Search Repository Universitas Fort De Kock

Tuberkulosis merupakan penyakit menular yang masih menjadi masalah kesehatan masyarakat yang menimbulkan kesakitan,kematian, dan kecacatan yang tinggi sehingga perlu dilakukan penyelenggaraan penanggulangan program TB.Tujuan penelitian adalah mengetahui mendeskripsikan,menganalisis dan menginterpretasikan penatalaksanaan program penanggulangan TB paru dengan strategi DOTS. Penelitian ini dilaksanakan di pada bulan Maret April 2019 dan dilakukan di wilayah kerja Puskesmas Rasimah Ahmad. Jenis penelitian ini merupakan penelitian kualitatif yang bertujuan untuk mengetahui secara jelas dan lebih mendalam tentang bagaimana penatalaksanaan program TB paru dengan strategi DOTS di Puskesmas Rasimah Ahmad. Metode pengumpulan data dilakukan dengan wawancara mendalam dan observasi terhadap 13 informan penelitian yang terdiri dari staf pencegahan pengendalian penyakit (P2P) Dinas Kesehatan kota Bukittinggi,Kepala Puskesmas Rasimah Ahmad,Pemegang program,2 orang Kader TB,4 orang PMO,4 orang Penderita TB Paru. Hasil penelitian menunjukkan bahwa penatalaksanaan program TB paru dengan strategi DOTS di Puskesmas Rasimah Ahmad menunjukkan bahwa belum maksimal. Hal ini ditandai dengan petugas TB paru masih kurang dalam upaya penemuan kasus dikarenakan kebanyakan hanya menunggu pasien datang berobat hal ini karena keterbatasan waktu serta beban kerja,kurangnya kerja sama antar petugas TB paru, masih kurangnya sarana dan prasarana seperti pot dahak ,peran pengawas menelan obat (PMO) yang belum optimal. Berdasarkan hasil penelitian, disarankan meningkatkan kerja sama serta aktif dalam penemuan kasus dilapangan,perlunya meningkatkan sosialisasi dan penyuluhan terhadap masyarakat,melakukan monitoring dan evaluasi terkait feedback dari program TB Paru di masyarakat.

Tuberculosis is a contagious disease. It is still a public health problem that causes high pain, death and disability. it is necessary to do TB program management. The aim of the study was to describe, analyze and interpret pulmonary TB prevention programs management with the DOTS strategy. The type of this research was qualitative study in order to know about pulmonary TB management program with DOTS strategy. It was conducted in March - April 2019 in Rasimah Ahmad Community Health Center. The data were collected through in-depth interviews and observation on 13 informants. They were consisted to disease control prevention staff (P2P) Health Office of the City of Bukittinggi , Head of Rasimah Ahmad Health Center ,Program Holder, 2 TB Cadres ,4 PMOs and 4 Pulmonary TB Patients . The result of this research showed that the management of pulmonary TB program with DOTS strategies in Rasimah Ahmad Community Health Center was not maximal . It was indicated by pulmonary TB officers had limitation efforts to find cases. They only waited for patients to come for treatment because of limited time and workload. The,there was lack of cooperation between pulmonary TB officers . Next,facilities and infrastructure were limit such as phlegm pots. Last ,the role of supervisors to swallow drugs (PMO) was not optimal . Based on the result of the study , it was suggested to increase cooperation and active findings in the field . Then, it is useful to improve socialization and counseling for the community by conducting the monitoring and evaluating feedback from the pulmonary TB program in the community.