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All Journal Jurnal Ilmu Kesehatan Masyarakat (The Public Health Science Journal) Preventif : Jurnal Kesehatan Masyarakat
Putri, Adisty Maharani
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Health Professions Medicine & Pharmacology Public Health

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Evaluasi Program Pendampingan Pasien Tuberkulosis Resisten Obat Dalam Mencapai Keberhasilan Pengobatan di Komunitas Masyarakat Sehat Sriwijaya Kota Palembang Putri, Adisty Maharani; Munawarah, Siti Halimatul; Budi, Iwan Stia; Palingga, Indah Fasha
Jurnal Ilmu Kesehatan Masyarakat Vol. 14 No. 05 (2025): Jurnal Ilmu Kesehatan Masyarakat
Publisher : UIMA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33221/jikm.v14i05.3911

Abstract

Tuberkulosis Resisten Obat (TB RO) menjadi tantangan besar dalam pengendalian TB di Indonesia. Kota Palembang mencatat kasus TB RO tertinggi di Sumatera Selatan pada 2023 dengan 96 kasus dan tingkat keberhasilan pengobatan hanya 58,97%. Berdasarkan Perpres No. 67 Tahun 2021, komunitas memiliki peran penting dalam penanggulangan TB. Penelitian ini mengevaluasi program pendampingan pasien TB RO oleh Komunitas Masyarakat Sehat Sriwijaya melalui variabel efektifitas dan efisiensi menggunakan model William Dunn dengan metode kualitatif deskriptif. Data dikumpulkan melalui wawancara, observasi, dan studi dokumen dengan informan dari dinas kesehatan, pengelola program, pendamping pasien, dan pasien TB RO. Hasil penelitian menunjukkan efektivitas program untuk cakupan investigasi kontak dan pendampingan telah mencapai 100%. Namun, hasil telaah dokumen menunjukkan bahwa tidak terdapat lampiran data yang dapat memastikan bahwa seluruh pasien telah diinvestigasi. Dari segi efisiensi, pemanfaatan SDM, dana, dan sarana sudah berjalan baik, meskipun jarak tempuh menjadi kendala. Layanan menjangkau daerah terpencil, namun hambatan geografis masih ada. Akses layanan sudah cukup merata, tetapi pasien monoresisten masih menghadapi kesenjangan. Responsivitas program dinilai baik, namun koordinasi dengan dinas kesehatan perlu ditingkatkan. Penelitian ini merekomendasikan peningkatan koordinasi lintas sektor, perluasan akses layanan di wilayah terpencil, serta edukasi berbasis komunitas yang melibatkan penyintas untuk mengurangi stigma TB.
Analysis of the Drug-Resistant Tuberculosis Patients Support Program in Palembang City hy Community Community, Palembang City Based on The William Dunn Model putri, adisty maharani
Preventif : Jurnal Kesehatan Masyarakat Vol. 16 No. 3 (2025): Preventif : Jurnal Kesehatan Masyarakat
Publisher : Tadulako University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/tshqp413

Abstract

Drug-resistant tuberculosis (DR-TB) is a major challenge in TB control in Indonesia. Palembang City recorded the highest cases of DR-TB in South Sumatra in 2023 with 96 cases and a treatment success rate of only 58.97%. Based on Presidential Regulation No. 67 of 2021, the community has an important role in TB control. The purpose of this research is to evaluate the responsiveness, accuracy, equity, and adequacy of the drug-resistant tuberculosis patient accompaniment program in achieving successful treatment in the Healthy Society Community of Sriwijaya City Palembang using the policy evaluation criteria of William Dunn (2003). This research method uses a qualitative research type with a descriptive design. Data collection through interviews, observations, and literature studies. The research results show that service adequacy has reached remote areas, but geographical barriers still exist. Access has been leveled out, but there are still gaps for mono-resistant patients. Program responsiveness is quite good, but coordination with the health department needs to be improved. In terms of accuracy, the ability to implement the program has been aligned with national policies. The conclusion of this study is that the TB patient mentoring program has been quite effective, but there are still obstacles to access and cross-sector collaboration.
Co-Authors Iwan Stia Budi Palingga, Indah Fasha Siti Halimatul Munawarah