Abstract

Tuberculosis (TB) remains a major global health challenge, with Indonesia ranking second globally in TB burden. Despite the high prevalence in West Lombok Regency, case detection remains suboptimal. This study aimed to assess TB case detection through early detection activities at community health centers in West Lombok using a parallel convergent mixed-methods design. Quantitative data from the Tuberculosis Information System (SITB) registers (2023–2024) of four community health centers were descriptively analyzed, while qualitative data were obtained through semi-structured interviews with TB program managers and analyzed thematically. The highest number of cases was reported in Sekotong and Kediri, while Narmada had the lowest. Contact tracing coverage exceeded 90% in Narmada and Labuapi, improved in Sekotong, but declined to 49.45% in Kediri despite increased cases. Identified barriers included low community participation, limited population identification, and insufficient field resources. In conclusion, early TB detection in West Lombok shows regional disparities, highlighting the need for strengthened community-based strategies, enhanced education, and improved administrative support to optimize contact tracing and TB control.

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