Monitoring dan evaluasi pelaksanaan strategi directly observed treatment shortcourse sebagai upaya penanggulangan tuberculosis di puskesmas yang berada dalam lingkup pembinaan dinas kesehatan kabupaten Subang
Date
2012
Journal Title
Journal ISSN
Volume Title
Publisher
Pusat Kebijakan dan Manajemen Kesehatan, Universitas Gadjah Mada, Yogyakarta, ID
Abstract
Background: The implementation of the DOTS strategy in
health centers aims to, among others, reduce morbidity rates
and break the chain of transmission. Indonesia ranks third on
the incidence of TB cases. In general, this research aimed to
investigate the effort implementation, barriers, benefits and
expectations in implementing the DOTS program in 40 health
centers within the work area of Subang District Health Office.
Methods: This was a qualitative study. Data collection
technique was in-depth interviews to the head of health
centers and P2TB officers, the DOTS corner participation
observation and Focus Group Discussion of TB officers. The
research instruments were recorder and camera. The number
of population was 40 health centers taken with cluster random
sampling technique and the number of samples was 10 health
centers, represented by 10 heads of the health centers and
10 P2TB officers.
Results: This study found out things such as efforts, barriers,
benefits and expectations of the implementation of the DOTS
strategy in the health centers of Subang District. The efforts
made in 10 health centers were good enough, with some
constraints such as lack of laboratory infrastructure, lack of
human resources, intersectional collaboration, medication
compliance, and the role of PMO personnel, economic factors
and poor public education, drug distribution delays, difficulties
in recording and reporting of patient transfer. Therefore,
improvements should be done in cross-sectoral communication,
completeness of lab infrastructure, empowerment of each
village cadre for education and networking.
Conclusion: In 10 health centers (Pagaden, Gunung sembung,
Kalijati, Binong, Purwadadi, Palasari, Cisalak, Kasomalang,
Sagalaherang, and Serang Panjang) DOTS program had been
done in an effort to overcome tuberculosis in accordance with
the 5 elements of DOTS.
Description
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Journal Article (peer-reviewed)
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Text
Keywords
INDONESIA--SUBANG, COMMUNITY HEALTH SERVICES, TUBERCULOSIS, DISEASE CONTROL, HEALTH FACILITIES, POLICY MONITORING, OPERATIONS RESEARCH, HUMAN RESOURCES DEVELOPMENT, INFORMATION CAMPAIGNS
Citation
Kasim, F., Soen, M., & Fitria Hendranata, K. (2012). Monitoring dan evaluasi pelaksanaan strategi directly observed treatment shortcourse sebagai upaya penanggulangan tuberculosis di puskesmas yang berada dalam lingkup pembinaan dinas kesehatan kabupaten Subang. Jurnal Kebijakan Kesehatan Indonesia, 1(3): 134-143.