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Tuberculosis is a contagious disease that causes high morbidity and mortality rates and have becoming 10 deadly diseases in the world in 2015. WHO have been estimating the total of 10,4 million new TB cases at the global level in 2017. There are 425.089 new TB cases have been found in Indonesia. The largest number of TB cases has been reported in Jawa Barat, Jawa Timur, and Jawa Tengah which has precentage 43% of all Province. The TB cases in Kabupaten Bogor is about 8.099 cases. In one year, the number of patients with pulmonary TB BTA (+) in the year of 2017 is 3861 people. At the same time, the number of recovery patients with pulmonary TB has decreased from 97% (2015) to 82% (the second quarter in 2018). This Research is intended to ascertain how to implement pulmonary Tuberculosis Disease Countermeasures Program in Puskesmas on Kabupaten Bogor during 2020. The research encompass in many aspect from input component until output component. It’s use qualitative study with data collection through indepth interview, observation and review of documentation. The research data is acquired from 6 puskesmas and Public Health Office in Kabupaten Bogor in range March – July 2020. The informant consist of 6 Heads of Puskesmas, 6 tuberculosis focal persons, 6 laboratory technicians, 6 promkes officer and 1 wasor TB in Public Health Office. The result form this research show that Puskesmas Sukarja and Cibaruyut have met the target at above 70% Suspected Case numbers. Puskesmas Ciawi, Puskesmas Cinagara and Puskesmas Karya Mekar have not reached the target for case founding. The target of successful rate has been fulfilled in Puskesmas Cimandala, Puskesmas Sukaraja and Puskesmas Karyamekar, but not yet in Puskesmas Ciburayut, Puskesmas Ciawi and Puskesmas Cinagara. Puskesmas Cimandala and Puskesmas Sukaraja are quite successful in the TB Programme due to the fulfillment of adequately trained human resources, adequate infrastructure, sufficient funding, integrated of system information, collaboration on sectoral program – cross sectoral and good management in Puskesmas. Puskesmas Karya Mekar and Puskesmas Cinagara have not reached the target due to insufficient of trained human resource, inadequate infrastructures, collaboration of cross sector are not optimally implemented and leak education about health information to the public. The recommendation from this research is that the success achieved through supporting factors can be applied to the other Puskesmas in Kabupaten Bogor.
This thesis aims to evaluate complementary feeding program implementation for Children 6-24 Months from Poor Families in Ciamis Regency 2013. This research is qualitative research and use purposive sampling as sampling technique of informan. The result shows that scope of program is not reach the target. Inputs that used as program resources can be concluded the the quantity and quality of human resources in accordance with the supposed. Nutrients contained in compelementary feeding is not in accordance with the needs of the target. The amount provided in accordance with the plan. Implementation guidelines are not yet available. Overall, the logistics management prosess has been going well. But the prosess of recording and reporting, also monitoring programs need to be improved. Recommendations for solving the probels is to maximize the performance of nutrition program in Dinas Kesehatan Ciamis Regency, supervising the target in posyandu everyweek, reviewing of relevant indicators used, and cooperation with domestic food isdustry in Ciamis.
Tuberkulosis masih menjadi masalah kesehatan di dunia, Negara Indonesia menempati peringkat kedua kasus TB terbanyak di dunia. Provinsi Jawa Barat menempati peringkat satu kasus TB terbanyak di Indonesia dan Kota Depok menempati peringkat 10 besar kasus TB di Provinsi Jawa Barat. Pemerintah Kota Depok telah membentuk inovasi Kampung Peduli Tuberkulosis (KAPITU) sebagai wadah komunikasi antara masyarakat, lintas program dan lintas sektor dalam melakukan penanggulangan tuberkulosis melalui kegiatan penemuan, pendampingan pengobatan, dan sosialisasi tuberkulosis. Penelitian ini bertujuan menganalisis bagaimana implementasi kebijakan Kampung Peduli Tuberkulosis yang sudah dijalankan. Penelitian ini menggunakan metode kualitatif dan pengumpulan data dilakukan dengan wawancara mendalam dan telaah dokumen. Hasil penelitian menunjukkan bahwa aspek input (sumber daya manusia, anggaran, fasilitas, kebijakan), aspek proses (komunikasi, disposisi, struktur birokrasi), serta aspek output (hasil implementasi KAPITU) sudah berjalan baik di Kelurahan Mampang dan Suka Maju Baru. Implementasi KAPITU sempat tidak berjalan pada Kelurahan Sawangan Baru dan Sawangan Lama karena adanya pergantian petugas dan petugas yang pindah kerja. Pada Kelurahan Cilodong dan Pasir Putih masih kurangnya sumber daya manusia, tidak tersedianya anggaran, belum optimalnya komunikasi dan disposisi sehingga menyebabkan implementasi KAPITU belum berjalan optimal. Selanjutnya faktor lingkungan sosial, ekonomi, dan politik juga mempengaruhi implementasi KAPITU. Kesimpulan implementasi KAPITU yang berjalan dengan baik berbanding lurus dengan capaian indikator program TB yang juga baik. Kelurahan yang menunjukkan implementasi program KAPITU yang baik, seperti Mampang dan Suka Maju Baru, memiliki capaian yang lebih baik, Selanjutnya Kelurahan Sawangan Baru dan Sawangan Lama juga menunjukkan adanya peningkatan capaian program setelah satgas KAPITU mulai berjalan kembali. Kelurahan yang belum mengimplementasikan KAPITU dengan baik, seperti Cilodong dan Pasir Putih, juga menunjukkan capaian program TB yang belum baik.
Tuberculosis is still a health problem in the world, Indonesia ranks second in the world for the most TB cases. West Java Province ranks first in the number of TB cases in Indonesia and Depok City ranks in the top 10 for TB cases in West Java Province. The Depok City Government has formed the Kampung Peduli Tuberkulosis (KAPITU) innovation as a means of communication between the community, across programs and across sectors in preventing and controlling tuberculosis through discovery activities, treatment assistance, and tuberculosis socialization. This study aims to analyze how the implementation of the Kampung Peduli Tuberkulosis policy has been carried out. This study uses qualitative methods and data collection is carried out through in-depth interviews and document reviews. The results of the study indicate that the input aspects (human resources, budget, facilities, policies), process aspects (communication, disposition, bureaucratic structure), and output aspects (results of KAPITU implementation) have been running well in Mampang and Suka Maju Baru Sub-districts. The implementation of KAPITU was not running in Sawangan Baru and Sawangan Lama Sub-districts due to changes in officers and officers who moved jobs. In Cilodong and Pasir Putih Sub-districts, there was still a lack of human resources, unavailability of budget, suboptimal communication and disposition, which caused the implementation of KAPITU to not run optimally. Furthermore, social, economic, and political environmental factors also influenced the implementation of KAPITU. The conclusion is that the implementation of KAPITU that is running well is directly proportional to the achievement of TB program indicators which are also good. Sub-districts that show good implementation of the KAPITU program, such as Mampang and Suka Maju Baru, have better achievements. Furthermore, Sawangan Baru and Sawangan Lama Sub-districts also show an increase in program achievements after the KAPITU task force started operating again. Sub-districts that have not implemented KAPITU properly, such as Cilodong and Pasir Putih, also show poor achievement of TB program indicators.
