ANALYSIS OF THE SUCCESS OF TUBERCULOSIS TREATMENT THROUGH THE DOTS (DIRECTLY OBSERVED TREATMENT SHORTCOURSE) APPROACH AT THESANGURARA PUBLIC HEALTH CENTER IN PALU CITY
Abstract
ABSTRACT
Tuberculosis disease is still a serious global public health problem characterized by high incidence, morbidity, and mortality that requires special attention and ongoing intervention from various parties. Therefore, the implementation of the Directly Observed Treatment Shortcourse (DOTS) strategy is one of the efforts to control TB that has proven to be effective globally in overcoming the problem of tuberculosis disease. The Sangurara Health Center Working Area has a high incidence of TB cases and there are still challenges in achieving optimal treatment success. Of the 13 existing health centers, Sangurara Health Center is the health center with the highest number of TB cases in Palu City. This condition shows the importance of identifying specific factors that can affect the success of the TB program in this Working Area. This study aims to analyze the relationship between treatment regularity, knowledge of tuberculosis and DOTS, and the role of PMO with treatment success. This type of research is quantitative with an analytical survey design and a cross-sectional approach. The population in this study is all TB patients who have successfully treated or failed in 2023 in the Sangurara Health Center Working Area of 53 people, with questionnaires as a data collection instrument. The results showed that the variables of regularity of treatment (p = 0.000), knowledge of TB and DOTS (p = 0.000), and the role of PMO (p = 0.000) had a significant relationship with the success of treatment of TB patients. The conclusion of this study is that the Directly Observed Treatment Shortcourse Strategy has a significant relationship with the Success of Treatment of Tuberculosis Patients in the Working Area of the Sangurara Health Center, Palu City.
References
Amalia, N. R., Basuki, D. R., Kusumawinakhyu, T., & Purbowati, M. R. (2021). Pengaruh Pengetahuan dan Sikap terhadap Perilaku Pasien TB Paru di Balai Kesehatan Paru Masyarakat (BKPM) Purwokerto. Herb-Medicine Journal, 4(1), 28. https://doi.org/10.30595/hmj.v4i1.8488
Damayanti, D. A., & Hikmah, F. (2019). Analisis Faktor-Faktor yang Mempengaruhi Keberhasilan Pengobatan Pasien Tuberkulosis Paru Studi kasus Rumah Sakit Paru Jember. Prosiding Seminar Rekam Medik Dan Informasi Kesehatan 119–130.
Depo, M., & Pademme, D. (2022). Faktor yang berhubungan dengan kepatuhan berobat penderita tuberkulosis paru di kota Sorong. Jurnal Teknosains, 11(2), 174–183. https://doi.org/10.22146/teknosains.61225
Dinkes Sulawesi Tengah. (2023). Profil Kesehatan Dinas Kesehatan Sulawesi Tengah. Profil Kesehatan Provinsi Sulawesi Tengah, 1–368.
Dwiningrum, R., Wulandari, R. Y., & Yunitasari, E. (2021). Hubungan Pengetahuan dan Lama Pengobatan TB Paru dengan Kepatuhan Minum Obat pada Pasien TB Paru Di Klinik Harum Melati. Jurnal Aisyah : Jurnal Ilmu Kesehatan, 6(1). https://doi.org/10.30604/jika.v6is1.788
Herda, W., Tunru, I. S. A., & Yusnita, Y. (2018). Hubungan Peran Pengawas Menelan Obat (PMO) Terhadap Keberhasilan Pengobatan Tuberkulosis Di Puskesmas Kecamatan Johar Baru Jakarta Pusat Tahun 2016. Jurnal Profesi Medika : Jurnal Kedokteran Dan Kesehatan, 12(1), 13–17. https://doi.org/10.33533/jpm.v12i1.258
Inaya, F., Agnes, M., Dedy, E., & Sagita, S. (2020). Hubungan Pengawasan Menelan Obat Terhadap Keberhasilan Pengobatan Tuberculosis Di Kupang. In Cendana Medical Journal, 20(2),206-213.
Kementerian Kesehatan. (2023). Laporan Program Penanggulangan Tuberkulosis Tahun 2022. In Kemenkes RI. https://tbindonesia.or.id/pustaka_tbc/laporan-tahunan-program-tbc-2021/
Kementerian, K. (2011). Pedoman Nasional Pengendalian Tuberkulosis
Maulidya, Y. N., Redjeki, E. S., & Fanani, E. (2017). Faktor Yang Mempengaruhi Keberhasilan Pengobatan Tuberkulosis (Tb) Paru Pada Pasien Pasca Pengobatan Di Puskesmas Dinoyo Kota Malang. Preventia : The Indonesian Journal of Public Health, 2(1), 44. https://doi.org/10.17977/um044v2i1p44-57
Mokambu. Z. A., Yunus. P., & Syamsuddin. F. (2023). Peran Pengawas Minum Obat (PMO) Terhadap Keberhasilan Pengobatan TB Paru Di Wilayah Kerja Puskesmas Bulango Ulu. Detector: Jurnal Inovasi Riset Ilmu Kesehatan, 1(2), 22–28. https://doi.org/10.55606/detector.v1i2.1357
Saida, A. A., Lahdji, A., & Anggraeni, N. (2023). Hubungan Peran Pengawas Menelan Obat (Pmo) Dengan Keberhasilan Pengobatan Penderita Tuberkulosis Di Puskesmas Simbarwaringin Kecamatan Trimurjo Lampung Tengah. Jurnal Ilmu Kedokteran Dan Kesehatan, 10(7), 2409–2417. https://doi.org/10.33024/jikk.v10i7.10134
Papeti, S., Djalil, R., & Suharto, D. (2022). Hubungan Pengetahuan dan Sikap Penderita Tb PAru Dengan Kepatuhan Minum Obat Anti Tuberkulosis di Puskesmas Kombos. Jurnal Fisioterapi Dan Ilmu Kesehatan Sisthana, 4(1), 45–53.
Purba, E. D. R., & Sudirman, M. S. (2024). Persepsi pasien terhadap peran keluarga sebagai pengawas menelan obat (PMO) dengan kepatuhan minum obat pada pasien tuberkulosis paru. Holistik Jurnal Kesehatan, 17(9), 879–886. https://doi.org/10.33024/hjk.v17i9.10252
Putri, O. M. G., Oktarlina, R. Z., Suri, N., & Sukohar, A. (2025). Kajian literatur : faktor -faktor yang memengaruhi keberhasilan terapi pasien tuberkulosis paru. Jurnal Kesehatan Tambusai, 6(1), 1448–1456. https://doi.org/10.31004/jkt.v6i1.42725
Qhumairah, A., Hamzah, W., & Haeruddin. (2024). Faktor Yang Berhubungan dengan Kepatuhan Minum Obat Penderita TB Paru RSUD dr. Lapalaloi Maros. Window of Public Health Journal, 5(3), 440–451.
Rumimpunu, R., Maramis, F. K. K., Kolibu, F.K. (2018). Hubungan antara Dukungan Keluarga dan Dorongan Petugas Kesehatan dengan Kepatuhan Berobat Penderita Tuberkulosis Paru di Puskesmas Likupang Kabupaten Minahasa Utaea. In Jurnal KESMAS, 7,(4).
Salvadila, N. K. A. S., Darmini, A. A. A. Y., Suantika, P. I. R., & Megayanti, S. D. (2023). Hubungan Pengetahuan Dan Motivasi Terhadap Kepatuhan Berobat Pasien Tuberkulosis Paru Pada Masa Pandemi Covid-19. Jurnal Persatuan Perawat Nasional Indonesia (JPPNI), 8(2), 64. https://doi.org/10.32419/jppni.v8i2.387
Saragi, M., Hayati, E., & Tambun, M. (2024). Analysis of Pulmonary Tuberculosis Treatment Using The DOTS (Directly Observed Treatment Short Course) Strategy at The Sei Dadap District Health Center Sei Dadap Asahan District. In Journal of Healtcare Technology and Medicine (Vol. 10, Issue 2).
Sasmita, M., Zainuddin, A., & Yuniar, N. (2024). Implementasi Program Penanggulangan TB Paru di Puskesmas Besulutu Kecamatan Besulutu Kabupaten Konawe. JIIP - Jurnal Ilmiah Ilmu Pendidikan, 7(2), 1579–1586. https://doi.org/10.54371/jiip.v7i2.3928
Silalahi, N., Simanjuntak, A., Tinambunan, T. R., & Ginting, S. (2021). Analisis Faktor Keberhasilan Pengobatan Tuberculosis Di Wilayah Kerja Puskesmas Namorambe. Jurnal Penelitian Kesmasy, 4(1), 55–62. https://doi.org/10.36656/jpksy.v4i1.764
Wiyati, T., & Nabilla, A. R. (2024). Karakteristik yang terkait dengan Pengetahuan dan Kepatuhan Minum Obat Pasien Tuberkulosis Paru di RSUD Raja Ahmad Tabib Tanjung Pinang. Journal of Islamic Pharmacy. Online, 9(2), 92–96. https://doi.org/10.18860/jip.v9i2.29829
World Health Organization. (2024). World health statistics 2024 Monitoring health for the SDGs, Sustainable Development Goals.
