The implementation of health istithaah to the pilgrims with tuberculosis: a cross-sectional study in Jakarta, Indonesia
BACKGROUND Based on the regulation of the Indonesian Ministry of Health No. 15 of 2016 about health istithaah for the Hajj, patients with tuberculosis (TB) can be categorized into ineligible or temporarily ineligible pilgrims. This study aimed to know the characteristics of pilgrims with TB and determined their level of fitness for fulfilling the health istithaah.
METHODS A cross-sectional study of pilgrims from Jakarta who were receiving TB treatment during the Hajj in 2018 was conducted with consecutive sampling. The secondary data was collected from the Hajj Integrated Computer Health System 2018, TB registered form, and six-minute walk test (the fitness level data) conducted by the District Hajj Health Team at district health centers in DKI Jakarta and Pondok Gede before the Hajj embarkation in June–July 2018. The questionnaire to the Indonesian Hajj Health Team during pilgrimage was also included as additional data.
RESULTS Thirty-one pilgrims received TB treatment and completed the intensive phase of TB treatment, but 29 pilgrims had no symptoms. Among them, 2 patients had MDR-TB. Most of them were male aged ≥40 years old. Twelve pilgrims with TB have a sufficient fitness. All pilgrims were able to run the pillars of the Hajj.
CONCLUSIONS Pilgrims with TB, including MDR-TB, who had completed the intensive phase with a negative sputum smear test were declared eligible for the Hajj with assistance.
Al-Orainey IO. Tuberculosis infection during Hajj pilgrimage. The risk to pilgrims and their communities. Saudi Med J. 2013;34(7):676-80.
AlOtaibi SM, Almoshadq AF, Alghanmi HA, Aljuiad F, Soliman YR, Alzuair AT, et al. Poor knowledge of tuberculosis among the population of Jeddah and Makkah Saudi Arabia, a high-risk area. Journal of Tuberculosis Research. 2016;4:81-91. https://doi.org/10.4236/jtr.2016.43010
Indonesian Hajj Health Center, Ministry of Health of the Republic of Indonesia. 2016 Hajj health center performance report. Jakarta: Ministry of Health of the Republic of Indonesia; 2016. Indonesian.
Abouzeid MS, Zumla AL, Felemban S, Alotaibi B, O'Grady J, Memish ZA. Tuberculosis trends in Saudis and non-Saudis in the Kingdom of Saudi Arabia-a 10 year retrospective study (2000-2009). PloS One. 2012;7(6):e39478. https://doi.org/10.1371/journal.pone.0039478
Pane M, Imari S, Alwi Q, Kandun IN, Cook AR, Samaan G. Causes of mortality for Indonesian Hajj pilgrims: comparison between routine death certificate and verbal autopsy findings. PloS One. 2013;8(8):e73243. https://doi.org/10.1371/journal.pone.0073243
Ministry of Health of the Republic of Indonesia. The Ministry Decree No 15 Year 2016 concerning Hajj health istithaah. Jakarta: Ministry of Health of the Republic of Indonesia; 2016. Indonesian.
Ismail Z. Penanggulangan Kemiskinan Masyarakat Perkampungan Kumuh di Yogyakarta: Kasus Kelurahan Keparakan. 2006. Jakarta: Puslitbang Ekonomi dan Pembangunan Lembaga Ilmu Pengetahuan Indonesia. Indonesian.
Obesity: preventing and managing the global epidemic. Report of a WHO consultation. World Health Organ Tech Rep Ser. 2000;894:1-253.
Gardouni A. The Mecca pilgrimage and its medical preparedness. Athens: National and Kapodistrian University of Athens; 2012.
Casha AR. Scarci M. The Link between Tuberculosis and Body Mass Index. J Thorac Dis. 9, 301-3. 2017. https://doi.org/10.21037/jtd.2017.03.47
World Health Organization Indonesia. Indonesia TB situation 2017 [Internet]. 2018 [cited 2018 Apr 14]. Jakarta: World Health Organization Indonesia. Available from: http://origin.searo.who.int/indonesia/topics/tb/IndonesiaTBSituation2017/en/.
Bhakare PS, Vaishnav DM, Irani, F. A study of effect of haemoglobin and body weight on VO2 max in young males and females. IJMTST. 2013;9:243-4.
Nusdwinuringtyas N. Six minute walking distance cut-off point in Indonesian (mongoloid) population. J Indon Med Assoc, 2018;68(8):389-94
Sabiq S. Fiqih sunnah: Haji Rasulullah SAW. Jakarta; 2017. p. 1-32.
Copyright (c) 2020 ibnu masud dimyati
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Authors who publish with Medical Journal of Indonesia agree to the following terms:
- Authors retain copyright and grant Medical Journal of Indonesia right of first publication with the work simultaneously licensed under a Creative Commons Attribution-NonCommercial License that allows others to remix, adapt, build upon the work non-commercially with an acknowledgment of the work’s authorship and initial publication in Medical Journal of Indonesia.
- Authors are permitted to copy and redistribute the journal's published version of the work non-commercially (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in Medical Journal of Indonesia.