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One of the government’s efforts to reduce MMR, which is still high, is the implementation of the Antenatal Care (ANC) program at the primary health center (PHC). Besides, the government also accredits PHC to improve the quality of health services starting in 2015, so it is hoped that ANC achievements will increase. This study aims to determine the relationship between accreditation status and ANC achievements in PHC. The study design was cross-sectional with a sample of 103 accredited PHC. The distribution of PHC samples is seen based on the 2013 Public Health Development Index (IPKM) categorized as low, medium, and high. Analysis of the relationship between accreditation status and the K4 achievement program used the chi-square test. The results of this study indicate that the majority of the PHC in the sample are distributed in areas with a high and medium IPKM areas. The relationship between accreditation status and K4 achievement showed a value of p = 0.034. The logistic regression results showed that when compared with primary - complete accredited PHC, basic PHC had OR = 0.224 (95% CI: 0.064 - 0.786) with p = 0.020 to the proportion of K4 achievements. Meanwhile, the middle PHC had OR = 0.517 (95% CI: 0.146 - 1.828) with a p-value = 0.306. This study concludes that the accreditation status of PHC is related to the proportion of K4 achievements. The proportion of K4 achievements increases with the increase in the level of PHC accreditation. A basic accredited PHC has a chance to achieve K4 by 0.224, lower than a primary – complete accredited PHC. There was no significant difference between middle accredited PHC with primary - complete PHC for the proportion of K4 achievement Abstrak Salah satu upaya pemerintah menurunkan AKI yang masih tinggi adalah dengan pelaksanaan program Antenatal Care (ANC) di puskesmas. Selain itu, pemerintah juga melakukan akreditasi puskesmas untuk meningkatkan mutu pelayanan kesehatan yang dimulai tahun 2015, sehingga diharapkan capaian ANC meningkat. Penelitian ini bertujuan untuk mengetahui hubungan status akreditasi terhadap capaian ANC di puskesmas. Desain penelitian ini adalah crosssectional dengan sampel penelitian sebanyak 103 puskesmas terakreditasi. Sebaran sampel puskesmas dilihat berdasarkan Indeks Pembangunan Kesehatan Masyarakat (IPKM) tahun 2013 dengan dikategorikan sebagai IPKM rendah, sedang, dan tinggi. Analisis hubungan status akreditasi dengan program capaian K4 digunakan uji chi-square. Hasil dari penelitian ini menunjukkan mayoritas puskesmas yang menjadi sampel terdistribusi pada wilayah dengan IPKM tinggi dan sedang. Hasil analisis chi-square hubungan antara status akreditasi dengan ketercapaian K4 menunjukkan nilai p=0,034. Hasil regresi logistik menunjukkan bahwa jika dibandingkan dengan puskesmas terakreditasi utama-paripurna, puskesmas terkareditasi dasar mempunyai OR = 0,224 (95%CI: 0,064 - 0,786) dengan nilai p = 0,020 terhadap proporsi capaian K4. Sedangkan puskesmas terkareditasi madya mempunyai OR = 0,517 (95% CI: 0,146 - 1,828) dengan nilai p = 0,306. Kesimpulan penelitian ini adalah status akreditasi puskesmas berhubungan dengan proporsi capaian K4. Proporsi capaian K4 meningkat seiring meningkatnya satus akreditasi puskesmas. Puskesmas terakreditasi dasar mempunyai peluang untuk tercapaianya K4 sebesar 0,224 lebih rendah dibandingkan puskesmas terakreditasi utama - paripurna. Tidak ada perbedaan yang signifikan antara puskesmas terakreditasi madya dengan puskesmas terakreditasi utama-paripurna terhadap proporsi capaian K4.

Diabetes mellitus (DM) may complicate tuberculosis (TB) treatment and control. The National Institute of Health Research and Development in collaboration with seven referral public hospitals in Java and Bali established a disease registry system for tuberculosis (TB) and diabetes mellitus (DM). Medical records containing data of ≥15 years old patients, diagnosed with TB (ICD-10 code A15-A19) in 2014, with or without DM (ICD-10 code E10-E14) were recorded into case report form (CRF). From January 1st 2014 to January 12th 2016, the registry recorded 1975 TB cases, 15% of cases were TB-DM. 73.6% TB-DM were ≥45 years old and 70,8% TB-non DM were 2 weeks (76.4%), weight loss (72.6%), loss of appetite (65.9%), and night sweats (65.2%). In TB-non DM, predominant symptoms were weight loss (59.4%), loss of appetite (57.8%), cough >2 weeks (57.6%), and fever (56.9%). Higher chest X-rays abnormality in TB-DM (OR 7.249; 95%CI 3.2-16.5) and higher positive AFB smears (OR 2.568; 95%CI 1.8-3.8). TB treatment failure (death, defaulted, failure, or transferred out) were three times higher in TB-DM (aOR 3.042; 95%CI 1.7-5.4). TB-DM Registry showed negative effects of DM on clinical condition and the treatment success of TB. Abstrak Diabetes melitus (DM) menyulitkan pengobatan dan kontrol tuberkulosis (TB). Badan Penelitian dan Pengembangan Kesehatan bersama tujuh rumah sakit (RS) umum kelas A dan B di Pulau Jawa dan Bali mengembangkan Sistem Registri Penyakit TB-DM. Data pasien berusia ≥15 tahun, didiagnosis TB (kode A15-A19 ICD-10) mulai tahun 2014, dengan atau tanpa DM (kode E10-E14 ICD-10) diabstraksi ke dalam case report form (CRF). Mulai 1 Januari 2014 – 2 Januari 2016, terdapat 1975 kasus TB, 15% adalah TB dengan DM. 73,6% pasien TB-DM berusia ≥45 tahun dan 70,8% TB-non DM berusia