Optimalisasi Skrining Tuberkulosis Terintegrasi Kader Kesehatan di Wilayah Kalurahan Sinduharjo Ngaglik Sleman

Abstract

Background: The strategy to increase TBC coverage and detection is through Active Case Finding (ACF) through TBC screening training for health cadres. Health cadres who are trained and understand the signs and symptoms of TBC are expected to help increase TBC findings in the community and reduce the stigma of TBC in the community. This community service activity aims to equip cadres with basic TBC screening skillsand equip cadres in implementing ILP Posyandu (Primary Service Integration) management. Methods: The implementation method consists of preparation stage, implementation, training, application of technology, and monitoring and evaluation. Training was given 2 times with assistance. Training on cadre understanding of TBC and TBC screening was attended by 24 cadres and training on ILP Posyandu management was attended by 15 cadres. Results: There was an increase in knowledge and understanding of cadres with lecture and module methods (p value <0.001) and there was an increase in scores before and after the intervention by an average of 3.79 points and there was an increase in cadre skills in implementing ILP Posyandu. In the implementation of integrated TBC screening, Posyandu ILP was enthusiastically attended by 114 community members consisting of 39 infants and toddlers and 75 adults and the elderly. Conclusion: Provision of health cadres will improve cadre knowledge and skills in conducting integrated TBC screening with Posyandu ILP. This activity is recommended to be carried out through continuous training for health cadres to enhance the capacity for integrated tuberculosis screening at the Posyandu ILP.Latar Belakang: Strategi peningkatan cakupan dan deteksi TB yaitu melalui Active Case Finding (ACF) melalui pelatihan skrining TB bagi kader kesehatan. Pada tahun 2023 di Kabupaten Sleman ditemukan 14 kasus TB, dimana 1 kasus TB ditemukan di wilayah kerja Puskesmas Ngaglik 1 Sleman. Upaya peningkatan kasus TB memerlukan peran kader kesehatan. Kader kesehatan yang terlatih dan memahami tanda dan gejala TB diharapkan dapat membantu meningkatkan temuan TB di masyarakat dan menurunkan stigma TB di masyarakat. Kegiatan pengabdian kepada masyarakat ini bertujuan untuk membekali kader dengan keterampilan dasar skrining TB dan membekali kader dalam melaksanakan manajemen ILP Posyandu (Integrasi Layanan Primer). Metode: Metode pelaksanaan terdiri dari: tahap persiapan, pelaksanaan, pelatihan, penerapan teknologi, serta monitoring dan evaluasi. Pelatihan diberikan sebanyak 2 kali dengan pendampingan. Pelatihan pemahaman kader tentang TB dan skrining TB diikuti oleh 24 kader dan pelatihan manajemen ILP Posyandu diikuti oleh 15 kader. Hasil: Terdapat peningkatan pengetahuan dan pemahaman kader dengan metode ceramah dan modul (nilai p = 0,000) serta terjadi peningkatan skor sebelum dan sesudah intervensi dengan rata-rata sebesar 3,79 poin serta terjadi peningkatan keterampilan kader dalam melaksanakan ILP Posyandu. Dalam pelaksanaan skrining TB terpadu, ILP Posyandu diikuti dengan antusias oleh 114 orang warga masyarakat yang terdiri dari 39 orang bayi dan balita serta 75 orang dewasa dan lansia. Kesimpulan: Pemberian kader kesehatan akan meningkatkan pengetahuan dan keterampilan kader dalam melakukan skrining TB terpadu dengan ILP Posyandu.