ANALISIS PELAKSANAAN STRATEGI DOTS DALAM PENANGGULANGAN TUBERKULOSIS PARU PADA PUSKESMAS DI WILAYAH KABUPATEN BENGKAYANG KALIMANTAN BARAT

ANALISIS PELAKSANAAN STRATEGI DOTS DALAM PENANGGULANGAN TUBERKULOSIS PARU PADA PUSKESMAS DI WILAYAH KABUPATEN BENGKAYANG KALIMANTAN BARAT

THE IMPLEMENTATION ANALYSIS OF DOTS STRATEGY
AS THE TUBERCULOSIS ERADICATION AT THE COMMUNITY HEALTH CENTRE OF BENGKAYANG REGENCY
WEST BORNEO, INDONESIA

I’in Syami’ons¹, Tri Prabowo², Haryani²


ABSTRACT

Background: in Indonesia, tuberculosis still become the major problem of public health and it is the main cause of death in infection disease. The DOTS strategy as the tuberculosis eradication program with antituberculosis drug combination short-course and observed to each the patiens. By the data obtained from Health Departement of Bengkayang Regency for october until december 2005, there were 90 patient pulmonary tuberculosis. The patient with of death were 2 patient and 7 patient drop-out. Cure rate in 2005 years only 51,5%, but the minimum recovery target was 85%. The purposes of the research is to figure out the description of the implementation DOTS strategy as the tuberculosis eradication at the community health centre of Bengkayang Regency, West Borneo, Indonesia.

Methods: This research was objective quantitative-qualitative combination use the descriptive method with the cross sectional approach. Subyects of research were 33 manager staff of P2TB Program at 11 community health center of Bengkayang regency. The data gathering technique use the questionnaire, observation and deep interview.

Results: The description DOTS strategy implementation in tuberculosis eradication program mean was 91,16%, with following each percentage of component strategy: Political component from decisions maker was 93,94%; Cure implementation with short term OAT combination with direct observation by PMO was 90,91%; Continuing implementation of short term OAT supply for patiens was 89,09%; and for strict recording and reporting was 90,00%.

Conclusion: The description DOTS Strategy implementation in tuberculosis eradication at community health center of Bengkayang Regency general had done with goodness according to National TB Eradication Procedure.

Key Word: The Eradication TB Program, DOTS Strategy.
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¹ Nursing Academy of Serukam, West Borneo.
² Nursing Program, Medical School of GMU Yogyakarta




ANALISIS PELAKSANAAN STRATEGI DOTS DALAM PENANGGULANGAN TUBERKULOSIS PARU PADA PUSKESMAS DI WILAYAH KABUPATEN BENGKAYANG, KALIMANTAN BARAT
I’in Syami’ons¹, Tri Prabowo², Haryani²

INTISARI

Latar Belakang: Di Indonesia, penyakit TB merupakan penyebab kematian nomor satu dari golongan penyakit infeksi. Strategi DOTS merupakan kegiatan penanggulangan TB dengan paduan OAT jangka pendek disertai pengawasan terhadap kepatuhan minum obat. Data Dinkes. Kabupaten Bengkayang pada triwulan IV tahun 2005, terdapat 90 penderita TB, dari jumlah tersebut 2 orang meninggal dunia serta 7 orang mengalami DO. Angka Kesembuhan (Cure Rate) tahun 2005 hanya 51,5%, sedangkan target minimal yang harus dicapai adalah 85%. Tujuan penelitian: memperoleh gambaran pelaksanaan strategi DOTS dalam Program P2TB di puskesmas wilayah Kabupaten Bengkayang, Kalimantan Barat.

Metode: Penelitian kuantitatif dikombinasikan dengan kualitatif menggunakan metode deskriptif dengan pendekatan cross sectional yang bersifat evaluatif. Subyek penelitian adalah 33 pengelola program P2TB di 11 puskesmas wilayah Kabupaten Bengkayang. Tehnik pengumpulan data menggunakan kuesioner, observasi sistematis dan wawancara mendalam.

Hasil: Gambaran pelaksanaan strategi DOTS dalam Program P2TB rata-rata mencapai 91,16%, dengan prosentase masing-masing sub variabel sebagai berikut: Komitment politis dari para pengambil keputusan mencapai 93,94%; Pelaksanaan diagnosis TB dengan pemeriksaan dahak secara mikroskopis mencapai 93,18%; Pelaksanaan pengobatan dengan paduan OAT jangka pendek dengan pengawasan langsung oleh PMO mencapai 90,91%; Pelaksanaan kesinambungan persediaan OAT jangka pendek bagi penderita mencapai 89,09%; dan untuk pelaksanaan pencatatan dan pelaporan secara baku mencapai 90,00%.

Kesimpulan: Gambaran pelaksanaan Strategi DOTS dalam Penanggulangan TB paru di puskesmas wilayah Kabupaten Bengkayang secara umum dilaksanakan dengan baik sesuai dengan Pedoman Nasional Penanggulangan Tuberkulosis.

Kata Kunci: Program Penanggulangan TB, Strategi DOTS.

¹ Akper Bethesda Serukam, Kalimantan Barat,
² Program studi Ilmu Keperawatan, FK UGM Yogyakarta.