ABSTRACT
The tuberculosis (TB) situation in Indonesia is alarming, with an incidence rate of 385 per 100,000 population, making it one of the highest globally after India. The TB mortality rate stands at 48.6 per 100,000 population, resulting in an annual economic loss of 136.7 billion. This study aligns with Sustainable Development Goal (SDG) 3 (Good Health and Well-being) by aiming to improve the quality and accessibility of TB treatment and SDG 1 (No Poverty) by reducing the economic burden on affected communities. The findings highlight the urgent need for sustainable healthcare strategies to achieve long-term health and socio-economic benefits. This study investigates the differences and relationships between service levels, types of healthcare facilities, diagnoses, and treatments with the cost of TB treatment from 2015 to 2021. Its novelty lies in the use of longitudinal data from BPJS samples, covering 1,035 cases among 885 patients. A cross-sectional analytic quantitative method was employed, with statistical analysis conducted using the Kruskal-Wallis test at a 95% confidence level. Results revealed significant differences and relationships among participant segments, healthcare facility types, service levels, diagnoses, treatments, and TB treatment costs under BPJS. Recommendations include enhancing TB case management to reduce morbidity rates and encouraging community health centres to prevent TB transmission actively.
