An Exploration of the Optimal Solution for the Tuberculosis Transmission Model considers the Post-recovery Treatment using Optimal Control Theory

Authors

DOI:

https://doi.org/10.25077/jmua.15.2.224-236.2026

Keywords:

Cost-effectiveness analysis, optimal control model, Tuberculosis

Abstract

Tuberculosis, also known as TB, is among the most communicable diseases. It is strenuous to detect TB infection early, so the number of cases increases over time. Consequently, the cost of treating the TB-infectious sufferer is getting higher. However, since the recovered people from TB can become infected again, the post-treatment intervention needs to be conducted. Many mathematical models have been developed to study TB transmission among people. However, the study of cost-effectiveness analysis is not well-studied. Therefore, we are proposing a reformulated model of TB transmission into an optimal control model by considering the post-treatment intervention to reduce the cases of re-infected TB. The numerical simulations are performed to figure out the projection of its population dynamics under TB transmission. Next, we calculate the Average Cost-Effectiveness Ratio (ACER) and Incremental Cost-Effectiveness Ratio (ICER) to explore the most cost-effective strategy.

References

[1] Z. Nafisah and Y. A. Adi, "Model SEIR dengan Pseudo-recovery pada Kasus Tuberkulosis di Jawa Barat," Jurnal Matematika UNAND, vol. 13, no. 3, pp. 170-187, 2024.

[2] World Health Organization, "World Tuberculosis Day 2022," 2022. Accessed: Apr. 1, 2025. Available: https://www.who.int/campaigns/world-tb-day/2022

[3] A. N. Aggarwal, "Quality of life with tuberculosis," Journal of Clinical Tuberculosis and Other Mycobacterial Diseases, vol. 17, p. 100121, 2019.

[4] N. Aja, R. Ramli, and H. Rahman, "Penularan Tuberkulosis Paru dalam Anggota Keluarga di Wilayah Kerja Puskesmas Siko Kota Ternate," JKK: Jurnal Kedokteran dan Kesehatan, vol. 18, no. 1, pp. 78-87, 2022.

[5] R. Reviono et al., "The dynamic of tuberculosis case finding in the era of the public-private mix strategy for tuberculosis control in Central Java, Indonesia," Global Health Action, vol. 10, no. 1, p. 1353777, 2017.

[6] P. Narasimhan, J. Wood, C. R. MacIntyre, and D. Mathai, "Risk factors for tuberculosis," Pulmonary Medicine, p. 828939, 2013.

[7] D. Hsu et al., "Post tuberculosis treatment infectious complications," International Journal of Infectious Diseases, vol. 92, pp. S41-S45, 2020.

[8] F. Inayaturohmat, N. Anggriani, and A. K. Supriatna, "A mathematical model of tuberculosis and COVID-19 coinfection with the effect of isolation and treatment," Frontiers in Applied Mathematics and Statistics, vol. 8, p. 958081, 2022.

[9] S. T. Tresna, N. Anggriani, and A. K. Supriatna, "Mathematical model of HCV transmission with treatment and educational effort," Communications in Mathematical Biology and Neuroscience, vol. 2022, no. 46, 2022.

[10] S. Purwani, F. Inayaturohmat, and S. T. Tresna, "COVID-19 epidemic model: study of numerical methods and solving optimal control problem through forward-backward sweep method," Communications in Mathematical Biology and Neuroscience, vol. 2022, no. 123, 2022.

[11] E. T. Lofgren et al., "Mathematical models: a key tool for outbreak response," Proceedings of the National Academy of Sciences, vol. 111, pp. 18095-18096, 2014.

[12] B. D. Pandey et al., "Persistent dengue emergence: the 7 years surrounding the 2010 epidemic in Nepal," Transactions of the Royal Society of Tropical Medicine and Hygiene, vol. 109, pp. 775-782, 2015.

[13] S. Marino, I. B. Hogue, C. J. Ray, and D. E. Kirschner, "A methodology for performing global uncertainty and sensitivity analysis in systems biology," Journal of Theoretical Biology, vol. 254, no. 1, pp. 178-196, 2008.

[14] M. D. McKay, "Latin hypercube sampling as a tool in uncertainty analysis of computer models," in Proceedings of the 24th Conference on Winter Simulation, pp. 557-564, 1992.

[15] S. Lenhart and J. T. Workman, Optimal Control Applied to Biological Models, New York: Chapman and Hall/CRC, 2007.

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Published

30-04-2026

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