Implementasi Pelaksanaan PPM (Public-Private Mix) dalam Penanggulangan Tuberkulosis di Kota Medan Tahun 2024

Abstract

Tuberculosis (TB) is an infectious disease that remains a health problem in Indonesia, including in Medan. The Public-Private Mix (PPM) is a strategy that involves all healthcare facilities, both public and private, in TB control to improve case detection and treatment success. This study aims to analyze the implementation of the PPM program in TB control in Medan City in 2024. The study used qualitative methods with a phenomenological approach. Data were collected through in-depth interviews and documentation at the Medan Area Selatan Community Health Center, Mega Mas Clinic, and the Medan City Health Office. The research results indicate that the implementation of Community Health Program (PPM) in Medan City has not been optimal. The DPPM Team has been established, but its effectiveness is limited due to limited funding. The PPM work plan in Medan City relies heavily on support from NGOs or external sponsors, so program implementation is not fully independent. Collaboration between community health centers (Puskesmas) and private health facilities has been successful in logistics, laboratory testing, and TB case reporting. However, obstacles remain, such as limited resources and funding, and low commitment from some private health facilities in reporting TB cases. This study concludes that strengthening commitment and resource support from the local government, as well as improved coordination between all relevant parties, is needed to optimize the implementation of PPM in TB control in Medan City.