| Summary: | Background: Tuberculosis still a serious public health problem that it causes
increased morbidity, mortality, and most concern of the world. Tuberculosis has
been controlled in many ways but there are still many problems. Tebo district has
not yetachieved the minimum target when compared to the number of TB suspects
examined in three years. In 2011, inspectors suspected achievement only 44.74%,
in 2012 56.28% suspects examination achievement, and in 2013 decreased
38.94% suspects examination achievement. Observation of pulmonary TB BTA
positive case detection in health center visits of obstacle coordination among
health workers, managerial coordination obstacle, and obstacle coordination
among health professionals and cimmunity. Based on this it is important to do
research TB Pulmonary BTA positive detection at Rimbo Bujang health center
Tebo district.
Objective: To identify obstacle of coordination to the detection a new case of
pulmonary TB BTA positive Rombo Bujang health center Tebo district.
Methods: This study used descriptive qualitative method. This method aims to
describe the fact that occur in the field. The study design used a case study
approach. Research subject are officials and staff research of Tebo Health District,
Head of health center and related personnel TB programs in health centers.Data
collection used in-depth interviews, observation and document review.
Results: Coordination of case detection of TB pulmonary BTA positive has been
effectively in Rimbo Bujang health center but there are obstacle and limitations
that need to be managed, improved on the quality and quantity of human
resources, budgeting, promotion and counseling of TB programs, over workload,
the cooperation of private physician practices and record keeping and reporting at
health center level. Managerial activities are not optimal (Health district office
conducted supervision and health centers), supervision implemented incidentally
and uncertain time schedule. Coordination of new case detection of pulmonary TB
BTA positive among health workers and community has been running well in
Rimbo Bujang health centerl but there are obstacle and limitations that need to be
fixed to the front as the active promotion and counseling, home visits, cooperation
and support of the PKK cadres.
Keywords: Tuberculosis, coordination, barrier of pulmonary TB case detection
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