EVALUASI PROGRAM PENGENDALIAN TUBERCULOSIS DI WILAYAH KERJA PUSKESMAS (Studi di Kota Ambon)

PARERA, Lodri and Hadisaputro, Soeharyo and Lukmono, Djoko Tri Hadi (2019) EVALUASI PROGRAM PENGENDALIAN TUBERCULOSIS DI WILAYAH KERJA PUSKESMAS (Studi di Kota Ambon). Masters thesis, School of Postgraduate.

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Abstract

Latar Belakang. Program pengendalian tuberkulosis sudah dilaksanakan pada masing-masing puskesmas di kota Ambon namun penurunan prevalensi tidak cukup cepat sesuai yang ditargetkan masih saja terdapat kasus TB yang tinggi dan terdapat perbedaan atau disparitas angka CDR antara puskesmas dengan CDR tertinggi dengan puskesmas dengan CDR terendah. Tujuan : Mengevaluasi pelaksanaan program pengendalian tuberculosis terhadap Case Detection Rate di wilayah kerja puskesmas Metode : Jenis penelitian yang digunakan dalam penelitian ini adalah penelitian deskriptif analitik menggunakan pendekatan observasional ditunjang dengan penelitiaan kualitatif. Sampel adalah pemegang program dan petugas laboratorium TB di Puskesmas Kota Ambon, berjumlah 44 reponden.. Analisis data dilakukan secara deskriptif dengan hasil analisis diuraikan dalam bentuk narasi dan dibandingkan case datection rate. Hasil : Hasil penelitian menunjukkan bahwa Program penemuan kasus, pengobatan pasien TB dan promosi kesehatan dilakukan 100% oleh responden di puskesmas.Program pemeriksaan sputum dilakukan dengan baik oleh 18 (81,8%) responden petugas laboratorium TB. Hal ini terkait dengan suspek TB tidak mengembalikan pot dahak ke puskesmas. Petugas program TB dan petugas laboratorium memiliki tugas rangkap, kondisi demografi yang jauh dan sulit di jangkau dengan kendaraan. Pemilihan tempat untuk kegitatan promosis TB dan lokasi puskesmas yang jauh dari tempat tinggal masyarakat. kondisi laboratorium yang kecil dan harusnya terpisah untuk TB. Sputum yang di berikan petugas pemegang program kepada petugas laboratorium juga kualitasnya kurang baik. Kesimpulan : Pelaksanaan program pengendalian TB sudah berjalan dengan baik namun terdapat kendala yaitu tidak dikembalikannya pot dahak, demografi, ada yang berobat di fasilitas kesehatan yang lain, ruangan laboratorium yang kurang memadai serta kualitas sputum yang kurang baik. Kata Kunci : Evaluasi program, tuberkulosis Background : The tuberculosis control program has been implemented at each puskesmas in Ambon city. However, the decline in prevalence was not fast enough according to the challenges that still exist related to high TB and contained differences or differences in CDR rates between puskesmas and CDR. Objective: To evaluate the implementation of the TB control program on Case Detection Numbers in the puskesmas working area. Method: The type of research used in this study is descriptive analytic research using an observational approach supported by qualitative research. Samples were program holders and TB laboratory officers in Ambon City Health Center, collecting 44 respondents. Data analysis was carried out descriptively with the results of the analysis described in narrative form and comparing the rate of case data. Result : The results of the study showed that the case discovery program, treatment of TB patients and health promotion were carried out 100% by respondents in the puskesmas. Sputum examination programs were carried out well by 18 (81.8%) respondents from TB laboratory officers. This is related to the suspicion of TB not being approved by sputum pots to the puskesmas. The TB Officer program and laboratory staff have multiple tasks, demographic conditions that are far and difficult to reach by vehicle. The choice of location for TB promosis activities and the location of puskesmas far from where people live. Small laboratory conditions and should be separate for TB. Sputum, which is given by program officials to laboratory officers, is of poor quality. Conclusion: Running a TB control program has been going well but there is a transition that is not involving phlegm pots, demographics, some who seek treatment at other health facilities, incomplete laboratory rooms and poor quality sputum Keywords: program evaluation, tuberculosis

Item Type:Thesis (Masters)
Uncontrolled Keywords:Evaluasi program, tuberkulosis
Subjects:R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions:School of Postgraduate > Master Program in Epidemiology
ID Code:76792
Deposited By:Mrs Ekana Perpus Pasca
Deposited On:26 Sep 2019 15:00
Last Modified:26 Sep 2019 15:00

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