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

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.

DOI