Search Repository Universitas Fort De Kock

Indonesia merupakan negara nomor dua tertinggi penderita Tuberkulosis (TB) di dunia, tercatat 1,02 juta kasus di tahun 2021. Dengan angka kematian mencapai 100 ribu jiwa/tahun. Penyakit TBC menyebabkan permasalahan bukan hanya dari aspek kesehatan semata tetapi juga dari aspek sosial maupun ekonomi. Penemuan suspek dan kasus TB di Kota Payakumbuh sejak tahun 2018 tidak pernah mencapai target. Tujuan penelitian ini adalah mengetahui Strategi Investigasi Kontak Dengan Pendekatan Saayun Salangkah Dalam Penemuan Kasus TB di Puskesmas Lampasi Kota Payakumbuh tahun 2022. Penelitian ini menggunakan metode kombinasi (Mixed Methods). Informan yang diteliti berjumlah 17 orang. Populasi adalah semua kontak dari kasus indek tahun 2021 sebanyak 220 orang. Sampel berjumlah 160 orang. Pengumpulan data kuantitatif dengan metode quasi eksperimen. Observasi terhadap subjek sebelum dilakukan perlakuan, kemudian dilakukan perlakuan dan dilanjutkan dengan observasi dengan instrumen yang sama. Desain ini menggunakan satu kelompok, tanpa kelompok kontrol. Analisa kualitatif menggunakan trianggulasi, dan analisa kuantitatif dengan distribusi frekuensi. Hasil penelitian menunjukkan bahwa kebijakan program TB berpedoman kepada peraturan dari pusat (kementerian kesehatan), dana dan sarana prasarana mencukupi, Tenaga masih kurang, perencanaan dan evaluasi, pelaksanaan investigasi kontak belum berjalan dengan baik, sebelum penelitian dilakukan belum didapatkan suspek dan kasus baru TB dari investigasi kontak, setelah penelitian dilaksanakan didapatkan suspek sebesar 14,4%. Simpulan dari hasil penelitian ini adalah Strategi Investigasi Kontak Dengan Pendekatan Saayun Salangkah Dalam Penemuan Kasus TB cukup efektif dalam penemuan suspek. Disarankan untuk dapat membuat regulasi, SOP untuk kegiatan investigasi kontak TB, pelatihan kader dan tenaga kesehatan, membentuk tim investigasi kontak, melibatkan kader dan pembina wilayah dalam perencanaan, pelaksanaan serta evaluasi kegiatan investigasi kontak TB.

Indonesia is the country with the second highest number of Tuberculosis (TB) sufferers in the world, recorded 1.02 million cases in 2021. With a death rate reaching 100 thousand people/year. TB causes problems not only from the health aspect but also from the social and economic aspects. The discovery of TB suspects and cases in Payakumbuh City since 2018 has never reached the target. The purpose of this study was to determine the strategy of investigating contacts with the Saayun Salangit approach in finding TB cases at the Lampasi Health Center, Payakumbuh City in 2022. This research uses combination method (Mixed Methods). The number of informants studied were 17 people. The population is all contacts of the 2021 index case as many as 220 people. The sample is 160 people. Quantitative data collection with quasi-experimental method. Observation of the subject before treatment, then treatment and continued with observation with the same instrument. This design uses one group, without a control group. Qualitative analysis using triangulation, and quantitative analysis with frequency distribution. The results of the study found that there was no special regulation issued by the regional government, only referring to the regulations issued by the central government, sufficient funds and infrastructure, human resources were still lacking cadres and double-duty personnel from program managers, planning and evaluation of contact investigations has not been carried out, the implementation of contact investigations is carried out only by cadres without involving regional supervisors, before the research is carried out there have been no suspects and new cases of TB have been obtained, after the research was carried out with the saayun approach, 14.4% of the suspects were obtained. The conclusion from the results of this study is that the Contact Investigation Strategy with the Saayun Salangit Approach in TB Case Finding is quite effective in finding suspects. It is recommended to be able to make regulations, SOPs for TB contact investigation activities, training cadres and health workers, forming a contact investigation team, involving cadres and regional supervisors in planning, implementing and evaluating TB contact investigation activities.