EVALUASI IMPLEMENTASI PUBLIC PRIVATE MIX (PPM) PENGENDALIAN TUBERKULOSIS DI KABUPATEN ENDE PROVINSI NUSA TENGGARA TIMUR TAHUN 2012
| Main Authors: | , MARIA AGUSTINA P.TONDONG, , dr. Yodi Mahendradhata, MSc, Ph.D |
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| Format: | Thesis NonPeerReviewed |
| Terbitan: |
[Yogyakarta] : Universitas Gadjah Mada
, 2013
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| Subjects: | |
| Online Access: |
https://repository.ugm.ac.id/123904/ http://etd.ugm.ac.id/index.php?mod=penelitian_detail&sub=PenelitianDetail&act=view&typ=html&buku_id=64020 |
Daftar Isi:
- Background: One of the components of the stop TB strategy is to involve all government service providers, private sector, non-governmental organizations in the implementation of quality DOTS known as Public Private Mix (PPM). Ende has executed since 2010 in the implementation of PPM DOTS approach involving government hospitals, private hospitals and private clinics, but has never been evaluated to determine the problem and found a solution to improve the performance of the TB control program in Ende. Objectives: To evaluate the implementation of the Public Private Mix (PPM) for TB control in Ende Methods: This study used a qualitative design, with descriptive case study approach, to describe the implementation of PPM for TB control in Ende, a district of East Nusa Tenggara Province. Result and Discussion: PPM implementation of TB control in Ende not run optimally, this showed by the low performance of the TB control program that is low TB case detection rate (CDR) < 70%, although there was an increase in TB case detection (CDR) of 12%, treatment success rate < 85%, the conversion rate < 80% and the high dropout rate of TB patients > 10% in the last three years. Factors - factors that inhibited the implementation of PPM for TB control are shortage of human resources, insufficient budget, lack of logistics and facilities infrastructures of TB DOTS unit and dependence on donor resources, the absence of operational guidelines governing cooperation mechanisms, the lack of commitment of the government and partners in the implementation of PPM control TB, lack of communication and coordination between PPM network, caseholding of TB patients Conclusion: Implementation of PPM TB Control has not been optimal yet because they can not improve the performance of the TB control program in the district of Ende.