Kontak serumah merupakan faktor paling dominan penyebab TB pada anak, untuk mencegahnya perlu diberikan obat Terapi Pencegahan Tuberkulosis (TPT). Penelitian ini bertujuan untuk mengetahui perilaku ibu dalam pemberian TPT pada anak dengan kontak serumah pasien TB di Wilayah Puskesmas Kabupaten Banyumas tahun 2023. Penelitian ini menggunakan pendekatan kualitatif, desain studi kasus pada 14 orang informan utama, yakni 9 ibu yang memberikan TPT dan 5 orang ibu yang tidak memberikan TPT. Informan kunci terdiri dari 9 keluarga ibu yang memberi TPT dan 5 keluarga ibu yang tidak memberi TPT, 6 kader TB, 6 petugas Puskesmas dan Kasi P2PM Dinas Kesehatan Kabupaten Banyumas. Pengumpulan data dengan wawancara mendalam, forum group discussion dan observasi. Dilakukan pada bulan Mei-Juni 2023 dan dianalisis secara tematik. Hasil penelitian menunjukkan bahwa sebagian besar ibu yang menjalani TPT telah melakukan perilaku pemberian TPT sesuai standar tata laksana pemberian TPT, kecuali untuk waktu pemberian obat, stok obat TPT selalu tersedia di Puskesmas, namun terbatas sehingga cakupan TPT rendah. Ibu mendapat dukungan keluarga dan tenaga kesehatan yang baik, namun belum mendapatkan dukungan kader TB. Ibu memberikan imbalan kepada anak agar mau minum obat TPT. Ibu yang tidak memberikan TPT pada anaknya kurang memiliki pengetahuan, dukungan keluarga, kader dan tenaga kesehatan. Perilaku ibu dalam pemberian TPT dipengaruhi persepsi kerentanan, keparahan terkait penyakit TB serta manfaat, hambatan dan kepercayaan diri dalam pemberian TPT. Dorongan yang didapatkan ibu untuk memberikan TPT berasal dari keluarga, teman sebaya yang memiliki pengalaman dengan penyakit TB, kader, petugas kesehatan, media sosial dan pengalaman dari ibu yang tidak ingin anaknya terkena TB. Untuk itu, diperlukan pelatihan kepada tenaga kesehatan untuk dapat melakukan strategi promosi kesehatan dan pengelolaan logistik dalam pemberian TPT. 

Household contact is the most dominant factor causing TB in children. However, to prevent the cause it is necessary to be given the drugs of Tuberculosis Preventive Therapy (TPT). This study aims to determine the behavior of mothers in giving TPT to children with household contacts of TB patients in Public Health Center of Banyumas District in 2023. This study uses a qualitative approach and case study design on 14 main informants, they are 9 mothers who provided TPT and 5 mothers which did not provide TPT. The key informants consisted of 9 mothers’ family who provided TPT and 5 mothers’ family who did not, 6 TB cadres, 6 Puskesmas officers and Head of P2PM Section of the Banyumas District Health Office. Data collection was conducted through in-depth interviews, forum group discussion and observation in May-June 2023 and analyzed thematically. The results showed that most of the mothers who experience TPT had carried out the behavior of giving TPT in accordance with the TPT administration standard, except for the time of drug administration. TPT drug stock was always available at the Puskesmas, but it was limited so TPT coverage became low. Mothers have received positive family and health worker support, but they have not received the support of TB cadres. Mothers reward children for taking TPT drugs. Mothers who do not give the drug to their children have less knowledge and insufficient support from families, cadres and health workers. Mother's behavior in giving TPT is influenced by perceptions of vulnerability, severity related to TB disease, benefits, barriers and confidence to give TPT. The encouragement that mothers get to provide TPT came from family, peers who have experience with TB disease, cadres, health workers, social media and experiences from mothers who do not want their children to get TB. For this reason, training is needed for health workers to be able to carry out health promotion strategies and manage logistics in administering TPT.

Kontak serumah merupakan faktor risiko utama penularan tuberkulosis (TB), dan Terapi Pencegahan Tuberkulosis (TPT) diberikan untuk mencegah perkembangan penyakit pada kontak serumah. Penelitian ini bertujuan untuk mengetahui perilaku konsumsi TPT pada kontak serumah di Puskesmas Kota Tangerang Selatan tahun 2024. Pendekatan kualitatif dengan desain studi kasus digunakan, melibatkan sepuluh informan utama: delapan keluarga yang menjalani TPT dan dua yang tidak, serta empat kader TB, empat petugas Puskesmas, dan penanggung jawab program TB. Pengumpulan data dilakukan melalui wawancara mendalam, diskusi kelompok terarah, dan observasi dari Oktober 2024 hingga Januari 2025, yang dianalisis secara tematik. Hasil penelitian menunjukkan sebagian besar kontak serumah yang menjalani TPT mematuhi tata laksana sesuai standar. Stok obat TPT di Puskesmas terjamin, dan dukungan keluarga serta tenaga kesehatan memadai. Namun, dukungan kader TB masih kurang optimal. Kontak serumah yang tidak menjalani TPT umumnya kurang pengetahuan, dukungan keluarga terbatas, serta kekhawatiran terhadap efek samping dan rendahnya kepercayaan diri. Perilaku konsumsi TPT dipengaruhi oleh persepsi kerentanan, tingkat keparahan penyakit, manfaat terapi, hambatan, dan kepercayaan diri. Dorongan untuk menjalani TPT bersumber dari keluarga, kader, tenaga kesehatan, dan media sosial.

Household contacts are a major risk factor for tuberculosis (TB) transmission, and Tuberculosis Preventive Therapy (TPT) is given to prevent the progression of TB in household contacts. This study aims to examine the behavior of TPT consumption among household contacts at the public health center in South Tangerang City in 2024. A qualitative approach with a case study design was used, involving ten main informants: eight families undergoing TPT and two families not undergoing TPT, as well as four TB cadres, four Puskesmas staff, and the TB program manager. Data were collected through in-depth interviews, focus group discussions, and observations from October 2024 to January 2025, and analyzed thematically. The results showed that most household contacts who underwent TPT adhered to the prescribed standards. The availability of TPT stock at the Puskesmas was guaranteed, and family and healthcare worker support was sufficient. However, support from TB cadres was still suboptimal. Household contacts not undergoing TPT generally lacked knowledge, had insufficient family support, concerns about side effects, and low self-confidence. The behavior of TPT consumption was influenced by perceptions of vulnerability, the severity of the disease, therapy benefits, barriers, and self-confidence. Motivation to undergo TPT came from family, cadres, healthcare workers, and social media.

Pemberian Terapi Pencegahan Tuberkulosis (TPT) mempunyai peran penting dalam upaya Eliminasi TBC 2030. Kelengkapan TPT di Indonesia, termasuk di Jakarta, masih menghadapi tantangan. Penelitian ini bertujuan untuk mengidentifikasi faktor-faktor yang dapat memprediksi kelengkapan TPT di Jakarta berdasarkan data programatik tahun 2020-2024. Penelitian ini menggunakan desain kohort retrospektif bersumber data Sistem Informasi Tuberkulosis (SITB) dengan analisis survival faktor usia, jenis kelamin, durasi paduan TPT, tipe fasilitas kesehatan, wilayah domisili pasien, jenis riwayat kontak, status pemeriksaan rontgen dada, dan Tuberkulin Skin Test (TST). Dari 9.780 pasien yang dianalisis, 94% menyelesaikan TPT hingga lengkap. Median survival kelengkapan TPT di Jakarta adalah 79 hari. Pada periode pengobatan 72 sampai 182 hari, didapatkan faktor prediktor kelengkapan TPT yaitu durasi paduan terapi 3 bulan (adjHR 8,65 - 12,36; 95% CI: 8,01 – 13,4), pasien TPT puskesmas (adjHR 1,32 -1,35; 95% CI: 1,21 – 1,47), pasien berdomisili internal Jakarta (adjHR 1,11; 95% CI: 1,01 – 1.23), pasien usia lebih tua 6 - 19 tahun (adjHR 1,09 - 1,11; 95% CI: 1,02 - 1,19), usia >19 tahun (adjHR 1,10 - 1,12; 95% CI: 1,04 - 1,20).Temuan ini dapat dijadikan dasar pertimbangan intervensi seperti adopsi luas paduan terapi 3 bulan, optimalisasi peran puskesmas dalam pelayanan TPT, serta peningkatan sistem monitoring pasien berdasarkan profil usia dan wilayah guna meningkatkan efektivitas program TPT di Jakarta dan sebagai bahan referensi bagi peneliti selanjutnya. 

Tuberculosis Preventive Therapy (TPT) plays a vital role in supporting Indonesia’s goal of TB elimination by 2030. However, TPT completion in Indonesia, including in Jakarta, remains a challenge. This study aimed to identify factors predicting TPT completion in Jakarta using programmatic data from 2020 to 2024. A retrospective cohort design was applied using data from the Tuberculosis Information System (SITB), analyzed through survival analysis on variables including age, sex, TPT regimen duration, type of health facility, patient domicile, type of contact history, chest X-ray status, and Tuberculin Skin Test (TST). Among 9,780 patients analyzed, 94% completed TPT. The median survival time to TPT completion was 79 days. Within the treatment period of 72 to 182 days, significant predictors of TPT completion included a 3-month regimen (adjHR 8.65–12.36; 95% CI: 8.01–13.4), receiving TPT in Puskesmas (adjHR 1.32–1.35; 95% CI: 1.21–1.47), residing within Jakarta (adjHR 1.11; 95% CI: 1.01–1.23), age group 6–19 years (adjHR 1.09–1.11; 95% CI: 1.02–1.19), and age >19 years (adjHR 1.10–1.12; 95% CI: 1.04–1.20). These findings may inform targeted interventions such as broader adoption of the 3-month regimen, strengthening the role of primary care in TPT delivery, and enhancing patient monitoring systems based on age and geographical profiles to improve TPT effectiveness. The results also serve as a reference for future research.