In search of a better tuberculosis governance in village level: A regulatory analysis in Indonesia

Abstract

Background

Amid the high prevalence of Tuberculosis (TB) in Indonesia, Presidential Regulation No. 67 of 2021 introduces new hope by emphasizing a multi-sectoral and multi-stakeholder approach, highlighting the potential for greater involvement of village governments.

Aims

This article explores opportunities and challenges for strengthening the role of village governments in TB control through a review of relevant regulations.

Methods

A desk study approach was employed, using a policy analysis framework.

Results

The regulation underscores the government's commitment to combating TB through a comprehensive approach that engages various sectors and stakeholders, including governments at all levels, the private sector, academia, and civil society. A key aspect of the regulation is its emphasis on involving village governments in TB governance. To date, village governments have had limited involvement, with TB management largely remaining under the purview of health offices. The Presidential Regulation attempts to position village governments, as the closest administrative unit to communities, as an integral part of the TB elimination mission. In the Indonesian context, this is a breakthrough. However, regulatory analysis found that there is still a need to produce derivative regulations to realize the empowered roles of village governments and enable them to incorporate TB-responsive strategies into their development planning.

Conclusion

As such, the Presidential Regulation marks a significant step forward in enhancing the role of village governments in TB control; however, further regulatory support is necessary to realize its full potential.