GAMBARAN SISTEM SURVEILANS TB DI PUSKESMAS WILAYAH KABUPATEN JEMBER BERDASARKAN KOMPONEN INPUT

Abstract

ABSTRAK Tuberkulosis (TB) masih menjadi permasalahan kesehatan masyarakat. Sistem surveilans TB perlu didukung dengan suatu sistem pencatatan dan pelaporan yang baik dan terstandar. Sistem surveilans TB bertujuan sebagai upaya monitoring kejadian TB, sehingga dapat meminimalisir under-reporting/lost to follow up kasus TB. Pemeriksaan TCM TB sebagai alat diagnosis utama TB di Kabupaten Jember tersebar di 10 Puskesmas yang menjadi garda terdepan dalam menemukan TB secara langsung di masyarakat. Sebuah input diperlukan dalam sebuah sistem surveilans TB guna mendukung pelaksanaan (proses) sistem surveilans sehingga dapat menghasilkan data berkualitas (output). Tujuan penelitian ini untuk mengetahui gambaran sistem surveilans TB di Puskesmas wilayah Kabupaten Jember berdasarkan komponen input. Metode penelitian menggunakan penelitian deskriptif. Penelitian dilaksanakan di 10 Puskesmas yang memiliki laboratorium TCM TB. Variabel input yang diteliti meliputi sumber daya manusia, fasilitas, perlengkapan, dan pendanaan. Hasil menunjukkan bahwa sebagian besar (60%) SDM sistem surveilans TB puskesmas belum sesuai pedoman yakni pada pelatihan yang belum menyeluruh bagi semua komponen tenaga program, sebagian besar (70%) fasilitas sistem surveilans TB puskesmas belum sesuai pedoman yakni belum tersedia dan/atau tidak digunakannya timer, dan label/sticker, sebagian besar (80%) perlengkapan sistem surveilans TB puskesmas belum sesuai pedoman yakni pada tidak tersedianya pedoman pemeriksaan dahak dan form TB secara lengkap, dan sebagian besar (60%) pendanaan sistem surveilans TB puskesmas telah sesuai pedoman. Kesimpulan sebagian besar SDM, fasilitas dan perlengkapan sistem surveilans TB pada 10 puskesmas di Jember belum sesuai pedoman pada komponen input. Kata kunci: sistem surveilans, TB, input ABSTRACT Tuberculosis (TB) is still a public health problem. Surveillance is an effort to control TB, which functions to detect changes in the trend of TB cases. The TB surveillance system needs to be supported by a good and standardized recording and reporting system. The aim of the TB surveillance system is to monitor the incidence of TB, thus minimizing under-reporting/loss to follow-up of TB cases. TB TCM tests as the main TB diagnostic tool in Jember District spread across 10 Primary Health Centers (PHCs), the frontline in finding TB directly in the community. Input is needed in a TB surveillance system to support the process of the surveillance system so that it can produce quality data (output). This study aims to know the description of the TB surveillance system at the PHCs in Jember District based on input. MethodsThis research was descriptive-research. The study was conducted in 10 PHCs that have a TB TCM laboratory. Data was obtained from interviews and observations. The result was majority (60%) of the TB surveillance system's HR at the PHCs did not comply with the guidelines, the majority (70%) of the TB surveillance system facilities didn't comply, the majority (80%) of the TB surveillance system equipment didn't comply, and majority (60%) of the funding for the TB surveillance system were complied with the guidelines. The conclusion was that the majority of the HR (60%), the majority of the facilities (70%), and the majority of the equipment (80%) of the TB surveillance system at the PHCs didn't comply with the guidelines. Conclusion Most of the human resources, facilities, and equipment of TB surveillance systems in 10 puskesmas in Jember have not complied with the guidelines on the input component.