CASE DETECTION RATE TB PARU BTA(+) MELALUI SURVEILANS BERBASIS MASYARAKAT DI DESA SUMBERTLASEH

Abstract

ABSTRACT  Pulmonary TB is getting serious attention from the government with the increasing complexity of handling of co-infected with TB / HIV and drug-resistant TB (MDR). Agenda 6th Millennium Development  Goals (MDGs) is to combat HIV / AIDS, malaria and other diseases including pulmonary TB. Pulmonary TB is third number the biggest contributor to the death  in the world, and Indonesia is the third country  one of the largest contributors  in the world. Pulmonary TB is highly contagious pulmonary tuberculosis patients where 1 BTA (+) can infect 10-15 people every year. One indicator of the success rate of TB control is the achievement of case detection rate (CDR) more than 70%. Community participation is needed to achieve it by community-based surveillance. The purpose of this study was to measure the effectiveness of community-based surveillance in assessing case detection rate (CDR) in Sumber Tlaseh district. Dander,  Bojonegoro. The study design used is pre experiment with the approach of one shoot pre test-post test only design. The research sample in cadre TB surveillance is formed by taking a sample size of 24 people. The research sample in measuring case detection rate (CDR) is the public suspected tuberculosis. The independent variable is the community-based surveillance, the dependent variable is the case detection rate (CDR). The effectiveness of cadres carry out surveillance capability was measured by using a test in the form of a questionnaire before and after the education and training of pulmonary TB surveillance and tested with Paired T-Test, while the case detection rate (CDR) is measured by the results of the recording and reporting of TB cadres in surveillance activities. The effectiveness of community-based surveillance activities in measuring the percentage of CDR  by comparing the before and after implemented community-based surveillance activities, where the initial CDR derived from secondary data clinic. The results showed that training on pulmonary TB  is given to cadres effective in increasing knowledge about pulmonary tuberculosis. Case detection rate (CDR) Sumbertlaseh village reaches 100%, an increase from the previous year CDR of 60% and higher than the CDR of Public Health Center of Ngumpak Dalem by 87.17% in 2015. Thus, effective community-based surveillance in TB case detection BTA ( +) Village Sumbertlaseh Dander Subdistrict Bojonegoro 2015. Active participation of the community in the activities of community-based surveillance is a tangible manifestation of public support in the control of TB and is a strategic step in discovering new cases among suspected that local people have a high vigilance against the risk of contracting pulmonary tuberculosis Keywords: CDR, pulmonary tuberculosis, community based surveillanc