Original Research Article
Year: 2019 | Month: January-March | Volume: 4 | Issue: 1 | Pages: 190-201
Case Detection Rate by Health Employee Tuberculosis Program in Puncakjaya District
Nelison Wonda1, A.L. Rantetampang2, Yermia Msen3, Anwar Mallongi4
1Magister Program of Public Health, Faculty of Public Health, Cenderawasih University, Jayapura.
2,3Lecturer of Master Program in Public Health. Faculty of Public Health, Cenderawasih University, Jayapura
4Environmental Health Department, Faculty of Public Health, Hasanuddin University, Makassar.
Corresponding Author: Anwar Mallongi
ABSTRACT
Introduction: case detection (CDR) of tuberculosis in Puncak Jaya District is still low from the national target achievement of 70% due to barriers to human resources, training, methods, active suspicious TB screening, geographical location, costs, facilities and infrastructure and supervision.
Research of subject: to determine Case Detection Rate (CDR) by officers in the Tuberculosis Program in Puncak Jaya District
Methods: Qualitatively conducted in August 2018 at the Puncak Jaya District Health Office, Illu and Mulia Health Centers. Informants as many as 9 informants were obtained by in-depth interviews and analyzed qualitatively.
Results: Lack of human resources in the implementation of Case Detection Rate (CDR) and adequate personnel in hospitals and two health centers (Illu and Mulia Health Center) and are still minimal in finding positive smear drivers who live at home. The training went well and but was not evenly distributed for all existing health workers causing a lack of maximum performance in the Case Detection Rate (CDR). The method refers to the Directly Observed Treatment Short Course (DOTS) strategy. Screening suspected TB was done passively through case finding promotion so that it was considered ineffective. Geographical location is an obstacle for officers in suspicious positive AFB screening due to the location of houses that are far and difficult to reach by land transportation and security issues. Costs are quite adequate in the provision of P2TB in the Puskesmas during examination and treatment but are not adequate in suspect screening. Facilities and infrastructure are sufficient in conducting inspections at health centers, medicines, health check-ups and transportation facilities in mobile health center activities. Supervision is good and there are obstacles that cannot be resolved due to conditions of land transportation, costs, low awareness of the community and security.
Keywords: Case Detection Rate, health Employee, Tuberculosis