Electronic Theses and Dissertation

Notifikasi jumlah kasus tuberkulosis resistensi obat (RO) tertinggi pada tahun 2019 (11.463 kasus yang ternotifikasi), namun akibat distrupsi pandemi COVID-19 menurun signifikan pada tahun 2020 menjadi 7.921 kasus yang ternotifikasi dan pada tahun 2021 kembali mengalami kenaikan menjadi 8.296 kasus ternotifikasi, walaupun kembali meningkat secara signifikan seperti tahun 2019. Alasan utama terjadinya peningkatan ini diperkirakan karena dampak pandemi COVID-19 pada deteksi TB, hal ini memberikan pengaruh pada pelayanan yang terhambat, kualitas perawatan dan pengobatan yang lebih rendah, refocusing dana pada program penanggulangan TB, MDR-TB, dan TB-HIV, penurunan deteksi kasus TB dan kegiatan yang lebih rendah dalam pemantauan, evaluasi dan pengawasan. Penelitian ini bertujuan untuk mengetahui pelaksanaan dan evaluasi program penanggulangan kasus MDR-TB selama pandemi COVID-19 di Provinsi Aceh. Penelitian ini menggunakan jenis penelitian kualitatif dengan desain intrinsic case study dengan menggunakan model analisis Miles and Huberman. Peneliti melakukan wawancara terhadap enam responden yang berkecimpung dalam program penanggulangan tuberculosis resisten obat selama pandemi COVID-19. Hasil dari penelitian ini menunjukkan bahwa terjadi hambatan pada pelaksanaan program pencegahan dan pelayanan TB/TB RO di tiap tingkatan (Dinas Kesehatan Provinsi Aceh, Dinas Kesehatan Kabupaten Aceh Besar dan Puskesmas Darul Imarah) selama pandemi COVID-19, khususnya pada aspek program dan pelayanan yang terhambat, perubahan fokus surveilans TB saat pandemi COVID-19, pengendalian faktor resiko, dan penemuan kasus TB/TB RO yang menurun. Didapatkan juga bahwa ketersediaan obat TB selama pandemi tidak mengalami gangguan. Kesimpulan dari penelitian ini menunjukkan program dan pelayanan TB/TB RO selama pandemi COVID-19 mengalami hambatan yang signifikan.

Notification of drug-resistant (DR-TB) TB cases was highest in 2019 (11,463 notified cases). Still, due to the disruption of the COVID-19 pandemic, it decreased significantly in 2020 to 7,921 notified cases and in 2021 it increased again to 8,296 notified cases, although it was not as significant as in 2019. The main reason for this increase is thought to be related to the impact of the COVID-19 pandemic on TB detection, which has resulted in delayed TB services, poor quality of care and treatment, refocusing of funds on TB, MDR-TB, and TB-HIV programs, decreased and lower activities in monitoring, evaluation and surveillance. This study aims to determine the implementation and evaluation of the MDR-TB case management program during the COVID-19 pandemic in Aceh Province. This research method uses qualitative research with an intrinsic case study design using the Miles and Huberman analysis model. Researchers conducted interviews with six respondents involved in the drug-resistant tuberculosis prevention program during COVID-19 pandemic. The results of this study show that there were obstacles in the implementation of the DR-TB prevention and service program at each level (Aceh Provincial Health Office, Aceh Besar District Health Office and Darul Imarah Primary Health Care) during the COVID-19 pandemic, especially in the aspects of obstructed programs and services, changes in the focus of TB surveillance during the COVID-19 pandemic, control of risk factors, and decreased case finding of DR-TB. It was also found that the availability of TB drugs during the pandemic was not disrupted. The conclusion of this study shows that TB/DR-TB programs and services during the COVID-19 pandemic experienced significant obstacles.