scholarly journals Implementation of Management of Pulmonary Tuberculosis with the Directly Observed Treatment Short course Strategy

2022 ◽  
Vol 2 (4) ◽  
pp. 130-142
Author(s):  
Nursalim Nursalim ◽  
Mappeaty Nyorong ◽  
Asriwati Amirah
Keyword(s):  
Health Center ◽  
Health Workers ◽  
Health Sector ◽  
Case Finding ◽  
District Health Office ◽  
District Health ◽  
Pulmonary Tb ◽  
Remote Areas ◽  
Short Course ◽  
Directly Observed Treatment

The purpose of this study was to describe the implementation of pulmonary TB disease management with the DOTS strategy at the Jagong Health Center, Central Aceh Regency.The implementation of Pulmonary TB Management with the DOTS (Directly Observed Treatment Shortcourse) strategy in the working area of the Jagong Health Center, Central Aceh Regency has been maximized. by facilitating and providing motivation so that patients want treatment in a complete and integrated manner, case detection can be carried out by health workers or cadres who have been given training to recognize the symptoms of pulmonary TB. The distribution of drugs is distributed to each puskesmas in Central Aceh Regency, from the Puskesmas the drugs are arranged directly by P2TB officers then given directly to the PMO or the patient himself. PMO performance has never been given special training about treatment, PMO only received direction from P2TB Pulmonary officers. Recording and reporting carried out at the Jagong Health Center includes case finding, treatment, and recovery. Suspected pulmonary TB will be recorded and then monitored until the results of the examination have been obtained. Recording and reporting will be reported every month in a meeting at the Central Aceh District Health Office. For the Central Aceh Regency government to further enhance the development and improvement of infrastructure in the health sector so that health services are more easily accessible to people in remote areas.

scholarly journals CONTACT INVESTIGATION OF TUBERCULOSIS CASE FINDINGS ON CHILDREN WITH INDEX CASES

2019 ◽  
Vol 2 ◽  
Author(s):  
Erni Rita ◽  
Tria Astika Endah Permatasari ◽  
Ika Kurniaty ◽  
Giri Widagdo
Keyword(s):  
Health Center ◽  
Health Workers ◽  
Close Contact ◽  
Case Finding ◽  
Household Contact ◽  
Tuberculosis Case ◽  
Pulmonary Tb ◽  
National Indicator ◽  
Contact Investigation ◽  
Index Cases

Background: The contact investigation of Tuberculosis (TB) case finding constitutes a newgovernment’s policy of year 2016 in Indonesia. The Objective of research is to get description ofContact Investigation in TB case findings on children at Public Health Center in Central Jakarta,Indonesia.Methods: The cohort research design was conducted on pulmonary TB patients of 34 children (ages <14 years) who have household contact as well as close contact with pulmonary TB positive patients atPublic Health Center in Central Jakarta during May-August 2018.Results: from 34 respondents, as many as 73.5% (24 children) lived one household with adultpulmonary TB patients. Children with TB positive was diagnosed from Clinical Symptom are 5,9%that is higher than national Indicator (3-5%).Conclusion: A government’s policy is needed to implement the contact Investigation of TuberculosisCase Findings on Children with Index Cases and used as a model for health workers

scholarly journals Analisis Pelaksanaan Program Kemitraan Bidan dan Dukun Ditinjau Dari Aspek Input, Proses dan Output di Wilayah Dinas Kesehatan Kabupaten Fakfak Provinsi Papua Barat

2016 ◽  
Vol 4 (3) ◽  
pp. 163-168
Author(s):  
Elzina De Fretes ◽  
Hardi Warsono ◽  
Ayun Sriatmi
Keyword(s):  
Health Center ◽  
Health Workers ◽  
Program Planning ◽  
Community Leaders ◽  
Religious Leaders ◽  
District Health Office ◽  
District Health ◽  
Birth Attendants ◽  
Health Report ◽  
Papua Barat

Number of midwives in Fakfak District in 2012 was 108 persons. Number of Traditional Birth Attendants (TBAs) was 191 persons consisted of 79 (41%) trained TBAs and 112 (59%) untrained TBAs. The TBAs had an important role in delivery process because number of them was higher than number of midwives. Therefore, coverage of delivery process helped by health workers had not achieved the target. This research aimed to analyze the implementation of the partnership program between midwives and TBAs viewed from the aspects of input, process, and output at Fakfak District Health Office. This was qualitative research with descriptive-explorative approach by conducting indepth interview. Subjects were midwives and TBAs who had been partnering. Data were analysed using a content analysis. The input aspect showed that: 1) Implementers, midwives and TBAs only knew partnership in helping delivery; 2) Specific allocation funds for the program was not available. The funds was from Operational Support for Health but it was still not sufficient; 3) Specific means for the program was not available. The current means is from health center and village polyclinic but it is still limited. Furthermore, the process aspect revealed that: 1) Program planning, midwives and TBAs collected data of pregnant women, maternal, postpartum women, and number of TBAs; 2) The implementation was not good because midwives were not available when needed by TBAs and there was difficult to access. Socialization for cross-program (community leaders and religious leaders) and internship for TBAs had not been done yet due to insufficient fund; 3) Recording and reporting especially about partnership activities had not been done yet and only used a form on a Maternal and Child Health report. Regarding the output aspect, as many as 195 (89%) from 219 TBAs had not been partnered. Coverage of K1, K4, and delivery process helped by health workers from 2011 to 2012 decreased gradually. As a suggestion, District Health Office and Health Center need to maintain partnership by recruiting midwives, providing means, allocating fund, socializing to community leaders, and funding TBAs’ daughter or grandchild to study midwifery.

IMPLEMENTASI KEBIJAKAN PENANGGULANGAN TUBERKULOSIS DENGAN STRATEGI DIRECTLY OBSERVED TREATMENT SHORT-COURSE (DOTS) DI PUSKESMAS KECAMATAN BANGSAL KABUPATEN MOJOKERTO

Publika ◽  
2021 ◽  
pp. 201-214
Author(s):  
Febry Mega Kumalasari ◽  
Indah Prabawati
Keyword(s):  
Health Workers ◽  
Public Awareness ◽  
Monitoring And Evaluation ◽  
Government Support ◽  
Political Commitment ◽  
Literature Study ◽  
District Health ◽  
Short Course ◽  
Analysis Technique ◽  
Directly Observed Treatment

Data Dinas kesehatan Kabupaten Mojokerto, jumlah penderita TBC positif sepanjang tahun 2018 mencapai 1.436 orang, dari jumlah itu 177 penderita dinyatakan sembuh dan 4 orang meninggal dunia. Puskesmas Bangsal melaksanakan kebijakan Directly Observed Treatment Short-course (DOTS) untuk penanggulangan penyakit TB berdasarkan Peraturan Menteri Kesehatan No. 67 Tahun 2016 tentang penanggulangan tuberkulosis. Penelitian ini bertujuan untuk menganalisis implementasi kebijakan penanggulangan tuberkulosis dengan strategi DOTS di Puskesmas Bangsal. Metode penelitian yang digunakan adalah kualitatif deskriptif menggunakan studi kepustakaan dan wawancara menggunakan teknik analisis Miles dan Huberman. Hasil penelitian pada implementasi kebijakan DOTS pada puskesmas Bangsal dalam lima ketepatan yaitu. Ketepatan Kebijakan sudah tepat, namun dalam pemecahan masalah masih kurang optimal pada kesadaran masyarakat dalam penghentian pengobatan sepihak jika sudah merasa sembuh oleh masyarakat dan ketakutan masyarakat terhadap ancaman virus COVID-19. Ketepatan pelaksanaan, pencapaian target strategi DOTS yang belum mencapai target karena dukungan pemerintah pada pendanaan untuk sosialisasi, penyuluhan dan promosi kesehatan terbatas. Ketepatan target belum optimal karena pada tahun 2020 Puskesmas Bangsal mendapatkan 43 kasus dan 250 orang yang diperiksa atausekitar 53% dari target yang telah ditetapkan. Ketepatan Lingkungan, komunikasi dengan Dinas Kesehatan belum optimal dalam monitoring dan evaluasi, pelaporan STIB. Ketepatan Proses, Puskesmas Bangsal mulai dari penemuan kasus, pengobatan hingga ke pelaporan sudah sesuai dengan SOP pelaksanaan kebijakan DOTS. Permasalahan yang terjadi adalah tenaga kesehatan kesulitan dalam melakukan pelaporan online (STIB). Saran yang dapat diberikan yaitu melakukan sosialisasi secara intensif. Dukungan pemerintah dalam menambah pendanaan untuk sosialisasi, penyuluhan dan promosi kesehatan. Meningkatkan koordinasi lintas sektoral dan memberikan pelatihan tentang tata cara pengisian SITB. Kata Kunci: Implementasi, Tuberculosis, Directly Observed Treatment Short-course (DOTS).   Mojokerto District Health Office data, the number of positive TBC patients throughout 2018 reached 1,436 people, of which 177 patients were declared cured and 4 people died. Puskesmas Bangsal implements a Policy of Directly Observed Treatment Short-course (DOTS) for TB disease management based on Regulation of the Minister of Health No. 67 of 2016 on tuberculosis prevention. This study aims to analyze the implementation of tuberculosis control policies with the DOTS strategy at Puskesmas Bangsal, Mojokerto Regency. The research method used  descriptive qualitative using literature study and interview with the analysis technique of Miles and Huberman. The results of research on the implementation of the DOTS policy at the Bangsal puskesmas were in five accuracy.The accuracy of the policy is right, but in managing the problemis not optimal in public awareness of treatment and the community's fear of the COVID-19. Accuracy of implementation, the DOTS target strategy has not yet reached the target due to the limited political commitment to budget funds for cadres, outreach, health education and promotion. The accuracy of the target is not optimal in 2020 the Puskesmas Bangsal received 43 cases and250 people were checked or about 53% of the target. Environmental accuracy, communication with the Dinas Kesehatan is not optimal in monitoring and evaluation, STIB reporting. Accuracy of Process, Puskesmas Bangsal starting from case finding, treatment to reporting are in accordance with the DOTS Policy. The problem is health workers have difficulty in conducting online reporting (STIB). The advice that can be given is to conduct intensive socialization. Government support in increasing funding for socialization, counseling, and health promotion. Improve cross-sectoral coordination and provide training on procedures for filling SITB application. Keywords: Implementation, Tuberculosis, Directly Observed Treatment Short-course (DOTS).

CURRENT STATUS OF PHYSICAL ACTIVITY AND SOME FACTORS RELATED TO ENOUGH PHYSICAL ACTIVITY IN DIABETES AT LONG HO DISTRICT HEALTH CENTER, VINH LONG PROVINCE IN 2021

2021 ◽  
Vol 62 (6) ◽  
Author(s):  
Luu Thi Phuong Thao ◽  
Nguyen Thi Dao
Keyword(s):  
Physical Activity ◽  
Health Center ◽  
Local Governments ◽  
Health Workers ◽  
Current Status ◽  
Multivariable Logistic Regression Analysis ◽  
Diabetic Patients ◽  
Average Intensity ◽  
District Health ◽  
Cross Sectional

Objectives: To determine the rate of physical activity and some associated factors between adequate physical activity and understanding, barriers, and support from family and friends in diabetic patients at the Long Ho district Health Center in Vinh Long province in 2021. Subjects and research methods: A cross-sectional descriptive study with analysis. The toolkit is based on the GPAQ (Global Physical Activity Questionnaire) questionnaire and related research [9]. Results and discussions: Patients with incorrect knowledge about diabetes accounted for 53%, with sufficient physical activity 43.6%. The results of multivariable logistic regression analysis showed that there were relationship between sufficient physical activity and age (p<0.05), barriers including exercise taking a long time, remote locations, and a lack of facilities (p<0.05) and the patient was still confident in futures activities even when the weather was bad (OR = 0.486, p<0.05). The family and friends had not supported (OR= 0.317, p<0.05). Conclusions and recommendations: Patients need to sufficient physical activity as recommended with an average intensity of 150 minutes/week. It is necessary to update the knowledge of diabetes as well as the knowledge of sufficient physical activity from health workers, family and friends. Local governments should construct cultural houses and playgrounds to make it easier for patients to participate in activities.

scholarly journals Kompetensi Bidan Puskesmas dalam Meningkatkan Pelayanan Antenatal (Studi Kasus di Puskesmas Tambak Rejo, Surabaya)

2019 ◽  
Vol 7 (1) ◽  
pp. 1-8
Author(s):  
Andy Asmara
Keyword(s):  
Community Health ◽  
Health Center ◽  
Community Health Centers ◽  
Health Workers ◽  
Perinatal Care ◽  
Community Health Center ◽  
Community Empowerment ◽  
District Health ◽  
Soft Skill ◽  
Birth Attendance

The daily facts indicated that an individual is the key factor to achieve organization’s success. Every organization with its best performance is always related to its human resources’ balanced competency. The midwife has role, function, and competencies to provide maternal services for women. The midwife’s role is not only a doer, but also an organizer, an educator, and a researcher. Therefore, the midwife is expected to focus on prevention and health promotion aspect with basis of partnership, and community empowerment collaboration with other health workers in order to be readily prepare the health services for anyone who is in need.This was qualitative research method with case study approach. The informant was the midwives of Tambakrejo Community Health Center of Surabaya. According to the data of antenatal care attendance, trained birth attendance, and perinatal care, there were 859 pregnant women, 581 persons on phase of K1 (67.64%), and 551 persons on phase of K4 (64.14%). The birth attendances by trained birth attendants are 513 people (62.56%), while perinatal care recorded 570 people attending the health service (69.51%). The data indicated the performance by the midwives of Tambakrejo Community Health Center categorized in the lowest position among 63 community health centers in Surabaya. The result showed poor soft skill competency and poor hard skill competency on midwives. In conclusion, poor soft skill competency including personal competence and social competence should be trained and developed by obstetrics and gynecology specialist of Soewandhi Public Hospital of Surabaya. The study suggested Surabaya District Health Office needs to conduct training of technology information and computer in order to increase the service quality and to solved the problem related to hard skill competencies on technology and computer skill. 

scholarly journals Gender dan Penyakit Tuberkulosis: Implikasinya Terhadap Akses Layanan Kesehatan Masyarakat Miskin yang Rendah

2013 ◽  
Vol 7 (10) ◽  
pp. 447
Author(s):  
Dewi Rokhmah
Keyword(s):  
Secondary Data ◽  
Tuberculosis Patient ◽  
Case Finding ◽  
Diagnosis And Treatment ◽  
Treatment Result ◽  
Gender Perspective ◽  
Short Course ◽  
Directly Observed Treatment ◽  
And Control

Saat ini, fokus utama dari pelayanan kesehatan masih bertumpu pada aspek medis yang sangat kurang memperhatikan isu sosial termasuk gender yang merupakan penyebab utama kesenjangan bidang kesehatan di masyarakat kita. Tuberkulosis adalah penyakit yang menyebabkan kematian di seluruh dunia. Gender berperan sebagai salah satu determinan penyakit tuberkulosis meliputi penemuan kasus, diagnosis, dan proses pengobatan. Penelitian ini bertujuan menganalisis perspektif gender pencapaian Program Tuberkulosis Directly Observed Treatment Short-course (DOTS) meliputi penemuan, diagnosis pasien, dan hasil pengobatan di Rumah Sakit Paru Jember, tahun 2010. Penelitian ini menggunakan metode deskriptif analitik menggunakan data sekunder yang berasal dari Laporan Program Tuberkulosis DOTS Tahun 2010. Populasi adalah penduduk yang menderita tuberkulosis yang mendapat pelayanan dalam program DOTS. Sedangkan, sampel dari penelitian ini adalah pasien yang telah didiagnosis tuberkulosis oleh dokter, mendapatkan pelayanan di Poli Paru Rumah Sakit Paru Jember pada tahun 2010. Data yang terkumpul dianalisis secara diskriptif dengan perspektif gender. Hasil penelitian menunjukkan bahwa dalam proses penemuan pasien tuberkulosis, perempuan lebih tinggi dari laki-laki. Tetapi dalam proses diagnosis pasien tuberkulosis dan hasil pengobatan pasien tuberkulosis, laki-laki jauh lebih tinggi dari perempuan. Kondisi ini disebabkan karena stigma pada perempuan serta akses dan kontrol perempuan yang rendah terhadap pengelolaan sumber daya untuk kesehatan. Komitmen pemerintah dan masyarakat yang sensitif gender diperlukan dalam intervensi program tuberkulosis DOTS pada masa yang akan datang.Nowadays main focus of health care remains in medical aspect and lack on social issue include gender identities which are being main cause of the health gap in our society. Tuberculosis is a disease caused mortality in the worldwide. The role of gender as a determinant of health status, including all aspects of tuberculosis, from case finding, diagnosis, and treatment result of tuberculosis patient. The objective of this research was an analysis of gender perspective the reach of Tuberculosis Directly Observed Treatment Short-course (DOTS) program from case finding, diagnosis, and treatment result of tuberculosis patient in Lung Hospital of Jember in 2010. This research was descriptive analytic method used secondary data from the report of Tuberculosis DOTS program at 2010. The population of this research is people with Tuberculosis have accessed services from DOTS program. The sample of this research are man and woman patient, have been diagnosed as tuberculosis patient by doctor, getting services in Lung Poly in Lung Hospital of Jember in 2010. Collected data are analyzed descriptively with a gender perspective. The result of this research shows that in tuberculosis patient finding process, woman is higher than man, but in the diagnosis and treatment result of tuberculosis patient, man is higher than woman. This condition was caused by woman had stigma and low access and control in managing resources for health. Gender sensitivity commitment by government and society is needed to the intervention both in tuberculosis DOTS program applying in the future.

scholarly journals Influence of Health Belief Model and Motivation with Prevention of Pulmonary Tuberculosis Transmission in Public Health Center Gurah Kediri Regency

2021 ◽  
Vol 4 (2) ◽  
pp. 219-226
Author(s):  
Nanang Muhibuddin ◽  
Endah Susanti ◽  
Astri Yunita
Keyword(s):  
Pulmonary Tuberculosis ◽  
Health Center ◽  
Health Belief Model ◽  
Health Workers ◽  
Health Belief ◽  
Reciprocal Relationship ◽  
Pulmonary Tb ◽  
Tuberculosis Transmission ◽  
Belief Model ◽  
Belief Models

Tuberculosis is a health problem, both in terms of mortality or mortality, and the incidence rate of disease or morbidity. This infectious disease is mostly caused by the germ mycobacterium tuberculosis. The purpose of this study is to find out the influence of health belief models and motivation with the prevention of pulmonary tuberculosis transmission. The design used in the study is correlational analytics with a cross sectional method approach. While the sample in this study which is Some people with pulmonary tuberculosis (TB) in Gurah Health Center with BTA (+) as many as 22 respondents. The research instrument used is a questionnaire. Spearman Rhodengan test analysis of the level of significanceα=0.05, so as to be able to answer the purpose of the study. Based on Spearman Rho correlation statistical test, obtained p 0.001 result for health belief model and p 0.021, which means that the values p 0.001 and 0.021 < 0.05. From the results obtained that H1 received which means there is an influence of health belief model and motivation with the prevention of pulmonary tuberculosis transmission in Gurah Health Center Kediri Year 2020. It was concluded that the prevention of transmission of Pulmonary TB disease can be improved reciprocal relationship between health workers, families and sufferers with self-awareness of the adverse effects of Pulmonary TB disease.

Effectiveness of daily directly observed treatment, short-course regimen among patients registered for treatment at an urban primary health center in Bengaluru

2019 ◽  
Vol 5 (1) ◽  
pp. 56
Author(s):  
Ramanathan Thenambigai ◽  
HuluvadiShivalingaiah Anwith ◽  
SreeramaReddy Kaushik ◽  
M Madhusudan ◽  
DandiganahalliShivaram Priyanka ◽  
...  
Keyword(s):  
Health Center ◽  
Primary Health Center ◽  
Primary Health ◽  
Short Course ◽  
Directly Observed Treatment

scholarly journals Penyakit Skabies Berhubungan Dengan Personal Hygiene Masyarakat

2020 ◽  
Vol 17 (1) ◽  
pp. 1
Author(s):  
Elma Mentaya ◽  
Noraida Noraida ◽  
Abdul Khair
Keyword(s):  
Health Center ◽  
Case Control Study ◽  
Case Control ◽  
Personal Hygiene ◽  
P Value ◽  
Liquid Soap ◽  
District Health Office ◽  
District Health ◽  
Chi Square ◽  
Control Study

Based on the Hulu Sungai Tengah District Health Office report, scabies continues to exist and is a problem that must to resolved immediately. The working area of the Pagat Health Center, which is one of the sub-districts in Hulu Sungai Tengah, experienced the highest increase in scabies cases. The purpose of this study was to determine personal hygiene relations include bathing habits and habit of using soap together with scabies in the working area of the Pagat Health Center. This type of research uses a retrospective approach (case-control study), which compares the behaviour of the sick group with a lively group associated with the incidence of scabies. The sample of this research is 30 people. Data will be analyzed using the x2 test (Chi-square). The results of this study indicate there is a relationship between bathing habits with the incidence of scabies P-value = 0.026 <α = 0.05, there is a relationship between the use of soap with the prevalence of scabies P-value = 0.024 <α = 0.05. Suggestions such as providing health education with excellent and correct bathing methods, using liquid soap or antiseptic soap.

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