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ANALISIS IMPLEMENTASI KEBIJAKAN PENANGGULANGAN TB DALAM MENINGKATKAN KUALITAS HIDUP PENDERITA TB PARU DI PUSKESMAS TIGABARU KABUPATEN DAIRI TAHUN 2018 ELFIDA PURBA; WISNU HIDAYAT; EVAWANI SILITONGA
JURNAL ILMIAH SIMANTEK Vol 3 No 3 (2019): JURNAL ILMIAH SIMANTEK
Publisher : LP2MTBM MAKARIOZ

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Abstract

Tuberculosis (TB) is a transmitted disease which becomes public health problem. It can cause high rate in morbidity, mortality, and physical disability so that it is necessary to do effective and efficient prevention, control, and eradication (Kemenkes RI, No. 82/2014). Dairi Regency ranks the tenth in tuberculosis in North Sumatera 2018 in the target of 1,207 people with the achievement of 595 people (49 %) while in the working area of Tigabaru Puskesmas in 2018 in the target of 69 people with the achievement of 52 people (75 %). This indicates that the implementation of applying the policy on handling Tuberculosis does not run well. The research used descriptive qualitative method with case study which was aimed to deeply explore the implementation of the policy on handling tuberculosis in order to increase the quality of TB Paru (Pulmonary tuberculosis) patients at Tigabaru Puskesmas. The data were gathered by conducting in-depth interviews and observation on 8 (eight) informants: the Head of the Health Agency of Dairi Regency, the Head of P2P Department, the Head of P2PM Section, District TB Wasor, The Vice Head of the Puskesmas Quality Management, the Manager of TB Pusekesmas, and two TB patients. The gathered data were analyzed by using Miles and Huberman test. The result of the research showed that the policy on handling TB Paru at Tigabaru Puskesmas was not maximal because imparting PHBS and promoting coughing ethics were not implemented well so that providing PMT milk should be increased. The plan of regional action has been established since 2018, but it is not embodied in the Regional Regulation, not all people actively participated in empowering people, and there was no tuberculosis surveillance at Tigabaru Puskesmas. The conclusion was that applying the policy on handling tuberculosis to increase the quality of life of TB Paru patients would be successful when they recovered, they get welfare, and the increase in their quality of life.