EVALUASI PROGRAM PENGENDALIAN TUBERKULOSIS MULTI DRUG RESISTANT (TB-MDR) DENGAN STRATEGI DOTS DI KABUPATEN BANYUMAS
Keywords:
evaluasi, OAT (obat antituberkulosis), program, TB-MDRAbstract
Resistensi kuman Mycobacterium tuberculosis terhadap Obat Anti Tuberkulosis (OAT) merupakan salah satu masalah yang umum ditemui pada pengobatan Tuberkulosis (TB). Resistensi merupakan keadaan dimana OAT tidak mampu untuk membunuh kuman M. tubercolusis. Salah satu jenis resistensi dalam pengobatan TB adalah Multi Drug Resistant (MDR). Penelitian ini bertujuan untuk mengevaluasi keberhasilan program penanganan TB-MDR di wilayah Kabupaten Banyumas meliputi tingkat pengetahuan petugas TB, kesesuaian tata laksana dengan pedoman nasional dan mendeskripsikan faktor yang mempengaruhi terlaksananya program TB-MDR. Penelitian ini menggunakan observasi deskriptif secara prospektif. Analisis kuantitatif menggunakan kuesioner untuk mengukur tingkat pengetahuan petugas TB dan daftar checklist untuk kesesuaian tatalaksana program TB-MDR dengan pedoman nasional. Analisis kualitatif menggunakan metode wawancara terstruktur kepada petugas TB atau kepala puskesmas untuk menggali faktor penghambat dan pendukung program pengendalian TB-MDR di puskesmas di Kabupaten Banyumas selama kurang lebih 3 bulan. Hasil penelitian menunjukkan bahwa tingkat pengetahuan petugas TB-MDR di puskesmas di Kabupaten Banyumas adalah 85,56% masuk dalam kategori tinggi (75%-100%). Tingkat kesesuaian tata laksana penanganan TB-MDR dengan pedoman nasional sebesar 86,94%. Faktor-faktor yang dapat mempengaruhi keberhasilan program TB-MDR adalah faktor ekonomi, faktor petugas kesehatan, faktor pasien, dan faktor sarana dan prasarana. The emergence of resistance to drugs used to treat TB, and particularly multi-drug-resistant TB (MDR TB), has become a significant public health problem and an obstacle to effective TB control. The resistance is a condition where drugs used to treat TB are not able to kill M. tubercolusis. This study aimed to evaluate the success of MDR TB treatment programs in Banyumas include the level of knowledge of TB officer, suitability of guidelines health care center in Banyumas with national guidelines and describe the factors that affect the implementation of MDR TB program. A cross-sectional descriptive study was conducted for three months. Quantitative analysis using questionnaires to measure the level of knowledge of TB officers and a checklist for suitability guidelines health care center in Banyumas with national guidelines. Qualitative analysis using structured interviews to TB officer or the head of the health care center to explore factors inhibiting and supporting MDR TB control program in the district of Banyumas health centers. The results showed that the level of knowledge officer of MDR was 85.56% in the high category (75%-100%). Level governance suitability MDR TB treatment with national guidelines of 86.94%. Factors that may affect the success of MDR TB program are the economic, health workers, patient, facilities, and infrastructures.References
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