Search Repository Universitas Fort De Kock

Tuberkulosis (TB) adalah penyakit infeksi yang disebabkan oleh infeksi bakteri Mycobacterium tuberculosis. Penyakit TB merupakan penyakit lama yang masih menjadi pembunuh terbanyak diantara penyakit menular. Tujuan penelitian ini untuk mengidentifikasi aspek input, proses, dan output dari pelaksanaan program TB di Kota Bukittinggi tahun 2023. Metode penelitian kualitatif dengan pendekatan fenomenologi. Informan dalam penelitian ini berjumlah 9 orang, 1 Wasor TB Dinas Kesehatan, 2 Kepala Puskesmas (Puskesmas Tigo Baleh dan Puskesmas Gulai Bancah), 4 Pemegang Program TB Puskesmas (Puskesmas Tigo Baleh, Puskesmas Guguk Panjang, Puskesmas Nilam Sari, dan Puskesmas Gulai Bancah), 1 Kader TB, dan 1 Pasien TB. Hasil penelitian yang didapatkan dari aspek input yaitu belum terlaksananya pelatihan bagi petugas TB baru di puskesmas serta kurangnya tenaga untuk penjaringan di lapangan, sarana prasarana seperti alat TCM untuk diagnosa awal yang belum tersedia di Puskesmas sehingga pemeriksaan dilakukan pada Rumah Sakit rujukan. Dari aspek proses yaitu penemuan kasus secara aktif belum dilaksanakan dengan maksimal, pencatatan dan pelaporan dilakukan dengan menggunakan aplikasi yang terhubung langsung ke tingkat nasional. Dari aspek output yaitu capaian program di Kota Bukittinggi sudah mencapai angka 68%, namun di beberapa Puskesmas capaian program per Januari 2023 masih rendah seperti di Puskesmas Guguk Panjang hanya 2 kasus (14,2%) dari target 14 kasus positif. Kesimpulan dari penelitian pelaksanaan program TB Paru di Kota Bukittinggi sudah terlaksana walaupun memang dalam pelaksanaannya belum dilakukan dengan maksimal karena beberapa hambatan dan kendala yang dialami. Diharapkan kedepannya untuk lebih aktif dalam penemuan kasus dan edukasi terhadap masyarakat mengenai penyakit tuberkulosis.

Tuberculosis (TB) is an infectious disease caused by infection with the bacterium Mycobacterium tuberculosis. TB disease is an old disease that is still the most killer among infectious diseases. The purpose of this research was to identify the input, process and output aspects of implementing the TB program in Bukittinggi in 2023. The type of this research was qualitative research methods with phenomenological approach. Data processing by data collection, data reduction, data presentation, and data triangulation. The informants were 9 people, 1 Wasor TB Health Service, 2 Heads of Community Health Center (Tigo Baleh Health Center and Gulai Bancah Health Center), 4 Community Health Center TB Program Holders (Tigo Baleh Health Center, Guguk Panjang Health Center, Nilam Sari Health Center, and Gulai Bancah Health Center), 1 TB cadre, and 1 TB patient. The research results obtained from the input aspect were that training has not been implemented for new TB officers and the lack of staff for screening in the field, infrastructure such as TCM tools for initial diagnosis were not yet available so that the examination was carried out at a referral hospital. From the aspect of the process, namely active case finding has not been carried out optimally, recording and reporting is done using an application that was directly connected to the national level. From the output aspect, the achievement of the program in Bukittinggi reached 68% but in several community health centers program achievements as of January 2023 were still low, such as in Guguk Panjang Health Center only 2 cases (14,2%) of the target of 14 positive cases. In short, the implementation of the Pulmonary TB program in the City of Bukittinggi has been implemented even though the implementation has not been carried out optimally due to several obstacles and constraints experienced. It is hoped that in the future the health officers will be more active in finding cases and educating the public about tuberculosis.