GenXpert Result # TB treatment known
# x-ray # GenXpert # received
HIV status
TB Screening # Screened for with Presump- Examinatio # TB-HIV ART among
Total among
target TB abnormal tive TB** n (up to patients TB-HIV
those
result now) MTB patients
treated
neg
Rif Sen Rif Res MTB neg Error Invalid Rif Sen Rif Res for TB
(Clinic
ally)

Prison Staff 121 121 1 8 (able to 0 0 5 0 0 0 0 0 0 0 0

provide
sputum)

100

1164
Inmates 1166 (2 in TB 57 117 (able to 7 0 80 2 11 7 0 11 18 0 0
treatment) provide
sputum)
 FLOW OF MASS SCREENING

1. Waiting room (START) 2. Verification form and 4. Verification Data

3. Medical check up
measure height & weight (sputum/ rontgen)

6. Check Sputum 5. Random Video for

8. Form collection (FINISH) 7. Mobile X ray
and Packing suspect TB
TB INFECTION CONTROL
• ENVIRONMENT CONTROL
• EXHAUST FAN AND NATURAL VENTILATION IN WARD
• OPEN AIR WAITING AREA
• OPEN AIR FOR SPUTUM COLLECTION (SPUTUM COLLECTION BOOTH)
• PERSONAL PROTECTIVE EQUIPMENT
• PROVIDE SURGERY MASK FOR TB SUSPECTS & PATIENTS
• PROVIDE RESPIRATOR MASK FOR HEALTH STAFFS (N95)
TB INFECTION CONTROL
• PERSON IN CHARGE TB IC (SK)
• TB IC ACTION PLAN (POSTER, DAFTAR TILIK, ALUR, SOP, AVAILABILITY OF GUIDELINE TB IC IN
PRISON )
• TRIAGE BY HEALTH VOLUNTEERS INMATE
• FAST TRACK IDENTIFY PATIENTS WHO COUGH UP MORE THAN 2 WEEKS IN POLICLINIC, AND GIVE
THEM MASK AND TREATMENT RIGHT AWAY
• TB SCREEN FOR NEW INMATES & MASS TB SCREEN ONCE A YEAR
• COUGH ETTIQUETTE FOR ALL INMATES
• HANDWASH ETTIQUETTE FOR ALL STAFFS AND INMATES
• TB IC EDUCATION FOR PRISON STAFFS & ALL INMATES
• SCREENING COUGH
CHALLENGE IN PRISON
1. SPUTUM EXAMINATION CAN ONLY BE DONE AT THE NGALIYAN HEALTH CENTRE
2. REQUIRE TRAINING IN THE CONTROL OF MDR TB PATIENTS SUSPECT
3. THERE IS NO ISOLATION ROOM PROVIDED YET BOTH FOR TB INFECTED AND SUSPECT TB
PATIENTS