Search Repository Universitas Fort De Kock

Tuberkulosis adalah suatu penyakit menular yang disebabkan oleh kuman Mycobacterium tuberculosis. Cace Detection Rate (CDR) yaitu proporsi jumlah pasien baru TB BTA positif yang ditemukandandiobatiterhadapjumlahpasienbaru TB BTA postif yang diperkirakandalamsatuwilayahtersebut. Di Puskesmas Mandiangin angkapenemuankasus TB parupadatahun 2016 yaitusekitar137 kasusdan BTA (+) sebanyak 7 orang penderita dengan proporsi 28%, sedangkan target angka penemuan kasus di Puskesmas Mandiangin yaitu sebanyak256 kasusdan BTA (+) sebanyak 25 penderita dengan proporsi 70%. Hal ini menunjukkan bahwa masih adanya kendala dalam pelaksanaan program penanggulangan TB paru. Penelitian ini bertujuan untuk mengetahui secara jelas dan mendalam tentang kinerja petugas terhadap capaian penemuan TB paru di Puskesmas Mandiangin. Jenis penelitian ini merupakan penelitian kualitatif. Metode penelitian dilakukan dengan wawancara mendalam terhadap 4 informan yang terdiri dari 1 orang pemegang program TB paru Dinas Kesehatan Kota Bukittinggi, 1 orang pemegang program TBPuskesmas Mandiangin, 1 orang staf laboraturium Puskesmas Mandiangin, 1 orang pasien TB paru. Hasil penelitian menunjukan bahwa kinerja petugas terhadap capaian CDR TB paru terhadap program penanggulangan TB paru belum maksimal dan rangkap jabatan yang dimiliki oleh petugas. Hal ini ditandai dengan kualitas petugas TB paru masih kurang dalam upaya penemuan kasus, penemuan kasus kebanyakan hanya menunggu pasien datang berobat. Masih tingginya stigma masyarakat terhadap penyakit TB paru. Berdasarkan hasil penelitian maka dapat disimpulkan masih ada petugas yang rangkap jabatan, penemuan kasus yang dilakukan secara pasif, dan realisasi penemuan kasus yang tidak mencapai target. Saran yang diberikan adalah memberikan latihan terus-menerus kepada petugas TB di puskesmas, memperkuat kegiatan penjaringan suspek TB secara aktif, memberikan penyuluhan kepada masyarakat tentang TB, meningkatkan hubungan kerjasama lintas sektor.

Tuberculosis is an infection that caused by the Mycobacterium tuberculosis bacteria. Case Detection Rate (CDR) is the proportion of the number of new smear positive TB patients found and treated by number of new TB smear positive patients in one area. In 2016, there were around 137 cases of TB and 7 patients suffer from BTA (+) with a proportion of 28%. in Mandiangin Community Health Center. Meanwhile, the target number of case finding in Mandiangin Community Health Center was 256 cases and BTA (+) with 25 patients with 70%. It means that, there are still obstacles on implementing of pulmonary TB control programs. This study aimed to find out the performance of officers towards the achievement of pulmonary TB in Mandiangin Health Center. The type of this research was qualitative research. It was conducted by in-depth interviews with 4 informants. They were a person had a pulmonary TB program, Bukittinggi Community Health Officer, one holder of Community Health Center of Mandiangin program, one staff from the Mandiangin Health Center laboratory and one pulmonary TB patient. The results of this research showed that the officers who control tuberculosis pulmonary programs were not maximal. It was indicated by the quality of pulmonary TB officers were lack in efforts to overcome TB. They just waited for patients to come for treatment. Then, there was high public stigma to against pulmonary TB disease. Based on the results of this research, it can be concluded that there were still concurrent officers, passive case finding, and the realization of case findings that did not reach the target. Then, it is suggested that the TB officer in health center provide continuous training to strengthen active suspect TB screening activities, provide counseling to the public and improve cross-sector cooperation relationships.