Efektivitas Pelaksanaan Program Penanggulangan TB MDR di Puskesmas Sentosa Baru Kota Medan

Abstract

Tuberculosis (TB) is an infectious disease which is the cause of high morbidity and mortality rates. Tuberculosis is a disease that infects the body, especially the lungs, namely in the presence of Mycobacterium tuberculosis and can be transmitted directly. The purpose of this study was to determine the effectiveness of the implementation of the multi drug resistant TB management program. (MDR) at the community health center at the Sentosa Baru Health Center in Medan City. The type of research is qualitative method research with a realist evaluation approach based on realism in seeing the success or failure of program using the Context, Mechanism, and Outcome (C-M-O) configuration. The data collection method is through in-depth interviews with informants. The results obtained were in the implementation of the MDR TB management program at the Sentosa Baru Health Center in Medan City. The result of the context is a description of the situation experienced by the participant, namely the health service provider. The context describes what things influence a tuberculosis control program in the form of drivers or obstacles at each community health center. Mechanism is a process that arises as a result of specific program interactions in the implementation of the DOTS Strategy counter measures program and the people in it who are involved. The mechanism element will describe the response of health service providers to the Tuberculosis control program. For the elements of the result is a change that occurs as a result of the interaction between context and mechanism. In uncertain results will describe the changes or differences caused by the program. Based on the analysis of the effects of interaction on elements of context and mechanism, it will be possible to summarize the results in the form of outcomes from the effectiveness of the implementation of the tuberculosis control program at the Sentosa Baru Health Center.