| Summary: | Background: Tuberculosis Control Program was held in Bantul district
since 1996 by using the DOTS strategy. Nationally to assess the progress
and success of this program used two indicators of the case detection of
new patients with positive acid resistant bacteria that is at least 70% of the
estimated suspect under investigation and treatment success rate of at
least 85%. Of the two indicators, in Bantul district which has not always
reach the minimum target is the case detection of new tuberculosis
patients with positive acid resistant bacteria which in the last 4 years (in
2006 to 2009) only reached 30% to 38%. It shows an indication of a gap in
the implementation of policies and implementation programs in the field.
Why this happens? Once sought out the most suitable and able to be
implemented in the future.
Research Objectives: Case study research to evaluate the teamwork
strategy of tuberculosis control programs of public health centers in the
case detection of new tuberculosis patients positive acid resistant bacteria
in Bantul district of Yogyakarta.
Research Methods: This study uses a case study with qualitative
methods. Respondents are the chief problem areas of health, disease
control section chief and deputy supervisor in the department of health,
teamwork leader and the members of work teams tuberculosis control
program of public health centers. Data were collected with in-depth
interviews, observation and document review activities.
Results: Team work using job descriptions that refer to the duties and
functions of each member in his profession. So that team members work
only using job descriptions are general and work in teams as a secondary
activity. The training material is only oriented program management,
clinical and technical course, the evaluation system of training and update
knowledge has not been appropriate, so it is not able to build a dynamic
team performance and functional. Supervision is carried out either by the
health department supervisor and head of community health centers are
just a formality, administrative and coordinative. Support the leadership is
not in accordance with the expectations of the teamwork and its members.
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