The Policy to Prevention Services Tuberculosis Using Standardized and Directed Services

Abstract

The Probolinggo Government's efforts to support the accelerated program to eradicate tuberculosis in 2030, followed by Permenkes Number 64 of 2016 concerning Tuberculosis Control, experienced obstacles in Probolinggo Regency. The number of tuberculosis case findings in Probolinggo Regency in 2021 is only 1,193 or 46.41% compared to the target of 2,572. However, tuberculosis patients are worried they will be diagnosed with the Covid-19 virus because of similar symptoms, so they are reluctant to go to the Puskesmas. This study aimed to describe and analyze the implementation of health centre service policies for tuberculosis patients based on Permenkes Number 67 of 2016, along with the supporting and inhibiting factors at the Kraksaan Health Center, Probolinggo Regency. The location of research was carried out at the Kraksaan Health Center in Probolinggo Regency with the consideration that it has a conducive situation and condition because it is located near the Probolinggo Regency government centre and is a reference for tuberculosis services that the East Java Provincial Health Office has appointed. The research method used is qualitative descriptive research using a case study technique. The research analysis results show that the implementation of tuberculosis patient service policies at the Kraksaan Probolinggo Health Center has complied with Permenkes Number 67 of 2016. This is driven by several factors, such as standardized and targeted services supported by certified health workers and integration and collaboration between health policy stakeholders in Probolinggo Regency. On the other hand, several obstacles become inhibiting factors, including the lack of socialization of the provision of health service facilities for tuberculosis patients, inadequate facilities and infrastructure, and the reluctance of the public to check themselves.