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Implementasi Program Eliminasi Tuberkulosis Dalam Mewujudkan Pilar Ketiga SDGS Di Kecamatan Cibeber Kabupaten Lebak Ifdal Dikri, Muhammad Januar; Stiawati, Titi; Maisaroh, Ima
Jurnal PubBis Vol 9 No 2 (2025)
Publisher : stiatabalong.ac.id

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35722/jurnalpubbis.v9i2.1262

Abstract

The tuberculosis (TB) cases in Cibeber District are the highest compared to all other districts in Lebak Regency. This elevated number is caused by several factors, including low levels of community education, strong social stigma, and unfavorable social and economic conditions in the area. This study aims to examine the implementation of the TB Elimination Program in support of the Third Pillar of SDGs (Good Health and Well-being) in Cibeber District. The approach used is qualitative with a case study design, analyzing various factors such as policy targets, resources, implementation characteristics, attitudes of implementers, inter-organizational communication, external conditions (social, economic, and political), and the DOTS strategy. Data were collected through observations and interviews with nine categories of informants, including key informants from the Prevention and Control of Communicable Diseases (P3M) Section of the Lebak District Health Office, the Disease Surveillance and Control Division of PKM Citorek, the Health Promotion Division of PKM Citorek, the TB Officer (PJ) of PKM Citorek, representatives from the Penabulu Foundation - STPI (Stop Tuberculosis Partnership Indonesia) Lebak Banten, and health academics. Secondary informants included TB cadres from Cibeber District, community leaders, and TB patients from Cibeber District, along with literature studies and documentation. The data were analyzed using data reduction, presentation, and conclusion drawing techniques. The results indicate that the program is not yet running optimally due to low community awareness, social stigma, limited human resources and facilities, and uneven medication distribution. Although inter-organizational coordination and communication are good, community participation remains low, and unstable socio-economic conditions hinder the achievement of targets. Additionally, the DOTS strategy has not been fully effective due to limitations in diagnostic tools such as the GeneXpert (CBNAAT) and the need to improve the performance of medication supervisors (PMO). These findings highlight the importance of increasing community education, reducing social stigma, and optimizing resources and support systems to ensure the success of the TB elimination program in Cibeber District
Implementasi Eliminasi TBC dalam Mewujudkan Lingkungan Sehat di Kecamatan Cibeber Kabupaten Lebak Stiawati, Titi; Maisaroh, Ima; Ifdal Dikri, Muhammad Januar
PUBLIKA : Jurnal Ilmu Administrasi Publik Vol. 11 No. 2 (2025): Publika : Jurnal Ilmu Administrasi Publik
Publisher : UIR Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25299/jiap.2025.22704

Abstract

This study discusses the implementation of the Tuberculosis (TB) Elimination policy in creating a healthy environment in Cibeber District, Lebak Regency, which has the highest number of TB cases compared to other districts. The high incidence rate is driven by low public education, strong social stigma, and concerning socio-economic conditions. The research used a qualitative method with a case study approach. Data analysis was conducted using the Miles and Huberman model through the stages of data reduction, data display, and conclusion drawing. Data was collected through in-depth interviews with health workers, village officials, and community members, direct observation, and documentation studies of activity reports and epidemiological data. Specifically, this research was analyzed using Donald Van Meter and Carl Van Horn's Public Policy Implementation Theory, focusing on six variables: (1) Policy Standards and Objectives, (2) Resources, (3) Characteristics of Implementing Agencies, (4) Dispositions of Implementors, (5) Inter-Organizational Communication, and (6) External Environment (economic, social, political). The results show that the implementation of the TB elimination program has not been optimal. Based on the theoretical framework, the findings reveal main obstacles in the Resources variable (limitations in human resources, facilities and infrastructure, and uneven drug distribution), the Dispositions of Implementors variable (less than optimal), and the External Environment variable in the form of socio-economic conditions and low public awareness. Although Inter-Organizational Communication ran quite well, unstable social and economic factors remained the main obstacles to creating a healthy and TB-free environment in Cibeber District.