Evaluation of primary health care service participation in the National Tuberculosis Control Program in Menofya Governorate

Salahy, Mahmoud M. Al; Essawy, Tarek S.; Mohammad, Osama I.; Hendy, Rasha M.; Abas, Asmaa O.

doi:10.1016/j.ejcdt.2016.03.010

Cited by 3 publications

(5 citation statements)

References 3 publications

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“…23,28 Several countries including South Africa, Egypt and Indonesia have long adopted this plan where TB services are essentially provided at the PHC level. 24,25,29 We found that only half of the PHCs could produce the national treatment guidelines when prompted to do so. According to the WHO, this document provides guidance for effective diagnosis and treatment and, adherence to TB treatment guidelines is crucial to achieving cure while at the same time preventing the emergence of drug resistance.…”

Section: Discussionmentioning

confidence: 94%

“…Trained health care workers at PHC level can play key roles in TB prevention and control through early case detection, referral for investigation or treatment, supervised treatment and follow up in the community. [23][24][25] Since 2016, the Kaduna State government has embarked on an aggressive PHC revival mission with a target of renovating at least one PHC centre per electoral ward, under the supervision of the state primary health care development agency (SPHCDA). As of 2019, the renovation of 191 out of 255 PHCs was complete.…”

mentioning

confidence: 99%

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Assessing the capacity of primary health care centres to provide tuberculosis services in Kaduna State, North-Western Nigeria

Suleiman

Umar

Babandi

et al. 2021

Int J Community Med Public Health

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Background: Despite earlier successes achieved in combating it, cases of tuberculosis in Nigeria are now on the increase, affecting more people and communities. Primary health care in Nigeria is through ward health system, designed to provide minimum health package to the communities including TB services. This study aimed to ascertain the capacity of PHC centres to provide TB services in Kaduna North senatorial district, Kaduna State, Nigeria.Methods: Four out of eight local Government areas in the district were randomly selected and one PHC per ward was recruited in the study. In each facility, questionnaires developed from the TB tracer items of the WHO service availability and readiness assessment tool were administered to the facility in-charges and TB/DOTS focal persons.Results: Forty four facilities were selected from Zaria, Sabon Gari, Makarfi and Kudan LGAs. Almost all facilities (98%) diagnosed TB clinically and 39 (90%) had anti-TB drugs available. National TB guidelines were lacking in 23 (52%) facilities and only 5 (11%) had additional capacity for sputum microscopy. While 35 (80%) TB/DOTS focal persons had received training on TB diagnosis and treatment, only 24 (55%)received training on TB/HIV co-infection and only 8 (18%) received training on multi-drug resistant TB.Conclusions: While TB services are widely available in the district, urgent need exists for all stakeholders to work together towards equipping those facilities with critical infrastructure that will improve their overall capacity, particularly with regards to comprehensive TB guidelines, laboratory diagnosis and personnel training for effective TB management.

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Section: Discussionmentioning

confidence: 94%

mentioning

confidence: 99%

Assessing the capacity of primary health care centres to provide tuberculosis services in Kaduna State, North-Western Nigeria

Suleiman

Umar

Babandi

et al. 2021

Int J Community Med Public Health

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“…Hasil penelitian ini sejalan dengan Salahy bahwa kurangnya alat laboratorium akan menunda diagnosis, sehingga diperlukan kerjasama yang baik dengan laboratorium untuk memastikan pengiriman spesimen yang cepat diketahui oleh pasien. 17 Selama pengobatan, pasien TBC yang akan melakukan cek dahak datang ke Puskesmas Depok Jaya untuk memberikan spesimen dahak kepada petugas Puskesmas Depok Jaya setiap 2 bulan sekali, kemudian petugas puskesmas akan mengirimkan spesimen tersebut melalui kurir untuk dikirim ke Puskesmas Beji. Setelah dikirim, spesimen akan dicek dan diberitahukan melalui sistem atau petugas pemeriksa kepada petugas Puskesmas Depok Jaya.…”

Section: Pembahasanunclassified

Pelaksanaan Program Directly Observed Treatment Short-Course (DOTS) Selama Pandemi COVID-19 di Wilayah Puskesmas Depok Jaya

Alfaiza¹,

Wuryaningsih²

2022

PPK

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Latar Belakang. TBC masih merupakan masalah kesehatan di Indonesia. Pemerintah telah menerapkan DOTS untuk menurunkan angka kesakitan dan kematian akibat TBC, namun angka tersebut masih belum mencapai target. Selama pandemi, DOTS tetap diselenggarakan dengan adanya penyesuaian pengelolaan input dan process.Tujuan. Tujuan dari penelitian ini yakni mengetahui gambaran pelaksanaan program DOTS selama pandemi di wilayah Puskesmas Depok Jaya.Metode. Penelitian ini menggunakan pendekatan kualitatif desain studi kasus. Teknik pengumpulan data wawancara mendalam kepada informan utama, yakni Penanggung Jawab DOTS, Dokter Penanggung Jawab DOTS, Ketua Kader dan 2 Pengawas Menelan Obat, sedangkan informan pendukung, yakni 4 Pasien TBC. Peneliti mengambil data dengan wawancara mendalam secara daring melalui Zoom.Hasil. Beberapa kegiatan utama di Puskesmas selama pandemi mengalami penurunan jumlah kegiatan, diantaranya investigasi kontak, skrining, serta pelatihan. Selain itu terdapat beberapa masalah di pelaksanaan DOTS yang terjadi selama pandemi, yaitu masyarakat yang kurang terbuka, memiliki mobilitas yang tinggi, sehingga petugas puskesmas dan kader kesehatan seringkali kesulitan dalam melakukan pemantauan terkait dengan investigasi kontak dan pengobatan pasien TBC.Kesimpulan. Gambaran pelaksanaan program DOTS selama pandemi di wilayah Puskesmas Depok Jaya belum maksimal berjalan dikarenakan mengalami penurunan jumlah kegiatan. ABSTRACT Background. TB is a problem in Indonesia. The government has implemented DOTS to reduce morbidity and mortality but hasn’t yet reached the target. During the pandemic, DOTS was being held with adjustments to input and process management.Purpose. Find out the description of the implementation of DOTS during a pandemic in the Puskesmas Depok Jaya area. Methods. This study used a qualitative case study design. Data collection techniques were in-depth interviews with the main informants, the PIC of DOTS, the doctor in charge of DOTS, the head of the cadre and 2 medication supervisors, the supporting informants were 4 tuberculosis patients. Researchers collected data by in-depth interviews online via Zoom. Results. Several main activities at the Puskesmas during the pandemic experienced a decrease in the number of activities, including contact investigations, screening, and training. There were several problems that occurred during the pandemic, the community was less open, had high mobility, so Puskesmas officers and health cadres had difficulties in carrying out monitoring related to contact investigations and treatment of TB patients. Conclusion. DOTS hasn’t run optimally due to a decrease in the number of activities.

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“…Pelayanan kesehatan didukung oleh tenaga kesehatan dalam memberikan arahan kepada pasien hingga menyakinkan pasien tersebut untuk pemanfaatan menggunakan pelayanan kesehatan tingkat dasar dalam rawat jalan. 20 Menurut Teori Gibson, Ivancevich, dan Donnelly dalam Hidana dkk, faktor-faktor yang mempengaruhi pemanfaatan pelayanan kesehatan adalah faktor masyarakat, faktor sosial, dan faktor tenaga Puskesmas. Faktor tenaga kesehatan tersebut memiliki hubungan yang erat dalam memotivasi masyarakat agar dapat terus berpemanfaatan secara aktif dalam kegiatan pemerintah sehingga apabila salah satu tidak ikut terlibat dalam kegiatan pemerintah maka kegiatan tersebut tidak dapat berjalan secara optimal.…”

Section: Pembahasanunclassified

“…Faktor eksternal (pengaruh lingkungan luar) tidak daplislat dikendalikan oleh sesorang maka disebut juga "given"artinya diluar kendalinya. 20 Pengaruh karakteristik lingkungan tersebut jika mendukung sesuai dengan kebutuhan seseorang maka akan membantu dalam kelancaran tugas-tugasnya, sebaliknya apabila tidak sesuai bisa jadi penghambat. Beberapa faktor ekternal yang berpengaruh terhadap seseorang diantaranya, kebijakan pemerintah, keluarga, kelembagaan, dan masyarakat.…”

Section: Pembahasanunclassified

Media, Tenaga Kesehatan, Lingkungan, Health Literacy, dan Motivasi terhadap Pemanfaatan Program Pengelolaan Penyakit Kronis

Utami¹

2021

jikes

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Program Pengelolan Penyakit Kronis (Prolanis) merupakan program preventif dan promotif dalam rangka pemeliharaan kesehatan yang menderita penyakit kronis agar tidak terjadi komplikasi dan mencapai kualitas hidup yang optimal. Tujuan penelitian ini untuk mengetahui pengaruh media informasi, peran tenaga kesehatan, lingkungan sosial, health literacy, dan motivasi sehat terhadap pemanfaatan Prolanis. Penelitian ini dilakukan di Puskesmas Wilayah Kecamatan Klari pada bulan Januari 2020. Jenis penelitian kuantitatif, desain penelitian menggunakan pendekatan cross sectional dengan Struktural Equation Modelling. Populasi dalam penelitian ini adalah seluruh anggota aktif prolanis. Sampel dipilih secara total populasi dengan jumlah 90 peserta Prolanis, yaitu pasien diabetes melitus tipe II dan hipertensi yang aktif menjadi anggota prolanis sampai bulan Januari 2020. Pengumpulan data menggunakan kuesioner. Pemanfaatan Prolanis dipengaruhi oleh media informasi sebesar 17,06%, peran tenaga kesehatan sebesar 21,49%, lingkungan sosial sebesar 16,28%, health literacy sebesar 12,77%, dan motivasi sehat sebesar 13,98%. Model mampu menjelaskan variabilitas data sebesar 99,91%, sedangkan 0,09% dijelaskan oleh variabel lain yang tidak dikaji dalam penelitian ini. Diharapkan adanya peran dari tenaga kesehatan dalam memberikan penyuluhan terkait Prolanis, seperti melakukan terobosan memberikan informasi untuk pembaharuan Prolanis baik di media cetak, elektronik maupun dalam jaringan, selalu memantau pencapaian peseta Prolanis dalam pemanfaatannya, dan selalu mengevaluasi Prolanis untuk perbaikan program dan kualitas hidup peserta Prolanis.

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Evaluation of primary health care service participation in the National Tuberculosis Control Program in Menofya Governorate

Cited by 3 publications

References 3 publications

Assessing the capacity of primary health care centres to provide tuberculosis services in Kaduna State, North-Western Nigeria

Assessing the capacity of primary health care centres to provide tuberculosis services in Kaduna State, North-Western Nigeria

Pelaksanaan Program Directly Observed Treatment Short-Course (DOTS) Selama Pandemi COVID-19 di Wilayah Puskesmas Depok Jaya

Media, Tenaga Kesehatan, Lingkungan, Health Literacy, dan Motivasi terhadap Pemanfaatan Program Pengelolaan Penyakit Kronis

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