Evaluasi Pelaksanaan Program TBC MDR di Dinas Kesehatan Provinsi Sumatera Selatan

Abstract

MDR TB is a man-made phenomenon that occurs as a result of inadequate treatment of TB patients as well as direct transmission from MDR TB patients. The existence of cases that have not been detected and managed by the MDR TB control program makes this a new challenge in overcoming it. The purpose of this study was to determine how the implementation of the MDR TB control program in South Sumatra using theevaluation model Context, Input, Process, Product (CIPP). This study uses descriptive qualitative research methods, by conducting in- depth interviews. From the results of the research on the Context Evaluation which consisted of the background, objectives and program opportunities in accordance with the Tuberculosis technical rules and guidelines (Permenkes No. 67/2016). In the evaluation of the input of the provision of human resources, program managers, funds and infrastructure are in accordance with the needs of the program in both the province and district / city. In the evaluation process for MDR TB program planning, it has been carried out by involving cross-sector and cross-program and other related agencies, the program target is clear, but there are obstacles to Human Resources at first-level and advanced level health facilities. In the Product Evaluation, the detection and treatment rates for MDR TB cases (obtained, Enrollment rate) werenamely in 2017: 46%, 2018: 36%, 2019: 41%. In general, the implementation of the MDR TB Control Program in South Sumatra Province from context, input, process, has been going well but still needs improvement / improvement, to be able to produce products as expected by Permenkes Number 67 of 2016.