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ANALYSIS OF THE SUCCESS OF TUBERCULOSIS TREATMENT THROUGH THE DOTS (DIRECTLY OBSERVED TREATMENT SHORTCOURSE) APPROACH AT THESANGURARA PUBLIC HEALTH CENTER IN PALU CITY Muhammad Rizki Ashari; Vidyanto Vidyanto; Novi Inriyanny Suwendro; Miftahul Haerati Sulaiman; Nur Mila Sari; Thifami Andeline Kaiya
Journal of Public Health Science Vol. 3 No. 2 (2026): Juni
Publisher : Yayasan Nuraini Ibrahim Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70248/jophs.v3i2.4038

Abstract

ABSTRACT Tuberculosis disease is still a serious global public health problem characterized by high incidence, morbidity, and mortality that requires special attention and ongoing intervention from various parties.  Therefore, the implementation of  the Directly Observed Treatment Shortcourse (DOTS) strategy is one of the efforts to control TB that has proven to be effective globally in overcoming the problem of tuberculosis disease. The Sangurara Health Center Working Area has a high incidence of TB cases and there are still challenges in achieving optimal treatment success. Of the 13 existing health centers, Sangurara Health Center is the health center with the highest number of TB cases in Palu City.  This condition shows the importance of identifying specific factors that can affect the success of the TB program in this Working Area.  This study aims to analyze the relationship between treatment regularity, knowledge of tuberculosis and DOTS, and the role of PMO with treatment success. This type of research is quantitative with an analytical survey design and a cross-sectional approach. The population in this study is all TB patients who have successfully treated or failed in 2023 in the Sangurara Health Center Working Area of 53 people, with questionnaires as a data collection instrument. The results showed that the variables of regularity of treatment (p = 0.000), knowledge of TB and DOTS (p = 0.000), and the role of PMO (p = 0.000) had a significant relationship with the success of treatment of TB patients. The conclusion of this study is that the Directly Observed Treatment Shortcourse Strategy  has a significant relationship with the Success of Treatment of Tuberculosis Patients in the Working Area of the Sangurara Health Center, Palu City.
Rehabilitation and Reconstruction Plan (2022-2024): The Implementing of Central Sulawesi Governor’s Regulation in Sigi Regency Vidyanto Vidyanto; Muhammad Rizki Ashari; Christin Florensia Melang; Muhammad Ryman Napirah; Muhammad Nasir; Arwan Arwan
An Idea Health Journal Online First
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/ihj.v6i04.777

Abstract

Background: Central Sulawesi is one of the most disaster-prone regions in Indonesia. In Sigi Regency, Beka Village experienced repeated floods between 2018 and 2021, while post-disaster rehabilitation and reconstruction following the 2018 disaster reached only 70.77 percent, leading to the issuance of Central Sulawesi Governor Regulation No. 4 of 2022. This study aimed to analyze the implementation of rehabilitation and reconstruction policies in Beka Village. Methods: A qualitative case study approach was used involving informants from the Sigi Regional Disaster Management Agency (BPBD), the Ministry of Public Works and Housing, and the Beka Village Government. Data were collected through in-depth interviews, observations, and document reviews, and analyzed using content analysis with triangulation techniques. Result: The findings show that policy communication and clarity were generally adequate, although consistency among implementing agencies remained limited. Human resources, budgets, and facilities were sufficient, while leadership commitment and employee incentives supported implementation. However, weaknesses were identified in the bureaucratic structure, particularly the absence of sanctions for SOP violations and the lack of specific SOPs for rehabilitation and reconstruction activities. Conclusion: The implementation of Central Sulawesi Governor Regulation No. 4 of 2022 has not been fully effective, especially regarding communication and SOP availability. Improved coordination among implementing agencies is needed to accelerate rehabilitation and reconstruction efforts.