IMPLEMENTATION NATIONAL GUIDELINES FOR TUBERCULOSIS CONTROL IN SURABAYA PUBLIC HEALTH CENTERS
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ABSTRACT
Background: Tuberculosis is still endemic in Indonesia with 316 cases per 100,000 population in 2018 and Indonesia has the 3rd highest TB case in the world [1]. The leading causes of the burden of TB in Indonesia include the implementation of the TB program is not by the standards, cross-sector involvement is not optimal, the increase of Multi-Drug Resistant TB cases, and other factors. Suspected case findings and diagnosis are basic things in TB control programs that must be implemented optimally. Purpose: Knowing the implementation of TB control programs in public health centers that focus on screening and diagnosis based on the National Guidelines for TB Control 2014. Methods: This type of research is observational descriptive. Data was collected using a combined closed and open questionnaire and medical record data for public health centers patients from January to December 2019. Informants were selected by purposive sampling. Results: The results showed that 4 public health centers reached the target for finding suspected pulmonary TB cases, but only 2 reached the target proportion of finding new pulmonary TB cases. Inconsistencies in program implementation and obstacles were also found in the field. Conclusion: The success of finding suspected pulmonary TB that is not accompanied by a diagnosis occurs in public health centers that do not implement programs according to national guidelines and some obstacles arise in the field. Evaluation and innovation of TB control programs need to be carried out continuously to achieve the target.
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References
[2] Kemenkes RI. Profil Kesehatan Indonesia Tahun 2019 (B. Hardhana, F. Sibuea, & W. Widiantini, Eds.). Kemenkes RI. 2020. 153-158. https://kemkes.go.id/downloads/resources/download/pusdatin/profil-kesehatan-indonesia/Profil-Kesehatan-Indonesia-2019.pdf.
[3] Dinas Kesehatan Kota Surabaya. Profil Kesehatan Kota Surabaya Tahun 2019. Dinkes Kota Surabaya. 2020. 73-74. https://dinkes.surabaya.go.id/portalv2/dokumen/Profil%20Kesehatan%20Kota%20Surabaya%202019.pdf.
[4] Dirjen P2P Kemenkes Rl. Pedoman Nasional Pengendalian Tuberkulosis (T. N. Dinihari & V. Siagian, Eds.). Kementerian Kesehatan RI. 2014. 1-16.
[5] Willis, M. D., Winston, C. A., Heilig, C. M., Cain, K. P., Walter, N. D., & mac Kenzie, W. R. Seasonality of Tuberculosis in the United States, 1993–2008. Clinical Infectious Diseases. 2012;54(11), 1553–1560. https://doi.org/10.1093/CID/CIS235.
[6] Ahmad, I., & Ijanto, S. Faktor-Faktor yang Berhubungan dengan Cakupan Penemuan Kasus Baru TB BTA Positif di Puskesmas Wilayah Kota Bekasi Tahun 2012. FKM UI. 2013. 1–19.
[7] Meisendi, Yemin, D., & Fiestawa, R. Pengaruh Penggunan Variasi Media Pembelajaran IPS Terhadap Ketercapaian Kompetensi Inti Dalam Kurikulum 2013 di Kota Bandung. International Journal Pedagogy of Social Studies. 2017; 1(2), 210. https://doi.org/10.17509/IJPOSS.V1I2.4705.
[8] Jatmika, S. E. D., Maulana, M., Kuntoro, & Martini, S. Pengembangan Media Promosi Kesehatan (E. Khuzaimah, Ed.). K-Media. 2019. 1-12.
[9] Yusuf, R. N., & Nurleli, N. (2018). Hubungan Status Gizi Dengan Kejadian TB Paru. Jurnal Kesehatan Saintika Meditory. 2018; 1(1), 35–44. http://www.jurnal.syedzasaintika.ac.id/index.php/meditory/article/view/245.
[10] Feleke, B. E., Feleke, T. E., & Biadglegne, F. Nutritional Status of Tuberculosis Patients, a Comparative Cross-Sectional Study. BMC Pulmonary Medicine. 2019; 19(1), 1–9. https://doi.org/10.1186/S12890-019-0953-0/TABLES/6.
[11] Gautami, W., & Syahruddin, E. Hubungan Kondisi Lingkungan Rumah Susun dengan Prevalensi Penyakit Respirasi Kronis di Jakarta Relationship between Environmental Conditions Flats with Prevalence of Chronic Respiratory Disease in Jakarta. Hubungan Kondisi Lingkungan Rumah Susun, 2013. 202–207.
[12] WHO. Global Tuberkulosis Report 2020 (K. Floyd, Ed.). World Health Organization. 2020. 36. https://www.who.int/publications/i/item/9789241565646
[13] Suparmi, S., Maisya, I. B., Rizkianti, A., Sari, K., Rosha, B. C., Amaliah, N., Pambudi, J., Wiryawan, Y., Putro, G., Soekotjo, N. E. W., Daisy, L., & Sari, M. Pelayanan Manajemen Terpadu Balita Sakit (MTBS) pada Puskesmas di Regional Timur Indonesia. Media Penelitian Dan Pengembangan Kesehatan. 2018; 28(4), 271–278. https://doi.org/10.22435/mpk.v28i4.125
[14] Budiharjo, T., & Purjanto, K. A. Pengaruh Penanganan Sputum Terhadap Kualitas Sputum Penderita TBC Secara Mikroskpis Bakteri Tahan Asam. Jurnal Riset Kesehatan. 2016; 5(1), 40–44. https://doi.org/10.31983/JRK.V5I1.622
[15] Dirjen P2P Kemenkes RI. Modul Pelatihan Laboratorium Tuberkulosis Bagi Petugas di Fasyankes. 2017. 63-68.
[16] Shu, W., Chen, W., Zhu, S., Hou, Y., Mei, J., Bai, L., Xu, W., Zhou, L., Nie, S., Cheng, S., & Xu, Y. Factors Causing Delay of Access to Tuberculosis Diagnosis Among New, Active Tuberculosis Patients: a Prospective Cohort Study. Asia-Pacific Journal of Public Health. 2014; 26(1), 33–41. https://doi.org/10.1177/1010539513502523
[17] Sari, Y. Gambaran Stigma Diri Klien Tuberkulosis Paru (TB Paru) yang Menjalani Pengobatan di Puskesmas Malingping. Media Ilmu Kesehatan. 2018; 7(1), 43–50. https://doi.org/10.30989/MIK.V7I1.266
[18] Fadhilah, N., Nuryati, E., Duarsa, A., Djannatun, T., & Hadi, R. S. Perilaku Kader dalam Penemuan Suspek Tuberkulosis. Kesmas: National Public Health Journal. 2014. 280-283. https://doi.org/10.21109/KESMAS.V0I0.381
[19] Aminah, S., Handoko, A., & Marhamah, M. Hubungan Kualitas Spesimen Dahak Dengan Gradasi Hasil Pemeriksaan BTA Pada Penderita TB Paru di Kabupaten Pringsewu Tahun 2012. Jurnal Analis Kesehatan. 2017; 2(2), 290–296. https://doi.org/10.26630/JAK.V2I2.438
[20] Shah, W. To Determine Diagnostic Accuracy of Gene Xpert and Sputum Ziehl-Neelsen Staining Taking Sputum Culture as Gold Standard. European Respiratory Journal. 2016; 48(60), 2779. https://doi.org/10.1183/13993003.congress-2016.PA2779.
[21] Jatu, M. P. N. Hubungan Riwayat Praktik Dokter dan Riwayat Pelatihan Dengan Penemuan Terduga TB Anak di Surabaya. Universitas Airlangga. 2018.