Management Overview of the Lung Tuberculosis Control Program at the DKI Jakarta Provincial Health Office in 2023

Authors

Mutiara Kiranti, Department of Health Policy and Administration, Faculty of Public Health, Universitas Indonesia, Depok, IndonesiaFollow
Helen Andriani, Department of Health Policy and Administration, Faculty of Public Health, Universitas Indonesia, Depok, IndonesiaFollow

Abstract

Tuberculosis is one of the infectious diseases that is fatal if not cured immediately. In 2022, the success rate of tuberculosis treatment in DKI Jakarta Province is 81%, while the national target is 90%. In the field, the number of cadres to carry out contact investigations is still insufficient, so that in 2022 the coverage of contact investigations in DKI Jakarta Province will only reach 25%, while the national target is 90%. To increase the scope of successful treatment, the government should try to overcome tuberculosis, which is needed. Proper program management is required to run effectively and efficiently for tuberculosis control efforts. Therefore, this study aims to determine the management picture of tuberculosis control programs at the DKI Jakarta Provincial Health Office. This qualitative research type uses in-depth interview methods, observation, and document review. Determination of informants using purposive sampling techniques. Data validation using source triangulation by and method triangulation. The results showed that in the management of the tuberculosis control program, there are problems, including limited cadres to conduct contact investigations, limited recording and reporting personnel at health facilities, there are still health facilities carrying out TB diagnoses not according to standards, not yet integrated SITB with SITK, and still limited services for MDR-TB (multidrug-resistant tuberculosis). Suggestions that can be given are optimizing the role of cadres to conduct contact investigations, providing recording and reporting personnel in addition to nurses and personnel on duty in TB services at health facilities, disseminating the latest information to health facilities through socialization, immediately integrating SITB with SITK and coordinating with private health service facilities to open MDR-TB services.

Bahasa Abstract

Tuberkulosis merupakan salah satu penyakit menular yang berakibat fatal jika tidak segera disembuhkan. Pada tahun 2022 tingkat keberhasilan pengobatan tuberkulosis Provinsi DKI Jakarta sebesar 81% sedangkan target nasional sebesar 90%. Pada kondisi di lapangan, jumlah tenaga kader untuk melaksanakan investigasi kontak masih belum mencukupi, sehingga di tahun 2022 cakupan investigasi kontak Provinsi DKI Jakarta baru mencapai 25% padahal target nasional yaitu 90%. Untuk meningkatkan cakupan keberhasilan pengobatan diperlukan upaya penanggulangan tuberkulosis. Agar upaya penanggulangan tuberkulosis berjalan efektif dan efisien, maka perlu manajemen program yang tepat. Oleh karena itu penelitian ini bertujuan untuk mengetahui gambaran manajemen program penanggulangan tuberkulosis di Dinas Kesehatan Provinsi DKI Jakarta. Jenis penelitian yang digunakan pada penelitian ini yaitu kualitatif dengan metode wawancara mendalam, observasi dan telaah dokumen. Penentuan informan menggunakan teknik purposive sampling. Validasi data menggunakan triangulasi sumber dan triangulasi metode. Hasil penelitian menunjukkan bahwa dalam manajemen program penanggulangan tuberkulosis, terdapat permasalahan diantaranya yaitu keterbatasan kader untuk melakukan investigasi kontak, terbatasnya tenaga pencatatan dan pelaporan pada fasyankes, masih terdapat fasyankes melaksanakan diagnosis TB tidak sesuai standar, belum terintegrasinya SITB dengan SITK, dan masih terbatasnya layanan untuk MDR-TB. Saran yang dapat diberikan yaitu mengoptimalkan peran kader untuk melakukan investigasi kontak, menyediakan tenaga pencatatan dan pelaporan selain perawat dan tenaga yang bertugas dalam layanan TB di fasyankes, menyebarkan informasi terbaru kepada fasyankes melalui sosialiasi, segera mengintegrasikan SITB dengan SITK dan melakukan koordinasi dengan fasilitas pelayanan kesehatan swasta untuk membuka layanan MDR-TB.

Recommended Citation

Kiranti, Mutiara and Andriani, Helen (2024) "Management Overview of the Lung Tuberculosis Control Program at the DKI Jakarta Provincial Health Office in 2023," Journal of Indonesian Health Policy and Administration: Vol. 9: No. 2, Article 1.
DOI: 10.7454/ihpa.v9i2.7788
Available at: https://scholarhub.ui.ac.id/ihpa/vol9/iss2/1