SRI RAHAYU , 6411412062 (2016) ANALISIS SISTEM DOTS (DIRECTLY OBSERVED TREATMENT SHORT COURSE) SEBAGAI UPAYA PENGENDALIAN PENYAKIT TUBERKULOSIS DI PUSKESMAS PARAKAN KABUPATEN TEMANGGUNG TAHUN 2015. Under Graduates thesis, Universitas Negeri Semarang.

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Abstract

DOTS merupakan strategi untuk menanggulangi penyakit tuberkulosis (TB). Keberhasilan program terletak pada manajemen dan ketersedian sumber daya untuk mencapai tujuan yang efektif dan efisien. Penelitian ini bertujuan untuk menganalisis DOTS dari aspek input dan proses di Puskesmas Parakan Tahun 2015. Jenis Penelitian ini adalah deskriptif kualitatif. Informan utama yaitu kepala puskesmas, petugas TB, dokter, dan petugas laboratorium. Informan triangulasi yaitu dinas kesehat an dan pengawas menelan obat (PMO). Instrumen penelitian berupa pedoman wawancara mendalam, lembar observasi, dan dokumentasi. Hasil penelitian menunjukkan bahwa pelaksanaan DOTS di Puskesmas Parakan belum sesuai dengan Pedoman Nasional Pengendalian Tuberkulosis tahun 2014. Dari segi ketenagaan, puskesmas telah sesuai dengan pedoman, namun puskesmas masih mengalami kekurangan dana, dan logistik DOTS. Perencanaan, dan pengorganisasian belum sesuai dengan pedoman. Penemuan, diagnosis dan pengobatan sudah sesuai dengan pedoman. Pemantauan kemajuan dan hasil pengobatan belum sesuai dengan pedoman. Pemantauan belum dilaksanakan secara maksimal dan belum ada evaluasi program TB di Puskesmas. Puskesmas hendaknya melibatkan semua tenaga pelaksana dalam perencanaan DOTS, meningkatkan kerjasama lintas sektor dalam penjaringan penderita, meningkatkan penjaringan aktif dan kunjungan rumah secara rutin untuk memantau kepatuhan dan kemajuan pengobatan penderita. Puskesmas perlu meningkatkan pemantauan dan mengadakan evaluasi rutin DOTS. DOTS is the stop TB strategy. The success of the program focuses on management and availability of resources to achieve the goals effectively and efficiently. This study aimed to analyze DOTS by the aspects of input and processes at Parakan health center in 2015. This type of research was descriptive qualitative. Main informan were head of health center, TB officer, doctor and laboratory worker. Informant triangulation were health department and a treatment supporter. The instrument tools used for this research were form of in-depth interview, observation sheets, and documentations. The results showed that the implementation of DOTS in Parakan health center was not accordance with National Guidelines of Tuberculosis Control in 2014. In terms of officer was accordance with the guidelines, but health center lack of fund and logistics. Planning and organizing were not accordance with the guidelines. Finding, diagnosis and treatment were accordance with the guidelines. Monitoring of progress and treatment was not accordance with the guidelines. Monitoring had not implemented optimally and there had not been evaluation of TB programs in Parakan. Health center should involved all personnel in the planning of DOTS, increased cooperation with across sectors in the finding of patients, improved active case finding and home visits. Puskesmas need to improve monitoring and conduct evaluation of DOTS routinely.

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