skip to main content

EVALUASI STRATEGI DOTS (DIRECTLY OBSERVED TREATMENT SHORT COURSE) DI PUSKESMAS TLOGOMULYO KABUPATEN TEMANGGUNG TAHUN 2021

*Riza Rahayuning Widya  -  Fakultas Ilmu Keolahragaan, Universitas Negeri Semarang, Indonesia
Chatila Maharani  -  Fakultas Ilmu Keolahragaan, Universitas Negeri Semarang, Indonesia
Received: 20 Jun 2022; Revised: 30 Jul 2022; Accepted: 31 Jul 2022; Available online: 31 Jul 2022; Published: 23 Sep 2022.

Citation Format:
Abstract

Tubercolosis (TB) is a chronic infectious disease caused by infection of Mycobacterium Tuberculosis. The new case finding rate at Puskesmas Tlogomulyo in 2021 was 9.5% (<70%). Meanwhile, the treatment success rate in 2021 was 75% (<90%). WHO declared TB as a global health emergency and recommended DOTS (Directly Observed Treatment Short Course) as a TB disease control strategy. This research aimed to determine the evaluation of the DOTS strategy at Puskesmas Tlogomulyo in 2021.This study used descriptive qualitative method and used purposive sampling for selecting the informants. The main informants were Head of Health Center (Puskesmas), General Practitioners, Head of TB Program, Laboratory Officers, Pharmacists Assistants. While, triangulation informants were TB Patients, (Pengawas Menelan Obat-PMO), and Head of TB Program in Health Office. Data were collected with interviews, observation, documentation, and secondary data. In terms of context, Puskesmas was not succeeded. For the input, DOTS training was not implemented, there was not have a legal decree for the DOTS team, while the funds, infrastructure and procedures were fulfilled. Aspect of the process were diagnosis, OAT, SITB, but for PMO it was not optimal. In terms of products, the problem with the case finding rate and the success of treatment because pandemic and side effects. Suggestions for puskesmas to improve program innovation for the DOTS strategy till achievement the indicator number achieved were choose the appropriate PMO and further increase community knowledge through Puskesmas Pembantu (Pustu) and Pos Binaan Terpadu (Posbindu).

Note: This article has supplementary file(s).

Fulltext View|Download |  common.other
Untitled
Subject
Type Other
  Download (B)    Indexing metadata
Keywords: Evaluation; DOTS Strategy; TB

Article Metrics:

  1. Restinia, Mita, Sondang Khairani, and Reise Manninda. 2021. “Faktor Resiko Penyebab Multidrug Resistant Tuberkulosis : Sistematik Review.” Pharmaceutical and Bimedical Sciences Jornal 3(1):9–16
  2. Faizah, I.L., Raharjo, B. B. 2019. “Penanggulangan Tuberkulosis Paru Dengan Strategi DOTS (Directly Observed Treatment Short Course ).” Higeia Journal Of Public Health 3(3):430–41
  3. Ismaya, Nurwulan Adi, Riris Andriati, Tri Okta Ratnaningtyas, and Faizah Tafdhiilah. 2021. “Rasionalitas Obat Anti Tuberkulosis Pada Pasien Tb Kota Tangerang Selatan.” 5(2):19–29
  4. Probandari, Ari, Deni Harbianto, Fransiska Meyanti, Rein Houben, Jamie Rudman, Kathy Fiekert, Shalala Rafayil Ahmadova, and Setiawan Jatilaksono. 2020. Strategi Nasional Penanggulangan Tuberkulosis Di Indonesia 2020-2024
  5. Noveyani, Adistha Eka, and Santi Martini. 2014. “Evaluasi Program Pengendalian Tuberkulosis Paru Dengan Strategi DOTS Di Puskesmas Tanah Kalikedinding Surabaya.” Jurnal Berkala Epidemiologi 2(2):251–62
  6. Ahmad, Tauseef, Haroon, Muhammad Khan, Muhammad Mumtaz Khan, Eyasu Ejeta, Manoochehr Karami, and Chinenyenwa Ohia. 2017. “Treatment Outcomes and Associated Factors in Tuberculosis Patients at Jimma University Medical Center: A 5‑Year Retrospective Study Gemeda.” International Journal of Mycobacteriology 6(3):239–45. doi: 10.4103/ijmy.ijmy
  7. Dinas Kesehatan Provinsi Jawa Tengah. 2019. “Profil Kesehatan Provinsi Jateng Tahun 2019.” Dinas Kesehatan Provinsi Jawa Tengah 3511351(24):273–75
  8. Sri Siswati, Mutia, Nindi Clorita M, Silvia Wulandari, Imelda Aliska, Mutiara Indah Pertiwi, Yuni Izmi Kurnia, and Suci Pratiwi Maritim. 2021. “Upaya Peningkatan Pengetahuan Masyarakat Mengenai Perbedaan TBC Dengan Covid-19 Melalui Program ‘Peduli TB Kenali Covid-19’ Di Nagari Jawi-Jawi Wilayah Kerja Puskesmas Talang.” Jurnal Ilmiah Pengembangan Dan Penerapan Ipteks 28(4):478–81
  9. Chakaya, Jeremiah, Mishal Khan, Francine Ntoumi, Eleni Aklillu, Razia Fatima, Peter Mwaba, Nathan Kapata, Sayoki Mfinanga, Seyed Ehtesham Hasnain, Patrick D. M. C. Katoto, André N. H. Bulabula, Nadia A. Sam-Agudu, Jean B. Nachega, Simon Tiberi, Timothy D. McHugh, Ibrahim Abubakar, and Alimuddin Zumla. 2021. “Global Tuberculosis Report 2020 – Reflections on the Global TB Burden, Treatment and Prevention Efforts.” International Journal of Infectious Diseases 113:S7–12. doi: 10.1016/j.ijid.2021.02.107
  10. Afiah, Andi Sitti Nur, Soesanti, and Abd Hakim Husen. 2022. “Pencegahan Penyakit Tuberculosis (TBC) Melalui Upaya Informasi Dan Edukasi Kepada Masyarakat Di Wilayah Kerja Puskesmas Gambesi.” Jurnal Abdidas 3(1):98–102
  11. Faradis, Naili Akrima, and Sofwan Indarjo. 2018. “Implementasi Kebijakan Permenkes Nomor 67 Tahun 2016 Tentang Penanggulangan Tuberkulosis.” HIGEIA (Journal of Public Health Research and Development) 2(2):307–19. doi: 10.15294/higeia.v2i2.21291
  12. Redjeki, Sondang Ratnauli Sianturi Chatarina Indriati Kusumaningsih Gerardina Sri. 2021. “Penguatan Kader Dan Warga Dalam Penanggulangan Tuberculosis.” Jurnal Abdimas Mutiara 2(1):216–25
  13. Santi, Dwi Rukma, and Nurus Safa’ah. 2014. “Pendidikan Dan Pelatihan Kader Kesehatan Dalam Penanganan Tuberculosis (TB) Di Wilayah Puskesmas Semanding Dan Kerek Kabupaten Tuban.” Sain Med 06(2):57–60
  14. Kemenkes RI. 2016. “Peraturan Menteri Kesehatan Republik Indonesia Nomor 67 Tahun 2016 Tentang Penanggulangan Tuberkulosis.” Peraturan Menteri Kesehatan Republik Indonesia Nomor 67 Tahun 2016 Tentang Penanggulangan Tuberkulosis 159
  15. Susanto, Ijun Rijwan. 2019. “Profil Faktor Yang Mempengaruhi Rendahnya Tuberkulosis Paru BTA Positif.” Jurnal Kesehatan Budi Luhur Cimahi 12(2):105–14
  16. Chuck, C., E. Robinson, M. Macaraig, M. Alexander, and J. Burzynski. 2016. “Enhancing Management of Tuberculosis Treatment with Video Directly Observed Therapy in New York City.” International Journal of Tuberculosis and Lung Disease 20(5):588–93. doi: 10.5588/ijtld.15.0738
  17. Ulfa, Siti Lutfiyah. 2021. “Implementasi Penemuan Kasus TB Paru Dalam Penanggulangan Tuberkulosis Di Puskesmas Karangmalang Kota Semarang.” IJPHN 1(1):31–41
  18. Samhatul Inayah, and Bambang Wahyono. 2018. “Penanggulangan Tuberkulosis Paru Dengan Strategi DOTS.” Higeia J Public Heal Res Dev 2(2):331–41
  19. Moulina, Theta Elba, Yuwono Yuwono, and Ridhah Taqwa. 2018. “Studi Kualitatif Implementasi Advokasi, Komunikasi Dan Mobilisasi Sosial Dalam Pengendalian Tuberkulosis Paru Di Kabupaten Musi Rawas Utara Tahun 2016.” Jurnal Kedokteran Dan Kesehatan Publikasi Ilmiah Fakultas Kedokteran Universitas Sriwijaya 5(1):38–48. doi: 10.32539/jkk.v5i1.6124
  20. Kementrian Kesehatan Republik Indonesia. 2021. “Peraturan Menteri Kesehatan Republik Indonesia Nomor 12 Tahun 2021 Tentang Petunjuk Teknis Penggunaan Dana Alokasi Khusus Nonfisik Bidang Kesehatan Tahun Anggaran 2021.” Peraturan Menteri Kesehatan Republik Indonesia Nomor 12 Tahun 2021 Tentang Petunjuk Teknis Penggunaan Dana Alokasi Khusus Nonfisik Bidang Kesehatan Tahun Anggaran 2021
  21. Febrina, Cory. 2018. “Analisis Manajemen Kasus TB BTA (+) Di Kabupaten Tanah Datar Tahun 2013.” Human Care Journal 1(2):1–8. doi: 10.32883/hcj.v1i2.52
  22. Sofiyatun, Vivi. 2019. “Implementasi Program Penanggulangan Tuberkulosis Paru.” Higeia Journal of Public Health 3(1):74–86
  23. Indriyani, Okti, Dami Yanthi, and Welly Sando. 2021. “Analisis Pelaksanaan Program Tuberkulosis Di Puskesmas Harapan Raya Kota Pekanbaru.” Media Kesmas (Public Health Media) 1(3):183
  24. Chomaerah, Siti. 2020. “Program Pencegahan Dan Penanggulangan Tuberkulosis Di Puskesmas.” Higeia Journal of Public Health Research and Development 4(3):625–34
  25. Kemenkes RI. 2019. “Keputusan Menteri Kesehatan Republik Indonesia Nomor Hk.01.07/Menkes/755/2019 Tentang Pedoman Nasional Pelayanan Kedokteran Tata Laksana Tuberkulosis.” Keputusan Menteri Kesehatan Republik Indonesia Nomor Hk.01.07/Menkes/755/2019 Tentang Pedoman Nasional Pelayanan Kedokteran Tata Laksana Tuberkulosis 139
  26. Zuraida, Zuraida, Imas Latifah, and Zipo Indri Atikasari. 2021. “Studi Literatur Hasil Pemeriksaan Tcm (Tes Cepat Molekuler), Mikroskopik Bta Dan Kultur Pada Suspek Tb (Tuberkulosis).” Anakes : Jurnal Ilmiah Analis Kesehatan 7(1):83–87. doi: 10.37012/anakes.v7i1.517
  27. Suci, Helmanis, and Ledia Restipa. 2022. “Efektivitas Pelaksanaan Strategi DOTS (Directly Observed Treatment Short Course) Dalam Penanggulangan TB Paru Di Puskesmas.” JKA (JurnalKeperawatanAbdurrab) 05(02):41–47
  28. Salve, Solomon, Kabir Sheikh, and John D. H. Porter. 2016. “Private Practitioners’ Perspectives on Their Involvement with the Tuberculosis Control Programme in a Southern Indian State.” International Journal of Health Policy and Management 5(11):631–42. doi: 10.15171/ijhpm.2016.52
  29. Jaya, Putu Indra. 2022. “Program Penanggulangan Tb Resistan Obat Ditinjau Dari Social Marketing Perspective Program Alleviation Drug Resistant Tuberculosis.” Jurnal Kebijakan Publik 13(1):93–98
  30. Yadav, Prakrati, Chirag Vohra, Maya Gopalakrishnan, and Mahendra Kumar Garg. 2022. “Integrating Health Planning and Primary Care Infrastructure for COVID-19 and Tuberculosis Care in India: Challenges and Opportunities.” International Journal of Health Planning and Management 37(2):632–42. doi: 10.1002/hpm.3393
  31. Ho, Jennifer, Greg J. Fox, and Ben J. Marais. 2016. “Passive Case Finding for Tuberculosis Is Not Enough.” International Journal of Mycobacteriology 5(4):374–78. doi: 10.1016/j.ijmyco.2016.09.023
  32. Sany Mufti’ah, Wilda, Wirda Syari, and Eny Dwimawati. 2021. “Gambaran Pelaksanaan Program Tb Paru Di Puskesmas Gang Kelor Kota Bogor Tahun 2019-2020.” Promotor 4(4):395. doi: 10.32832/pro.v4i4.5606
  33. Sari, Suci Kurnia, and Tri Krianto. 2020. “Faktor Pasien Drop Out Pengobatan Tuberkulosis Di Indonesia: Tinjauan Sistematik.” Jukema (Jurnal Kesehatan Masyarakat Aceh) 6(2):115–23. doi: 10.37598/jukema.v6i2.902

Last update:

No citation recorded.

Last update:

No citation recorded.