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Gabriella J Caren,1 Deni Iskandar,2,3 Dian AE Pitaloka,1 Rizky Abdulah,1,4 Auliya A Suwantika1,4,5 1Department of Pharmacology and Clinical Pharmacy, Faculty of Pharmacy, Universitas Padjadjaran, Bandung, Indonesia; 2Unit of Global Health, Department of Health Sciences, University Medical Center Groningen (UMCG), University of Groningen, Groningen, the Netherlands; 3Faculty of Pharmacy, Bhakti Kencana University, Bandung, Indonesia; 4Centre of Excellence in Higher Education for Pharmaceutical Care Innovation, Universitas Padjadjaran, Bandung, Indonesia; 5Center for Health Technology Assessment, Universitas Padjadjaran, Bandung, IndonesiaCorrespondence: Auliya A SuwantikaDepartment of Pharmacology and Clinical Pharmacy, Faculty of Pharmacy, Universitas Padjadjaran, Jl. Raya Bandung-Sumedang Km. 21, Jatinangor, Bandung, Sumedang, 45363, Indonesia, Email auliya@unpad.ac.idAbstract: The current coronavirus disease 2019 (COVID-19) situation might deteriorate the efforts to eliminate tuberculosis (TB) in Indonesia. This study aimed to review the COVID-19 pandemic disruption on the management of TB treatment in Indonesia. We identified several disruptions due to the pandemic on TB control management. Firstly, there is a potential decrease in the funding for TB treatment. Financial disruptions caused by the COVID-19 pandemic have led to further setbacks. In many countries, including Indonesia, financial and other resources have been reallocated from TB to the COVID-19 response. Secondly, it has been highlighted that all TB services, including case detection and rapid diagnostic, have been disrupted by the pandemic. Thirdly, the pandemic would be associated with the lower quality of care and treatment for TB in Indonesia. It might decrease the enthusiasm of patients with TB, multi-drug resistant (MDR)-TB, and TB-human immunodeficiency virus (HIV) to visit TB hospitals because of social distancing measures by the government. Finally, the COVID-19 pandemic also has impacted critical activities of monitoring, evaluation, and surveillance. There are several lessons from other countries about managing TB treatment during the pandemic, such as combining screening for COVID-19 and TB by applying x-ray technology and artificial intelligence-based software. In addition, the use of telemedicine or telehealth in TB treatment is also beneficial to deliver medication, assess patients’ progress, and inform prevention strategies. To reach the target with the end TB strategy, the government of Indonesia can adopt the World Health Organization’s (WHO’s) comprehensive strategies, such as integrated, patient-centered TB care and prevention strategies; bold policies and supportive systems; and intensified research and innovations.Keywords: fixed-dose combination, rapid diagnostic, MDR-TB, telemedicine, national TB program

BACKGROUND AND OBJECTIVES: Integrated farming is an efficient and environmentally friendly agricultural activity that uses low-input resources, including abundant local materials, such as waste. According to previous studies, this program has been adopted by the Indonesian government to facilitate the achievement of sustainable agriculture. Therefore, this study aimed to evaluate the level of sustainability of low-input integrated agricultural farming by determining and analyzing the sustainability index. METHODS: Experts and business operators engaged in the integrated production of organic fertilizer, corn, and laying hen farming conducted scientific assessments to gather primary and secondary data. This was carried out through Focus Group Discussions and the completion of a questionnaire containing 34 attributes linked to environmental, economical, social, technological, and institutional aspects. The data obtained were then analyzed using a multidimensional scale technique. Monte Carlo analysis and alternating least-squares algorithm were used to examine sustainability status and significant characteristics. FINDINGS: The degree of agricultural integration's sustainability from organic fertilizer, corn, and layer hen farming was 86.10 percent. The results showed that techniques in several stages of the organic fertilizer production process, corn cultivation with the application of organic fertilizer, and laying hen farming with local feed, harvesting, and marketing, contributed to sustainable development by considering the strength aspects from each dimension. Based on the analysis results, the social dimension had a sustainable index score of 93.79 percent, followed by economic (90.57 percent), institutional (88.39 percent), environmental (83.45 percent), and technology (74.29 percent). Based on the findings, the factors that should be considered included 1) Efficiency in the utilization of water during egg, 2) fertilizer production and effectiveness of using fuel and electricity during the production and marketing, 3) an Industry manager level of education, 4) the ease by which raw materials can be obtained for the integration industry, 5) potential for increasing the low-input integrated agricultural farming, 6) the availability of integration industry facilities, infrastructure and level of expertise needed by managers in the people's integration sector, 7) Financial institutions' existence. CONCLUSION: Multidimensional mapping showed that the low-input integrated agricultural farming in the dry land of Pangkalan Lada District was running sustainably, with an average sustainability index of 86.10 percent. These results indicated that the integration of organic fertilizer, corn, and layer hen farming in the area had successfully optimized the available resources, created a sustainable farming model, and had the potential for adoption in various locations and future periods. The five evaluated dimensions showed good sustainability levels, with sustainability indices ranging from 74.29 percent (sustainable with a fair level) to 93.79 percent (very sustainable). Therefore, sustainability improvements in these farming activities must focus on technological aspects, with an emphasis on technological attributes that offered valuable insights for the government in formulating policies and programs. [ABSTRACT FROM AUTHOR]

BACKGROUND AND OBJECTIVES: Most Food Waste (FW) is dominated by domestic activities consisting of large numbers of organic pollutants, such as nitrogen and phosphate potentially hazardous to the environment. Domestic waste can be used as a feed source in Black Soldier Fly (BSF) cultivation with utility in pollutant removal, animal feed production, and compost fertilizer. Therefore, this study aimed to determine sustainability of larvae from BSF cultivation by calculating and analyzing index. METHODS: Data collection was conducted using the scientific judgment of experts and business actors in BSF through Focus Group Discussion and the filling out of questionnaires consisting of 31 attributes connected with environment or ecology, economics, social, and technology dimensions. Furthermore, the data were calculated using the multi-dimensional scale approach with rapid appraisal software. Sustainability status and leverage attributes were analyzed by Monte Carlo analysis, and alternating leastsquares algorithm. FINDINGS: Sustainability index for larvae of BSF production was 89.69%. The result suggested that the technique in several stages of operation including waste collection, cultivation, harvesting, and commercialization contributed to sustainability development when the elements of strength of each dimension are considered. From the analysis of the four dimensions, economic dimension had 100% or maximum leverage value. The environmental and social dimensions had the same leverage values of 92.02%, while the technological dimension had 74.74%. The results indicated that management experiences and techniques, potential for odor generated, family member involvement, productivity level, and managers level, warrant further attention to improve sustainability of BSF production. CONCLUSION: Production, productivity, land conversion, and population were identified as significant or dominating factors impacting the supply framework of BSF production by the intended investigation inside the display ponders. Therefore, study should be encouraged to effectively integrate BSF biomass as a value-added component in an ideal environmental, social, economic, and technical system. The results are significant in providing insights into the possibility of feasible BSF biomass production in Indonesia, which can inform government policies and programs. [ABSTRACT FROM AUTHOR]