DAFTAR ISI

HALAMAN JUDUL .......................................................................................... i

LEMBAR PENGESAHAN ............................................................................... ii
SURAT KEPUTUSAN ....................................................................................... iii
KATA PENGANTAR ....................................................................................... iv
DAFTAR ISI ...................................................................................................... vi
DAFTAR TABEL .............................................................................................. ix
DAFTAR GAMBAR ......................................................................................... x
DAFTAR LAMPIRAN ...................................................................................... xi
BAB I PENDAHULUAN
1.1 Latar Belakang ............................................................................. 1
1.2 Rumusan Masalah ....................................................................... 2
1.3 Tujuan .......................................................................................... 2
1.3.1 Tujuan Umum .................................................................... 2
1.3.2 Tujuan Khusus ................................................................... 2
1.4 Manfaat ....................................................................................... 3
BAB II TINJAUAN PUSTAKA
2.1 Tuberkulosis Paru ..................................................................... 4
2.1.1 Definisi ............................................................................... 4
2.1.2 Epidemiologi ...................................................................... 4
2.1.3 Klasifikasi .......................................................................... 5
2.1.4 Patogenesis dan penularan TB paru ................................... 6
2.1.5 Manifestasi klinis TB paru ................................................. 7
2.1.6 Pencegahan penularan TB paru.......................................... 8
2.1.7 Diagnosis TB paru ............................................................. 9
2.1.8 Tatalaksana TB paru .......................................................... 13
2.1.9 Evaluasi pengobatan TB Paru ............................................ 16
2.1.9.1 Evaluasi klinik .......................................................... 16
2.1.9. 2 Evaluasi Bakteriologi ............................................... 16
2.1.9.3 Evaluasi Radiologik ................................................. 17

vi
 2.1.9.4 Evaluasi efek samping secara klinis ......................... 17
2.1.9.5 Dampak TB paru terhadap pasien dan keluarga ....... 17
2.1.9. 6 Dukungan keluarga pada pasien TB paru ................ 18
2.2 Puskesmas.................................................................................... 19
2.2.1 Definisi Puskesmas ............................................................ 19
2.2.2 Fungsi Puskesmas .............................................................. 19
2.2.3 Tujuan Puskesmas .............................................................. 20
2.2.4 Upaya Kesehatan Puskesmas ............................................. 21
2.3 Angka Penemuan Penderita TB Paru BTA+ ............................... 22
2.3.1 Pengertian........................................................................... 22
2.3.2 Definisi Operasional .......................................................... 22
2.3.3 Rumus Perhitungan Kinerja ............................................... 22
2.3.4 Target ................................................................................ 22
2.3.5 Langkah-Langkah Kegiatan ............................................... 23
2.3.6 Sumber Daya Manusia ....................................................... 23
2.4 Evaluasi Program......................................................................... 23
2.4.1 Definisi ............................................................................... 23
2.4.2 Tujuan ................................................................................ 23
BAB III METODOLOGI EVALUASI
3.1 Penetapan Tolak Ukur dari Keluaran .......................................... 24
3.2 Pengumpulan Data ....................................................................... 26
3.2.1 Data primer ........................................................................ 26
3.2.1 Data sekunder .................................................................... 26
3.3 Identifikasi Masalah .................................................................... 26
3.4 Menetapkan Prioritas Masalah .................................................... 26
3.5 Pembuatan Kerangka Konsep Masalah yang Diprioritaskan ...... 28
3.6 Identifikasi Penyebab Masalah .................................................... 28
3.7 Perencanaan Penyelesaian Masalah ............................................. 28
3.8 Penentuan Prioritas Penyelesaian Masalah .................................. 28
BAB IV PENYAJIAN DATA
4.1 Geografi dan Administrasi ........................................................... 30

vii
 4.2 Kependudukan …………………..………………. ...................... 32
4.3 Pendidikan .................................................................................... 32
4.4 Gambaran Upaya Kesehatan Dasar .............................................. 33
BAB V HASIL PENILAIAN DAN PEMBAHASAN
5.1 Indikator dan Tolak Ukur Keluaran Program …………………… 35
5.2 Identifikasi Prioritas Masalah ....................................................... 36
5.3 Identifikasi Penyebab Masalah………. ........................................ 37
5.4 Perencanaan dan Alternatif Penyelesaian Masalah ...................... 42
5.5 Penentuan Prioritas Penyelesaian Masalah................................... 47
BAB VI KESIMPULAN DAN SARAN
6.1 Kesimpulan ................................................................................... 49
6.2 Saran ............................................................................................. 49
DAFTAR PUSTAKA ........................................................................................ 51
LAMPIRAN ....................................................................................................... 54

viii
 DAFTAR TABEL

Tabel 2.1 Skala IUATLD untuk Penetapan Hasil BTA ................................ 10

Tabel 2.2 Dosis Panduan OAT-KDT Kategori 1: (HRZE)/4(HR)3.............. 15
Tabel 2.3 Dosis Panduan OAT-Kombipak Kategori 1: 2(HRZE)/4(H3R3 .. 15
Tabel 2.4 Dosis Panduan OAT-KDT Kategori 2: 2(HRZE)S/ (HRZE)/
5(HR)3E3...................................................... ................................ 16
Tabel 2.5 Dosis Panduan OAT-Kombipak Kategori 2:
2HRZES/HRZE/5H3R3E3............................................................ 16
Tabel 2.6 Target Program Angka Penemuan TB Paru
BTA+............................................................................................. 22
Tabel 3.1 Capaian Keberhasilan Program Angka Penemuan Penderita TB BTA+
....................................................................................................... 25
Tabel 4.1 Distribusi Penduduk Berdasarkan Pendidikan Tahun 2017 .......... 32
Tabel 4.2 Posyandu Wilayah Kerja UPK Puskesmas Alianyang Tahun 2017
....................................................................................................... 33
Tabel 5.1 Indikator dan Tolak Ukur Program .............................................. 35
Tabel 5.2 Penentuan Prioritas Masalah ......................................................... 36
Tabel 5.3 Identifikasi Faktor Penyebab Masalah .......................................... 38
Tabel 5.4 Prioritas Alternatif Penyelesaian Masalah .................................... 47

ix
 DAFTAR GAMBAR

Gambar 2.1 Algoritma Diagnosis TB dan TB Resisten Obat di Indonesia .... 11

Gambar 2.2 Skoring TB Anak ........................................................................ 12
Gambar 2.3 Algoritma Diagnosis TB anak dan Skoring ................................ 13
Gambar 4.1 Peta Wilayah Kerja UPK Puskesmas Alianyang Kecamatan Pontianak
Kota ............................................................................................. 30
Gambar 4.2 Grafik Distribusi Penduduk Berdasarkan Kelompok Umur ....... 31
Gambar 5.1 Diagram Fishbone....................................................................... 41

x
 DAFTAR LAMPIRAN

Lampiran 1 Struktur Organisasi UPK Puskesmas Alianyang Kecamatan Pontianak

Kota Berdsarkan PERMENKES No.75 Tahun 2014.................. 53
Lampiran 2 Alur Pelayanan TB Paru di UPK Puskesmas Alianyang Kecamatan
Pontianak Kota ............................................................................ 54
Lampiran 3 Saran Alur Pelayanan Program Angka Penemuan Penderita TB BTA+
Secara Pasif di UPK Puskesmas Alianyang Kecamatan Pontianak
Kota ............................................................................................. 55
Lampiran 4 Formulir Skrining Massal TB Dewasa Usia >15 Tahun............. 56
Lampiran 5 Skoring TB Anak Berdasarkan Permenkes No.67 Tahun 2016
Tentang penanggulangan TB ...................................................... 57
Lampiran 6 Alur Diagnosis TB Anak Berdasarkan Permenkes No.67 Tahun 2016
Tentang Penanggulangan TB ...................................................... 58
Lampiran 7 List Wawancara........................................................................... 59

xi