Community-Based Active Tuberculosis Screening Through the SIKAT TB Program in Sleman District of Special Region of Yogyakarta

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Abstract
Background: Active case finding (ACF) is a critical component in the control of tuberculosis (TB), particularly for early detection of cases in communities with limited healthcare access. In 2023, Sleman District in Yogyakarta Province initiated the SIKAT TB program, a community-based screening effort supported by local government commitment to achieving TB elimination by 2030. Aims: This study aims to describe the implementation and outcomes of the SIKAT TB program in Sleman District by utilizing secondary data from July to September 2024. Methods: This descriptive study analysed secondary data, including the number of individuals screened and those identified with drug-sensitive tuberculosis (DSTB) and latent tuberculosis infection (LTBI). Results: Over three-month period, 1,035 individuals were screened. Among these, 33 individuals (3.2%) were diagnosed with DSTB, and 113 individuals (10.9%) were identified with LTBI. These findings suggest that the program effectively identified both active and latent TB cases at the community level. Conclusion: The SIKAT TB program highlights the critical role of government-led, community-based strategies in enhancing tuberculosis case detection. Continuous support, coupled with comprehensive follow-up and treatment systems, is crucial for sustaining long-term impact. The program serves as a practical model for other regions seeking to improve TB control efforts and contributes to the national and global objectives of eradicating TB by 2030.

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