Keywords
Puskesmas
Tuberculosis
How to Cite
Abstract
Tuberculosis is an infectious disease caused by the bacterium Mycobacterium tuberculosis that remains a global problem. In response to the burden of TB, the Indonesian government has established the TB Elimination Target for 2030. Primary health centers play a crucial role in implementing TB elimination strategies in Indonesia through effective and sustainable essential health services. This qualitative study, using a rapid assessment test design, aims to explore the tuberculosis control program in the Community Health Center (Puskesmas) Tanah Baru area more deeply. Data were collected through observation techniques and in-depth interviews with selected informants. This study involved seven informants selected through purposive sampling based on their roles and relevance to the TB program, including the Head of the P2P Program at the City Health Office, the Head of the TB Program at the City Health Office, the Head of the Puskesmas, the Puskesmas TB Program Holder, a Puskesmas nurse, the Head of Kapitu, and positive TB patients. Data analysis was conducted using the concept of triangulation of sources and methods. The results showed that the input and process components in the Puskesmas Tanah Baru TB control program were optimal. The implementation of promotive programs in the form of counseling, preventive programs such as screening, contact investigation, and provision of TPT, as well as curative programs, has been carried out according to national standards. Regarding the output component, the coverage of health services for people suspected of TB and the successful treatment of TB cases have reached the target. However, the overall coverage of TB case treatment has not yet met the predetermined target. The results of the TB control program at Puskesmas Tanah Baru largely meet the established indicators, although community stigma remains a significant obstacle to TB control efforts. Promotive and educational programs in the Puskesmas Tanah Baru area should be strengthened to reduce stigma within the community.
References
Amare, D., Getahun, F. A., Mengesha, E. W., Dessie, G., Shiferaw, M. B., Dires, T. A., & Alene, K. A. (2023). Effectiveness of healthcare workers and volunteers training on improving tuberculosis case detection: A systematic review and meta-analysis. PLOS ONE, 18(3), e0271825. https://doi.org/10.1371/journal.pone.0271825
Bagcchi, S. (2023). WHO’s Global Tuberculosis Report 2022. The Lancet Microbe, 4(1), e20. https://doi.org/10.1016/S2666-5247(22)00359-7
Beebe, J. (2001). Rapid assessment process: An introduction. Rowman Altamira. https://rowman.com/ISBN/9780759100121/Rapid-Assessment-Process-An-Introduction
Burke, R. M., Nliwasa, M., Feasey, H. R. A., Chaisson, L. H., Golub, J. E., Naufal, F., Shapiro, A. E., Ruperez, M., Telisinghe, L., Ayles, H., Corbett, E. L., & MacPherson, P. (2021). Community-based active case-finding interventions for tuberculosis: a systematic review. The Lancet Public Health, 6(5), e283–e299. https://doi.org/10.1016/S2468-2667(21)00033-5
Chakaya, J., Khan, M., Ntoumi, F., Aklillu, E., Fatima, R., Mwaba, P., Kapata, N., Mfinanga, S., Hasnain, S. E., Katoto, P. D. M. C., Bulabula, A. N. H., Sam-Agudu, N. A., Nachega, J. B., Tiberi, S., McHugh, T. D., Abubakar, I., & Zumla, A. (2021). Global Tuberculosis Report 2020 – Reflections on the Global TB burden, treatment and prevention efforts. International Journal of Infectious Diseases, 113, S7–S12. https://doi.org/10.1016/j.ijid.2021.02.107
Chandra, K., & Syakurah, R. A. (2022). Layanan Tcm Tbc Untuk Penemuan Kasus Baru Di Puskesmas Girimaya Kota Pangkal Pinang. J-Dinamika : Jurnal Pengabdian Masyarakat, 7(3), 480–488. https://doi.org/10.25047/j-dinamika.v7i3.3409
Chen, X., Du, L., Wu, R., Xu, J., Ji, H., Zhang, Y., Zhu, X., & Zhou, L. (2021). Tuberculosis-related stigma and its determinants in Dalian, Northeast China: a cross-sectional study. BMC Public Health, 21(6), 1–10. https://doi.org/10.1186/s12889-020-10055-2
Deng, J., Huang, S., Wang, L., Deng, W., & Yang, T. (2022). Conceptual Framework for Smart Health: A Multi-Dimensional Model Using IPO Logic to Link Drivers and Outcomes. International Journal of Environmental Research and Public Health, 19(24), 16742. https://doi.org/10.3390/ijerph192416742
Deswinda, Rasyid, R., & Firdawati. (2019). Evaluasi Penanggulangan Tuberkulosis Paru di Puskesmas dalam Penemuan Penderita Tuberkulosis Paru di Kabupaten Sijunjung. Jurnal Kesehatan Andalas, 8(2), 211–219. https://jurnal.fk.unand.ac.id/index.php/jka/article/view/994
Dinkes Depok. (2023). Profil Kesehatan Kota Depok Tahun 2022. Dinas Kesehatan Kota Depok.
Dinkes Depok. (2024). Profil Kesehatan Kota Depok 2023. Dinas Kesehatan Kota Depok.
Diskominfo. (2024). Tingkat Kematian karena Tuberkulosis. Open Data Kota Depok. https://satudata.depok.go.id/opendatadepok2022/User/preview_dataset/8a968ad9-3254-4e44-8254-f1433dc2ca73
Faradis, N. A., & Indarjo, S. (2018). Implementasi Kebijakan Permenkes Nomor 67 Tahun 2016 Tentang Penanggulangan Tuberkulosistuberkulosis. Higeia (Journal Of Public Health Research And Development), 2(2), 307–319. https://journal.unnes.ac.id/sju/higeia/article/view/21291
Harries, A. D., Kumar, A. M. V., Satyanarayana, S., Thekkur, P., Lin, Y., Dlodlo, R. A., Khogali, M., & Zachariah, R. (2020). The Growing Importance of Tuberculosis Preventive Therapy and How Research and Innovation Can Enhance Its Implementation on the Ground. Tropical Medicine and Infectious Disease, 5(2), 61. https://doi.org/10.3390/tropicalmed5020061
Holdsworth, L. M., Safaeinili, N., Winget, M., Lorenz, K. A., Lough, M., Asch, S., & Malcolm, E. (2020). Adapting rapid assessment procedures for implementation research using a team-based approach to analysis: a case example of patient quality and safety interventions in the ICU. Implementation Science, 15(1), 12. https://doi.org/10.1186/s13012-020-0972-5
Iskandar, D., Suwantika, A. A., Pradipta, I. S., Postma, M. J., & van Boven, J. F. M. (2023). Clinical and economic burden of drug-susceptible tuberculosis in Indonesia: national trends 2017–19. The Lancet Global Health, 11(1), e117–e125. https://doi.org/10.1016/S2214-109X(22)00455-7
Juliasih, N. N., Soedarsono, & Sari, R. M. (2020). Analysis of Tuberculosis Program Management in Primary Health Care. Infectious Disease Reports, 12(11), 8728. https://doi.org/10.4081/idr.2020.8728
Kemenkes RI. (2020). Strategi Nasional Penanggulangan Tuberkulosis di Indonesia 2020-2024. TOSS TBC. https://www.tbindonesia.or.id/wp-content/uploads/2021/06/NSP-TB-2020-2024-Ind_Final_-BAHASA.pdf
Kemenkes RI. (2023). Program Penanggulangan Tuberkulosis Tahun 2022. Kementerian Kesehatan RI. https://tbindonesia.or.id/wp-content/uploads/2021/06/NSP-TB-2020-2024-Ind_Final_-BAHASA.pdf
Maulidya, Y. N., Redjeki, E. S., & Fanani, E. (2017). Faktor yang Mempengaruhi Keberhasilan Pengobatan Tuberkulosis (TB) Paru pada Pasien Pasca Pengobatan di Puskesmas Dinoyo Kota Malang. Preventia : The Indonesian Journal of Public Health, 2(1), 44. https://doi.org/10.17977/um044v2i1p44-57
Nababan, H., Hidayat, W., Sitorus, M. E. J., & Brahmana, N. (2022). Strategi DOTS dalam Program Penanggulangan Tuberkulosis di Puskesmas Matiti Kecamatan Doloksanggul Kabupaten Humbang Hasundutan. PREPOTIF Jurnal Kesehatan Masyarakat, 6(3), 1902–1918. https://journal.universitaspahlawan.ac.id/index.php/prepotif/article/view/6990
Noviyani, A., Nopsopon, T., & Pongpirul, K. (2021). Variation of tuberculosis prevalence across diagnostic approaches and geographical areas of Indonesia. PLOS ONE, 16(10), e0258809. https://doi.org/10.1371/journal.pone.0258809
Sany Muftiah, W., Syari, W., Dwimawati, E.. (2021). Gambaran Pelaksanaan Program TB Paru di Puskesmas Gang Kelor Kota Bogor Tahun 2019-2020. In PROMOTOR Jurnal Mahasiswa Kesehatan Masyarakat. 4 (4). https://ejournal.uika-bogor.ac.id/index.php/PROMOTOR/article/view/5606
The Lancet Regional Health – Southeast Asia. (2024). Tuberculosis – eliminating the latent killer. The Lancet Regional Health - Southeast Asia, 22, 100385. https://doi.org/10.1016/j.lansea.2024.100385
WHO. (2004). Compendium of Indicators for Monitoring and Evaluating National Tuberculosis Programs Compendium of Indicators for Monitoring and Evaluating National Tuberculosis Programs. https://iris.who.int/bitstream/handle/10665/68768/WHO_HTM_TB_2004.344.pdf
WHO. (2021). WHO consolidated guidelines on tuberculosis: systematic screening for tuberculosis disease (4th ed.). World Health Organization. https://www.ncbi.nlm.nih.gov/books/NBK569331/
WHO. (2022). Fact Sheets Tuberculosis. https://www.who.int/indonesia/news/campaign/tb-day-2022/fact-sheets
WHO. (2023). TB Incidence. https://www.who.int/teams/global-tuberculosis-programme/tb-reports/global-tuberculosis-report-2023/tb-disease-burden/1-1-tb-incidence
Wilis, N. R. C., Warsono, H., & Adi, M. S. (2021). Analysis of Implementation of Tuberculosis Control and Prevention Program in Purwoyoso Primary Healthcare Center, Semarang City. VISIKES: Jurnal Kesehatan Masyarakat, 20(1). https://doi.org/10.33633/visikes.v20i1.4233
Zulu, D. W., Silumbwe, A., Maritim, P., & Zulu, J. M. (2022). Integration of systematic screening for tuberculosis in outpatient departments of urban primary healthcare facilities in Zambia: a case study of Kitwe district. BMC Health Services Research, 22(1), 732. https://doi.org/10.1186/s12913-022-08043-w
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Copyright (c) 2025 Asti Elysia Rahmatul Fitri, Verina Lutfiah Rahmayanti, Arkanaya Alya Azis, Fajaria Nurcandra, Apriningsih Apriningsih