Long-Term Impact of Enhanced Training on the Use of Digital Health Technologies in Tuberculosis Management

Tuberculosis (TB) remains a significant health issue in Bali, exacerbated by geographic and cultural challenges.Digital health technologies, including the "Sistem Informasi Tuberkulosis" (SITB) and "Wajib Notifikasi TB" (WIFI TB), were implemented to improve TB case management.This study evaluates the long-term impact of enhanced training sessions conducted in 2022 for healthcare providers on the use of these digital tools.A longitudinal, mixed-methods approach was used, involving quantitative surveys of 456 healthcare providers and qualitative interviews with 30 participants.Data were collected through follow-up surveys, health records, and thematic interviews from January to July 2024.Results showed a 23% increase annually in TB case detection, with significant gains sustained one-year post-training.Treatment adherence improved by 88%, particularly in rural areas.Although participants reported high usage rates and moderate proficiency, challenges such as system downtimes and limited technical support persisted.Qualitative findings emphasized the importance of refresher training, user-friendly updates, and robust technical support.Participants highlighted the need for tailored refresher sessions, real-time problem-solving scenarios, and public-private partnerships to ensure sustainable outcomes.Addressing these areas can optimize the integration of digital tools in TB management and contribute to better public health outcomes in similar regions.