Hubungan Faktor Petugas Puskesmas dengan Cakupan Penderita Tuberculosis Paru BTA Positif
Abstrak: Tuberculosis (TB)
disease is a major health problem either in developed or developing countries.
According to WHO TB happens to 25,205 people worldwide everyday, ending in mortality to 4,657 people.
Indonesia is in the third rank of TB cases in the world after India and China.
TB in Indonesia happens to 1,464 people everyday, ending in mortality to 241
people. The identification of suspect and positive acid fast bacillus is a
performance indicator of lung TB program. At District of Bengkulu 2007 lung TB
patients’ identification was still below the national target, i.e. 38.193. The
screening and identification of patients is generally done by nurses at
polyclinics and laboratory staff. Nurses are health professionals at the front
liners of health services with quite large composition (40%).
Objective: To identify factors of the health center in relation to the
coverage of positive acid fast bacillus lung TB patients at District of
Bengkulu Utara.
Method: This was an observational study with a cross sectional design.
Location of the study was microscopic referral health centers, independently
managed health centers, and satellite health centers at District of Bengkulu
Utara. Samples consisted of staff of polyclinic and laboratories. Data were obtained
through questionnaire and observation and presented using frequency
distribution tables and multilevel regression and linear regression methods.
Result: The result of multivariate analysis showed that variables related
to the coverage of lung TB patients were skills of staff with b=1.3 (p=0.000)
and facilities with b=1.5 (p=0.000).
Conclusion: Skills of staff, training of staff, and availability of
facilities were related to the coverage of positive acid fast bacillus lung TB
patients at District of Bengkulu Utara; therefore it was necessary to improve
skills of staff through on the job training and improve facilities for the
identification of lung TB patients.
Penulis: Efrizon Hariadi,
Iswanto, Riris Andono Ahmad
Kode Jurnal: jpkedokterandd090154
