Evaluasi Implementasi Investigasi Kontak Kasus Tuberkulosis di Kabupaten Kulon Progo Tahun 2024/Evaluation of Implementation of Tuberculosis Case Contact Investigation in Kulon Progo Regency in 2024

Ainun Sunaini, dr. Riris Andono Ahmad, MPH., Ph.D; Dr.dr. Citra Indriani, MPH; Bayu Satria Wiratama, S.Ked, MPH, Ph.D, FRSPH

2025 | Tesis | S2 Ilmu Kesehatan Masyarakat

Latar Belakang: Tuberkulosis (TBC) adalah penyakit menular yang menjadi salah satu penyebab kematian utama di dunia. Kabupaten Kulon Progo memiliki angka temuan kasus TBC terendah di DIY, Investigasi kontak (IK) merupakan strategi penting dalam deteksi dini kasus TBC. Penelitian ini bertujuan untuk mengevaluasi   faktor yang mempengaruhi rendahnya pelaksanaan IK di Kabupaten Kulon Progo.

 

Metode: Penelitian ini menggunakan metode deskriptif dan Cross Sectional Study. Penelitian dilakukan secara komprehensif melalui evaluasi program investigasi kontak, evaluasi sistem surveilans, serta analisis faktor yang mempengaruhi rendahnya pelaksanaan investigasi kontak di Kabupaten Kulon Progo tahun 2024.

 

Hasil: Hasil studi evaluasi program IK, ditemukan yaitu sebanyak 350 kasus TBC ,sebesar 57,4% kasus yang sudah IK, 2% kasus TBC dari hasil IK dan 7,5% anak <5 pelatihan (aPR=2,38; CI=1.26-4.48), aPR=1.31; CI=1.12-1.53), aPR=2,12; CI=1.60-2.80)>

 

Kesimpulan: Pelatihan mempengaruhi dalam pelaksanaan IK. Pelaksanana IK terhambat oleh beban kerja, rendahnya partisipasi kontak erat untuk pemeriksaan alnjutan, komplesitas pencatatan. Sehingga diperlukan monitoring dan follow up pada setiap programmer TBC dan melakukan workshop terkait IK pada programmer dan kader TBC.

Background: Tuberculosis (TBC) is an infectious disease that is one of the leading causes of death in the world. Kulon Progo Regency has the lowest TB case finding rate in Yogyakarta, Contact Investigation (CI) is an important strategy in the early detection of TB cases. This study aims to evaluate the factors that influence the low implementation of CI in Kulon Progo Regency.

Methods: This study used descriptive method and cross sectional study. The research was conducted comprehensively through evaluation of the contact investigation program, evaluation of the surveillance system, and analysis of factors influencing the low implementation of contact investigations in Kulon Progo Regency in 2024

Results: The results of the CI program evaluation study found that there were 350 TB cases, 57.4% of cases that had been CI, 2% of TB cases from CI results and 7.5% of children <5 aPR=2,38; CI=1.26-4.48), aPR=1.31; CI=1.12-1.53), aPR=2,12; CI=1.60-2.80)>

Conclusion: Training influences the implementation of contact investigation (CI). CI implementation is hindered by high workloads, low participation of close contacts in follow-up examinations, and the complexity of recording. Therefore, monitoring and follow-up for each TB program officer, as well as workshops on CI for program officers and TB cadres, are necessary.

Kata Kunci : Tuberkulosis, Investigasi Kontak, Surveilans, Program/Tuberculosis, Contact Investigation, Surveillance, Program,