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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

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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

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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

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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

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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

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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

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