Implementasi Program Percepatan Eliminasi Tuberkulosis (TBC) Berbasis Komunitas oleh Yayasan Mentari Meraki Asa Medan

Abstract

Tuberculosis (TB) poses a serious threat to public health in Indonesia, particularly due to its high prevalence among the productive-age population and economically disadvantaged communities. This condition impacts social and economic well-being, necessitating effective intervention efforts. The government issued Presidential Regulation No. 67 of 2021, emphasizing a community-based TB elimination strategy. Yayasan Mentari Meraki Asa Medan plays a key role in implementing this program. This study employs a qualitative descriptive method using in-depth interviews, observations, and documentation. The key informant is the Sub Recipient (SR) Manager of Yayasan Mentari Meraki Asa North Sumatra. Primary informants include Program Monitoring Evaluation Learning (PMEL) staff, TB cadres, and TB patients or community members. Additional informants are family members of TB patients receiving assistance from TB cadres. The findings indicate that the program includes health cadre training, contact investigation, community education, and patient support. Based on David C. Korten's implementation model, the program's success depends on the alignment between the program, implementing organization, and target group. However, challenges such as social stigma, low community participation, and limited healthcare access persist. Therefore, strengthening community involvement, increasing government policy support, and fostering broader collaboration with stakeholders are crucial to achieving the 2030 TB elimination target.