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    Implementasi Program Penanggulangan TB Paru di Puskesmas Pijorkoling Kota Padangsidimpuan tahun 2015

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    Date
    2015-11-07
    Author
    Nasution, Wilda Zulihartika
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    Abstract
    Tuberkulosis merupakan penyakit menular yang masih menjadi masalah kesehatan masyarakat dan salah satu penyebab kematian sehingga perlu dilaksanakan program penanggulangan tuberkulosis secara berkesinambungan. Di Puskesmas Pijorkoling pada tahun 2013, cakupan penemuan kasus TB paru sebesar 11,23% atau dari 187 suspek TB paru yang ditemukan dan yang ditangani 21 orang. Data tersebut menunjukkan masih adanya kendala dalam pelaksanaan program penanggulangan TB paru. Tujuan penelitian ini adalah untuk mengetahui secara jelas dan lebih mendalam tentang implementasi program penanggulangan TB paru di Puskesmas Pijorkoling. Jenis penelitian adalah penelitian kualitatif dengan metode wawancara mendalam terhadap 7 informan yang terdiri dari Dinas Kesehatan Kota Padangsidimpuan, Kepala Puskesmas Pijorkoling, Petugas TB Paru Puskesmas Pijorkoling, Petugas Analis Puskesmas Padangmatinggi, Penderita TB Paru, Penderita TB Paru sembuh dan Pengawas Menelan Obat. Analisa data dengan metode Miles dan Huberman. Hasil penelitian menunjukkan bahwa implementasi program penanggulangan TB paru belum berjalan dengan maksimal. Hal ini ditandai dengan kurangnya komitmen politis, tidak adanya kerjasama lintas sektor, minimnya dukungan dana, petugas belum mendapatkan pelatihan, penemuan kasus kebanyakan hanya menunggu, kegiatan penjaringan dan penyuluhan hanya dilakukan bersamaan dengan pelaksanaan puskesmas keliling, dan masyarakat tidak kooperatif. Berdasarkan hasil penelitian, diharapkan kepada Pemda Kota Padangsidimpuan agar meningkatkan komitmen, kepada Dinas Kota Padangsidimpuan meningkatkan pengawasan, pemantauan dan kualitas tenaga kesehatan. Kepada puskesmas agar meningkatkan kerjasama lintas sektor, lintas program, penyuluhan dan sosialisasi TB paru, manajemen, kepada petugas TB paru agar lebih aktif melakukan kegiatan penemuan kasus TB paru, memanfaatkan sarana dan prasarana
     
    Tuberculosis is a transmitted disease which still becomes the health problem for the people and one of the causes of mortality so that it is necessary to implement the handling program of tuberculosis continuously. In Pijorkoling Puskesmas, in 2013, the coverage of lung tuberculosis was 11.23%, or of 187 lung tuberculosis suspects, only 21 of them have been handled. These data indicate that there are some obstacles in handling lung tuberculosis. The objective of the research was to find out clearly and deeply the implementation of the handling program of lung tuberculosis at Pijorkoling Puskesmas. The research used qualitative method by conducting in-depth interviews with seven informants that consisted of the Head of Padangsidempuan Health Service, the Head of Pijorkoling Puskesmas, the analysts of Padangmatinggi Puskesmas, lung tuberculosis patients, recovered lung tuberculosis patients, and medicine taking supervisors. The data were analyzed by using Miles and Huberman methods. The result of the research showed that the implementation of the handling lung tuberculosis problem was not done maximally as indicated by the lack of political commitment, the absence of cross sectoral cooperation, the lack of financial support, the lack of training for the health personnel, the case was found only accidentally, the activity of netting and counseling was done at the same time by itinerant puskesmas, and people did not cooperative. It is recommended that Padangsidempuan City Administration increase their commitment and the Health Service increase supervision, control, and the quality of health care supervisors. It is also recommended that the management of Puskesmas increase cross sectoral cooperation cross program, counseling, and socialization on lung tuberculosis and management. The lung-tuberculosis personnel should activate the finding of lung tuberculosis case and use facility and infrastructure
     
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    http://repository.usu.ac.id/handle/123456789/51974
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