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Assessing the Effectiveness of the Tuberculosis Control Program at Kedaton Health Center, Bandar Lampung City Putri, Dian Utama Pratiwi; Hernida, Hernida; Andani, Mella Tri; Affrianti, Nabillah Dwi; Satria, Muhammad Ali; Liana, Safa
Health Dynamics Vol 2, No 3 (2025): March 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd20303

Abstract

Background: Tuberculosis (TB) is one of the infectious diseases that has become a global health challenge, including in Indonesia. This study aims to analyze the TB control program at the Kedaton Health Center, Bandar Lampung City, using the Input-Process-Output approach. Methods: The data used consisted of primary data, such as in-depth interviews and observations, as well as secondary data from the TB program achievement report for the last three years (2022–2024). Results: The results of the analysis show significant fluctuations in the achievement of the target, with case detection coverage decreasing from 91.76% in 2023 to 40.78% in 2024. The main inhibiting factors include limited human resources, low public awareness, lack of supporting facilities, and suboptimal program management structure. Health workers who concurrently work and the number of tracking cadres is minimal, reducing the effectiveness of case tracking. In addition, social stigma against TB is an obstacle in early detection and treatment. Conclusion: To overcome this obstacle, it is recommended to strengthen human resources, optimize facilities such as transportation and diagnostic tools, and improve public education through a community-based approach. The implementation of this strategy is expected to increase the effectiveness of the TB program at the Kedaton Health Center, support the achievement of national targets, and contribute to global efforts to reduce the burden of TB disease.
Hubungan pekerjaan dengan perilaku pencegahan penularan tuberkulosis Rukmana, Nova Mega; Aziza, Nurul; Liana, Safa
JOURNAL OF Qualitative Health Research & Case Studies Reports Vol 5 No 4 (2025): September Edition 2025
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/quilt.v5i4.1594

Abstract

Background: Factors that can determine a person's exposure to disease/health behavior. A theoretical framework known as the Health Belief Model (HBM) is a concept used to examine factors that influence individuals in taking health actions, including tuberculosis prevention measures by TB patients. Purpose: To explore the relationship between occupation and tuberculosis prevention behavior. Method: The research design used was a quantitative study with an analytical cross-sectional method. The subjects in this study were 78 pulmonary TB patients registered in medical records in the Kedaton Community Health Center (Puskesmas) working area during the period January–June 2025. The sample selection used a total sampling method because the available population size was less than 100 respondents. Analysis was conducted using a chi-square test. Results: Of the 6 respondents who work as civil servants/ASN, there are 4 respondents (66.7%) who have good TB transmission prevention behavior, while of the 22 respondents who do not have jobs, 15 respondents (68.2%) have poor TB transmission prevention behavior. Based on the results of statistical tests, a p-value of 0.000 or p-value <0.05 was obtained. Conclusion: There is a relationship between occupation and tuberculosis prevention behavior with a p-value <0.05. Suggestion: These findings can be used as consideration by the Kedaton Community Health Center for evaluation and to help assess the extent of occupational influence in this context.   Keywords: Occupation; TB Transmission Prevention Behavior   Pendahuluan: Faktor yang dapat menentukan seseorang terpapar penyakit/perilaku kesehatan seseorang. Sebuah kerangka teori yang dikenal sebagai Health Belief Model (HBM) merupakan konsep yang dipakai untuk menelaah faktor yang memengaruhi individu dalam melakukan tindakan kesehatan, termasuk langkah pencegahan penyakit tuberkulosis oleh pasien TB. Tujuan: Untuk mengeksplorasi hubungan pekerjaan terhadap perilaku pencegahan penularan tuberkulosis. Metode: Rancangan penelitian yang digunakan adalah studi kuantitatif dengan metode cross-sectional yang bersifat analitis. Subjek dalam penelitian ini adalah pasien TB Paru yang tercatat dalam rekam medis di wilayah kerja Puskesmas Kedaton pada periode Januari–Juni 2025 berjumlah 78 orang. Pemilihan sampel memakai metode total sampling karena jumlah populasi yang tersedia dibawah 100 responden. Analisis dilakukan melalui uji chi-square. Hasil: Sebanyak 6 responden yang mempunyai pekerjaan sebagai PNS/ASN, terdapat 4 responden (66.7%) yang mempunyai perilaku pencegahan penularan TB yang baik, sedangkan dari 22 responden yang tidak mempunyai pekerjaan, dan 15 responden (68.2%) yang mempunyai perilaku pencegahan penularan TB yang kurang. Berdasarkan hasil uji statistik, didapatkan p-value 0,000 atau p-value<0.05. Simpulan: Ada keterkaitan pekerjaan dengan perilaku pencegahan penularan tuberkulosis dengan nilai p-value<0.05. Saran: Temuan ini dapat dijadikan bahan pertimbangan oleh pihak Puskesmas Kedaton untuk evaluasi sekaligus membantu menilai sejauh mana pekerjaan berpengaruh dalam konteks tersebut.   Kata Kunci: Pekerjaan; Perilaku Pencegahan Penularan TB.