Synergy Between Central and Regional Governments Supports National Tuberculosis (TB) Alert Movement
By: Rizki Ardiansyah
Tuberculosis (TB) remains one of the major health challenges in Indonesia. The country continues to strengthen its commitment to tackling this disease comprehensively and sustainably. In this effort, synergy between the central and regional governments is a crucial foundation for realizing the National TB Alert Movement, a collective movement to detect, prevent, and treat TB across all layers of society.
The National TB Alert Movement is a clear example of the central government’s visionary leadership in addressing TB comprehensively. The central government, through the Ministry of Health, has set the 2030 TB elimination roadmap, complete with clear national strategies and success indicators. On the other hand, regional governments play a vital role as the front-line implementers of the program in the field. The synergy between the central and regional governments makes the program more targeted, responsive, and adaptive to the needs of the community in each region.
One prominent form of synergy is strengthening healthcare services at the regional level. The central government provides regulatory support, budget allocation, health worker training, and integrated recording and reporting systems. Regional governments, with their proximity to the communities, ensure that these services reach even the most remote and vulnerable areas. This collaboration ensures that every individual has equal access to quality TB screening and treatment.
In addition, the central and regional governments also collaborate in raising public awareness through massive information and education campaigns. Through creative and inclusive communication approaches, the public is encouraged to recognize TB symptoms, the importance of early detection, and the need to complete the treatment. This campaign not only raises awareness but also fosters active community participation in case tracking and supporting TB patients.
Deputy Minister of Home Affairs (Wamendagri), Ribka Haluk, said that her ministry encourages regional governments to be more proactive in supporting the “Gerakan Bersama Penguatan Desa dan Kelurahan Siaga TBC” (Joint Movement for Strengthening TB-Alert Villages and Subdistricts). This initiative was officially launched by the Minister of Health, Budi Gunadi Sadikin, as a demonstration of the government’s commitment to eradicating TB at the village and subdistrict level. She also expressed appreciation for the Minister of Health’s active involvement and deep attention to public health issues, consistently coordinating with the Ministry of Home Affairs in various national health programs.
The success of TB control also requires cross-sectoral integration. The central government, through relevant ministries, supports policies that empower social sectors, reduce poverty, and improve nutrition. Regional governments align these programs with local policies to ensure more accurate targeting and mutual strengthening. This multi-sectoral approach ensures that the social and economic factors underlying TB are addressed comprehensively.
It is also important to highlight that this synergy is not only vertical but also horizontal. Regions share experiences, strategies, and best practices in TB control. Regional coordination forums facilitated by the central government strengthen inter-regional networks, encourage innovation, and accelerate the replication of successful programs. This culture of mutual learning becomes a positive energy in strengthening national solidarity in facing TB.
The National TB Alert Movement also shows the importance of inclusive and visionary leadership. In many regions, local leaders have shown strong commitment by prioritizing TB control. Regional budget support, responsive local policies, and direct oversight of program implementation are tangible manifestations of their dedication to public health. The central government supports this through appreciation, incentives, and ongoing technical assistance.
Meanwhile, Minister of Health, Budi Gunadi Sadikin, emphasized the importance of supervision during TB treatment. TB patients need months to recover, and if treatment is interrupted midway, patients can become resistant to drugs. He also hopes that collaboration between the government and the public, particularly in Jakarta, can ensure that supervision runs smoothly, making Jakarta the first region to be completely free of TB.
This strong synergy between the central and regional governments reflects the spirit of mutual cooperation that is a hallmark of the Indonesian nation. In facing the significant challenge of TB, there is no room for working alone. Success can only be achieved through collaboration, mutual trust, and a shared vision. The central and regional governments show that when working together, we can build a healthcare system that is resilient and responsive to the people’s needs.
Great strides have already been made, and the results are starting to show. The number of detected TB cases is increasing—an indication that early detection systems are becoming more effective. The availability of medication and supporting services is also becoming more widespread. The government continues to demonstrate its full commitment that this struggle will reach its final goal with certain victory. Therefore, this synergy must continue to be strengthened, expanded, and sustained. With the support of all parties, Indonesia’s goal of being TB-free by 2030 is not a dream, but a goal that can be achieved together.
