Lopulalan Octovianus, Lopulalan
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Analysis of Factors Associates to the Incidence of Pulmonary TB Patients Drop Out in Primary Healthcare Centers in Sorong Papua Barat Octovianus, Lopulalan; Suhartono, Suhartono; Kuntjoro, Tjahjono
Jurnal Manajemen Kesehatan Indonesia Vol 3, No 3 (2015): Desember 2015
Publisher : S2 IKM FKM UNDIP

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Abstract

Data from health office of West Papua province regarding new cases of tuberculosis (TB) indicatedthat the number of cases increased although lung TB control program was improved. Data from BP2PL of West Papua health office in 2009 showed that 2462 new cases of positive fast acid bacilli(BTA) were found; among them, 337 patients were dropout. In 2010, 2476 cases with positive BTAwere found, and among them 441 patients were dropout. Based on preliminary survey done inSorong city primary healthcare centers, in 2008, 87 new lung TB cases with positive BTA werefound. Among them, 20 patients were treated and cured, 64 patients were dropout. In 2009, therewas an increase in the number of new cases, which were 108 patients. Among them, 28 patientswere cured, and 61 patients were dropout. In 2010, 103 new cases with positive BTA were found;among them, 27 patients were cured, and 55 patients were dropout. The objective of this study wasto identify factors related to the occurrence of drop out among lung TB patients who were in thetreatment program.This was a quantitative study with cross sectional approach. Data were collected using interviewmethod supported by structured questionnaire. Study population was all patients visited in theSorong city primary healthcare centers. Study samples were 50 dropout patients and 50 patientswho sought for medication regularly and cured in primary healthcare centers in Sorong city.Frequency distributions were presented for univariate analysis, and chi square test was applied forbivariate analysis.Results of the study showed that there was association between knowledge and dropout occurrence(p= 0.001).Motivation was associated with dropout occurrence (p= 0.001). The role of PMO wasassociated with drop out occurrence (p= 0.001). Accessibility was associated with dropoutoccurrence (p= 0.001). Family support was associated with dropout occurrence (p= 0.001). Noassociation between age and dropout occurrence (p= 0.356), between sex and dropout occurrence(p= 0.156), between education and dropout occurrence (p= 0.453).In conclusion, variables related to dropout occurrence are knowledge, motivation, roles of PMO,accessibility, and family support. Suggestions for district health office are to increase educationfrequency, playing documentary movies about infectious diseases. Long term suggestions are tobuild supporting primary health care center, and to reactivate village health cadres.