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Tuberkulosis merupakan penyebab mortalitas nomor satu diantara penyakit
menular di Indonesia. Capaian pada tahun 2018 dan tahun 2019 di Provinsi Sumatera Barat masih jauh dari target SPM. Tahun 2018 Puskesmas Lumpo dengan penemuan kasus terendah yaitu 21,7% dan tahun 2019 36,1% di Kabupaten Pesisir Selatan. Tujuan penelitian ini adalah untuk menganalisis pelaksanaan program penemuan suspect TB Paru di Puskesmas Lumpo.
Jenis penelitian ini adalah kualitatif dengan pendekatan sistem yaitu input,
proses dan output. Penelitian ini dilakukan di Puskesmas Lumpo pada bulan April 2020 sampai Agustus 2020 dengan teknik wawancara mendalam, Focus Group Discussion (FGD), dan observasi dengan 25 orang informan. Hasil penelitian menunjukkan bahwa kebijakan menggunakan strategi DOTS,
namun belum disosialisasikan kepada semua petugas. Koordinator TB masih
diberikan tugas rangkap, analis dan bidan desa belum terlatih serta pemanfaatan dana untuk sweeping belum optimal dianggarkan dalam Dana BOK. Puskesmas Lumpo belum menjadi Puskesmas Rujukan Mikroskopis (PRM). Proses perencanaan masih bersifat top down planning, pelaksanaan masih bersifat pasif, monitoring dan evaluasi belum dilakukan secara maksimal. Peran tokoh masyarakat belum maksimal dan belum ada koordinasi dalam penyusunan Perencanaan Tingkat Puskesmas (PTP). Stigma terhadap penyakit TB Paru sebagai penyakit kutukan (guna-guna) masih ada di wilayah kerja Puskesmas Lumpo. Disimpulkan bahwa pelaksanaan program penemuan suspect TB paru di Puskesmas Lumpo belum optimal terutama integrasi antar program, sarana prasarana serta peran serta masyarakat. Penulis menyarankan untuk meningkatkan capaian tersebut melalui program surveilance TB dengan kegiatan PDKT LOKAN. Kegiatan ini meliputi pelacakan door to door kasus TB Paru dan penandatangan komitmen bersama dengan lintas sektor terkait.

Tuberculosis is the number one cause of mortality among infectious diseases
in Indonesia. The achievements in 2018 and 2019 in West Sumatra Province are still far from the SPM target. In 2018 the Lumpo Health Center with the lowest case finding was 21.7% and in 2019 36.1% at the South Coastal District level. The purpose of this study was to analyze the implementation of the suspect pulmonary TB detection program at Lumpo Health Center. This type of research is qualitative with a systems approach, namely input, process and output. This research was conducted at Lumpo Health Center from April 2020 to July 2020 using in-depth interview techniques, Focus Group Discussion (FGD), and observation with 25 informants. The results showed that the policy used the DOTS strategy, but it had not been socialized to all officers. TB coordinators are still given double assignments, analysts and village midwives have not been trained and the use of funds for sweeping has not been optimally budgeted for in the BOK Fund. Lumpo Health Center has not yet become a Microscopic Reference Health Center (PRM). The planning process is still top down planning, implementation is still passive, monitoring and evaluation have not been carried out optimally. The role of community leaders has not been maximal and there has been no coordination in the preparation of Planning at the Health Center Level (PTP). The stigma against pulmonary tuberculosis as a curse disease (witchcraft) still exists in the working area of the Lumpo Health Center.
It was concluded that the implementation of the suspect pulmonary TB detection program at the Lumpo Health Center was not optimal, especially the integration between programs, infrastructure and community participation. The author suggests increasing these outcomes through the TB surveillance program with
the activity "PDKT LOKAN". This activity includes door-to-door tracking of pulmonary TB cases and signing of joint commitments with related sectors.