Strategi Peningkatan Cakupan Terapi Pencegahan Tuberkulosis (TPT)
DOI:
https://doi.org/10.59603/jpmnt.v3i3.930Keywords:
Tuberculosis, TPT, Community Diagnosis, Cough, LungsAbstract
Tuberculosis (TB) is a chronic infectious disease caused by Mycobacterium tuberculosis, transmitted via droplets from coughing or sneezing. TB mainly affects the lungs but may spread to other organs (Extrapulmonary TB). In the Puskesmas working area, 166 TB cases were recorded. This activity aimed to increase the number of recipients of Tuberculosis Preventive Therapy (TPT) among individuals with close contact history. Problem identification used Blum’s Paradigm, with data collected through a mini survey. Priority issues were determined using the non-scoring Delphi method, and root causes were analyzed via a Fishbone diagram. Evaluation applied the PDCA cycle and systems approach. Lifestyle factors were identified as the main contributor to low TPT coverage. After implementing counseling as an intervention, results showed positive outcomes: 50% of residents and 71% of health cadres experienced improved knowledge. The intervention is considered successful and is expected to enhance TPT coverage sustainably.
References
Adigun, O. O., Mikhail, A. G., Krawiec, C., & Hatcher, J. D. (2020). StatPearls [Internet]. StatPearls Publishing.
Ayuningtyas, D. (2013). Perencanaan strategis untuk organisasi pelayanan kesehatan (1st ed.). RajaGrafindo Persada.
Badola, H., Lepcha, J., Gaira, K., Sinha, S., & Dhyani, P. P. (2016). Socio-economic and bioresource assessment by Badola et al. 2016: Participatory and household survey methods, tools and techniques (A training manual based on the experiences from the Khangchendzonga Landscape, India).
Beckham, S. W., Stockton, M., Galai, N., Davis, W., Mwambo, J., Likindikoki, S., & Kerrigan, D. (2021). Family planning use and correlates among female sex workers in a community empowerment HIV prevention intervention in Iringa, Tanzania: A case for tailored programming. BMC Public Health, 21(1), 1377. https://doi.org/10.1186/s12889-021-11426-z
Coccia, M. (n.d.). The Fishbone diagram to identify, systematize and analyze the sources of general purpose technologies. SSRN. https://ssrn.com/abstract=3100011
CDC. (2024). CDC approach to program evaluation. Centers for Disease Control and Prevention.
dr. Ari Probandari, M. P., Harbianto, D., & Meyanti, F. (2020). Strategi nasional penanggulangan tuberkulosis di Indonesia 2020–2024. Kementerian Kesehatan Republik Indonesia.
Hayati, E. N., Pranungsari, D., Diponegoro, A. M., Ismail, G., & Taliep, N. (2022). Mapping the perception of urban safety, space and livelihood of girl street children in Yogyakarta, Indonesia. Social and Health Sciences. https://doi.org/10.25159/2957-3645/10670
Herqutanto, & Werdhani, R. A. (2014). Buku keterampilan klinis ilmu kedokteran komunitas. Departemen Ilmu Kedokteran Komunitas, Fakultas Kedokteran Universitas Indonesia.
Jilani, T. N., Avula, A., Zafar Gondal, A., & Siddiqui, A. H. (2025). Active tuberculosis.
Katelaris, A. L., Jackson, C., Southern, J., Gupta, R. K., Drobniewski, F., Lalvani, A., Lipman, M., Mangtani, P., & Abubakar, I. (2020). Effectiveness of BCG vaccination against Mycobacterium tuberculosis infection in adults: A cross-sectional analysis of a UK-based cohort. The Journal of Infectious Diseases, 221(1), 146–155. https://doi.org/10.1093/infdis/jiz430
Kemenkes. (2020a). Petunjuk teknis penanganan infeksi laten tuberkulosis (ILTB). Kementerian Kesehatan Republik Indonesia.
Kemenkes. (2020b). Tatalaksana tuberkulosis. Kementerian Kesehatan Republik Indonesia.
Kemenkes. (2023). Laporan program penanggulangan tuberkulosis tahun 2022. Kementerian Kesehatan Republik Indonesia.
Kemenkes. (2024). Data kondisi TB. Kementerian Kesehatan Republik Indonesia.
Mulopo, C. M., Mbereko, A. M., & Chimbari, M. J. (2020). Community mapping and transect walks to determine schistosomiasis risk factors related to WASH practices in KwaZulu-Natal. Waterlines, 39(4), 253–276. https://doi.org/10.3362/1756-3488.20-00005
Nasa, P., Jain, R., & Juneja, D. (2021). Delphi methodology in healthcare research: How to decide its appropriateness. World Journal of Methodology, 11(4), 116–129. https://doi.org/10.5662/wjm.v11.i4.116
Nurfaika. (2021). Materi HL BLUM faktor yang mempengaruhi derajat kesehatan dan contohnya. Universitas Islam Negeri Alauddin Makassar.
PDPI. (2021). Pedoman diagnosis dan penatalaksanaan tuberkulosis di Indonesia. Perhimpunan Dokter Paru Indonesia.
PERMENKES. (2019). Pedoman nasional pelayanan kedokteran tata laksana tuberkulosis. Kementerian Kesehatan Republik Indonesia.
Setyawati, B., Joedo, P., & Kekalih, A. (2014). Diagnosis komunitas. Fakultas Kedokteran Universitas Indonesia.
Sinaga, D., Madelan, S., & Saluy, A. B. (2021). Analysis of supply chain management performance using SCOR method in compressor distributor company at PT. Pola Petro Development.
Symond, D. (2013). Penentuan prioritas masalah kesehatan dan prioritas jenis intervensi kegiatan dalam pelayanan kesehatan di suatu wilayah. Jurnal Kesehatan Masyarakat Andalas, 7(2), 94–100. https://doi.org/10.24893/jkma.v7i2.115
Syakurah, R. A., & Maulita, J. (2022). Diagnosis komunitas dengan pendekatan PROCEED-PRECEDE pada mahasiswa kepaniteraan klinik. Jambi Medical Journal, 10(1).
World Health Organization. (2022). WHO consolidated guidelines on tuberculosis: Module 4: Treatment – Drug-resistant tuberculosis treatment 2022 update.
World Health Organization. (2023). Global tuberculosis report 2023. World Health Organization.
Yasobant, S., Saxena, D., Trivedi, M., Gaurav, K., Patel, S., & Patel, M. (2016). Advocacy for a responsive health system to control diabetes: Learning from western Indian state Gujarat, India. International Journal of Medical Science and Public Health, 5(11), 2239. https://doi.org/10.5455/ijmsph.2016.06042016447
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Jurnal Pengabdian Masyarakat Nian Tana

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.