Implementasi Penanggulangan TB Paru: Sinergi Peran Tenaga Kesehatan, Promosi Kesehatan, dan Kader TB – Analisis Model SEM PLS
Abstract
Latar Belakang: Tingkat kesembuhan pasien Tuberkulosis (TB) mengalami peningkatan. Namun, kasus TB masih mengalami tren peningkatan. Indikasi implementasi penanggulangan dan pencegahan TB masih jauh dari target End TB atau eliminasi TB. Tujuan: Fokus penelitian untuk menganalisis pengaruh peran tenaga kesehatan, peran promosi kesehatan, dan peran kader TB terhadap implementasi penanggulangan TB di Pusat Kesehatan Masyarakat Cibinong, Indonesia tahun 2022. Metode: Studi cross sectional dipilih sebagai desain penelitian ini dengan analisis model PLS. Melibatkan pasien TB paru yang berobat rawat jalan sebanyak 90 responden yang memenuhi kriteria inklusi dan eksluasi sebagai sampel penelitian. Instrumen pengumpulan data menggunakan kuesioner dalam bentuk pertanyaan positif dengan pertanyaan tertutup (close ended) dengan multiple choice untuk memperoleh data peran tenaga kesehatan, promosi kesehatan dan kader. Analisis data dilakukan secara multivariat menggunakan SEM dengan Smart PLS. Hasil: Implementasi penanggulangan TB dipengaruhi oleh peran tenaga kesehatan, peran promosi kesehatan dan peran kader TB. Besar pengaruh peran kesehatan 94,5%, peran promosi kesehatan 11,4%, dan peran kader TB 67,3%. Model mampu menjelaskan variabilitas data sebesar 97,3%, sedangkan 2,7% dijelaskan oleh variabel lain yang tidak dikaji dalam penelitian ini. Simpulan: Peningkatan peran tenaga kesehatan, peran promkes, dan peran kader TB berpengaruh pada penanggulangan TB. Oleh karena itu, sinergi lintas sektor, kerja sama tenaga kesehatan dan kader TB maupun masyarakat umum untuk mencapai target WHO, yaitu End TB tahun 2035 atau dan program Kementrian Kesehatan percepatan eliminasi program TB tahun 2030 perlu ditingkatkan dengan mencari Inovasi yang efektif.
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