PEMERINTAH KABUPATEN GUNUNG MAS

DINAS KESEHATAN KABUPATEN GUNUNG MAS

UPT. PUSKESMAS SEPANG
Jl. Pemda, No. 36. Kel. Sepang Simin, Kec. Sepang. Kab. Gunung Mas 74571

Notulen

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Rekomendasi ....................................................................................................................................
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Kepala UPT. Puskesmas Sepang Notulen

dr. HENY ERLINA ........................................................

NIP. 19770507 200501 2 013
 PEMERINTAH KABUPATEN GUNUNG MAS
DINAS KESEHATAN KABUPATEN GUNUNG MAS
UPT. PUSKESMAS SEPANG
Jl. Pemda, No. 36. Kel. Sepang Simin, Kec. Sepang. Kab. Gunung Mas 74571

Notulen

Tanggal : Tempat :
Pukul :
Susunan .....................................................................................................................................
Acara ....................................................................................................................................
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Pertanyaan .....................................................................................................................................
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Pembahasan .....................................................................................................................................
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Kesimpulan ......................................................................................................................................
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Rekomendasi ....................................................................................................................................
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Kepala UPT. Puskesmas Sepang Notulen

dr. HENNY ERLINA ........................................................

Pembina Utama Muda
NIP. 19770507 200501 2 013
 PEMERINTAH KABUPATEN GUNUNG MAS
DINAS KESEHATAN KABUPATEN GUNUNG MAS
PUSKESMAS SEPANG
Jl. Pemda, No. 36. Kel. Sepang Simin, Kec. Sepang. Kab. Gunung Mas 74571

SATUAN ACARA PENYULUHAN (SAP)

PENYAKIT TB PARU

PENDAHULUAN

TB sampai dengan saat ini masih merupakan salah satu masalah kesehatan masyarakat
didunia walaupun upaya pengendalian dengan strategi DOTS telah diterapkan di banyak
negara sejak tahun 1995.
Sekitar 75% pasien TB adalah kelompok usia yang paling produktif secara ekonomis (15-
50 tahun). Diperkirakan seorang pasien TB dewasa, akan kehilangan rata-rata waktu kerjanya
3 sampai 4 bulan. Hal tersebut berakibat pada kehilangan pendapatan tahunan rumah
tangganya sekitar 20-30%. Jika ia meninggal akibat TB, maka akan kehilangan
pendapatannya sekitar 15 tahun. Selain merugikan secara ekonomis, TB juga memberikan
dampak buruk lainnya secara sosial, seperti stigma bahkan dikucilkan oleh masyarakat.
Di Kecamatan Sepang, dalam 2 tahun terakhir terjadi peningkatan jumlah penderita TB
Paru BTA Positif. Oleh karena itu perlunya peningkatan pemberantasan penyakit TB dengan
menemukan pasien TB Paru BTA positif semaksimal mungkin. Penemuan pasien bertujuan
untuk mendapatkan pasien TB melalui serangkaian kegiatan mulai dari penjaringan terhadap
terduga pasien TB, pemeriksaan fisik dan laboratoris, menentukan diagnosis, menentukan
klasifikasi penyakit serta tipe pasien TB, sehingga dapat dilakukan pengobatan agar sembuh
sehingga tidak menularkan penyakitnya kepada orang lain. Kegiatan penemuan pasien terdiri
dari penjaringan terduga pasien, diagnosis, penentuan klasifikasi penyakit dan tipe pasien.
Penemuan pasien merupakan langkah pertama dalam kegiatan tatalaksana pasien TB.
Penemuan dan penyembuhan pasien TB menular secara bermakna akan dapt menurunkan
angka kesakitan dan kematian akibat TB serta sekaligus merupakan kegiatan pencegahan
penularan TB yang paling efektif di masyarakat. Keikutsertaan pasien merupakan salah satu
faktor penting dalam upaya pengendalian TB.
Sejalan dengan meningkatnya kasus TB, WHO dan IUATLD pada awal tahun 1990-an
mengembangkan strategi pengendalian TB yang dikenal sebagai strategi DOTS (Directly
Observed Treatment Short-course).
Strategi DOTS terdiri dari 5 komponen kunci, yaitu :
1) Komitmen Politis, dengan peningkatan dan kesinambungan pendanaan.
2) Penemuan kasus melalui pemeriksaan dahak mikroskopis yang terjamin mutunya.
3) Pengobatan yang standar dengan supervisi dan dukungan bagi pasien.
4) Sistem pengelolaan dan ketersediaan OAT yang efektif.
5) Sistem monitering, pencatatan, dan pelaporan yang mampu memberikan penilaian
terhadap hasil pengobatan pasien dan kinerja program.
 SAP

(SATUAN ACARA PENYULUHAN)