ABSTRACT

This research is a study to determine what health problems or diseases need to be prioritized in health programs. The aim of the study was to determine the priority of public health problems in Magetan District. This study was an observational descriptive study conducted during January-February 2022. Prioritization of problems using the Basic Priority Rating System and PEARL methods then identifying the causes of problems using path analysis diagrams.  The determining the priority of the problem obtained that tuberculosis is the top priority. Identification of tuberculosis problems through path analysis diagrams showed that early detection activities in special places were low, screening of at-risk groups was not optimal, recording and reporting in hospitals and independent practitioners were low and suspects did not submit sputum back were the causes of low tuberculosis discovery. The results of the pathway analysis diagram are used as prevention planning such as optimizing health human resources, increasing community participation, multisectoral in TB elimination, improving the quality and quantity as well as equitable distribution of health resources, optimizing officers related to SITB reporting, forming coordination teams in each RT in contact investigation, increasing community knowledge with health promotion activities through counseling integrated with other programs.

Keywords: Health Analysis, Tuberculosis, Magetan District

Asyary, A., Prasetyo, A., Eryando, T., & Mahendradhata, Y. (2019). Predicting transmission of pulmonary tuberculosis in Daerah Istimewa Yogyakarta Province, Indonesia. Geospatial health, 14(1).

Alberta, L. T., & Widyastuti, D. U. (2021). Factor Influencing Family Support On Prevention of Transmission of Tuberculosis in the work area of the Surabaya city health center. Health Notions, 5(10), 344-350.

Amo-Adjei, J. (2013). Views of health service providers on obstacles to tuberculosis control in Ghana. Infectious Diseases of Poverty, 2, 1-9.

CDC. (2001). MMWR Updated Guidelines for Evaluating Public Health Sistem Surveillance Sistems. US Department of Health and Human Services CDC.

Hanum, F., Muzaqi, A. H., Yanuarita, H. A., Ilmu, F., Politik, I., & Kadiri, U. (2021). Sosialisasi Peran Kader Tuberkulosis ( TB ) Care Aisyiyah Kabupaten Kediri Terdampak Pandemi Covid-19 dekade terakhir , TB masih menjadi salah satu faktor kematian tertinggi di negara ini . Provinsi terinfeksi TB . Kondisi tersebut beralasan sebab yang ha. 5(1), 74–82.

Kalesaran, I. C., Tilaar, C. R., Rattu, A. J. M., Kesehatan, F., Universitas, M., & Ratulangi, S. (2014). Analisis Sistem Pencatatan Dan Pelaporan Program Pengendalian Tb Di Puskesmas Tuminting Kecamatan Tuminting Kota Manado. 1–7.

Kemenkes RI. (2019). Petunjuk Teknis Investigasi kontak Pasien TBC bagi Petugas Kesehatan dan Kader. 1–80.

Kusuma, S. A. K. (2019). Deteksi Dini Tuberkulosis Sebagai Upaya Pencegahan Penularan Penyakit Tuberkulosis Dan Pengolahan Herbal Antituberkulosis Berbasis Riset. Dharmakarya, 8(2), 124. https://doi.org/10.24198/dharmakarya.v8i2.19484

Marks, S. M., Self, J. L., Venkatappa, T., Wolff, M. B., Hopkins, P. B., Augustine, R. J., ... & Morris, S. B. (2023). Diagnosis, treatment, and prevention of tuberculosis among people experiencing homelessness in the United States: current recommendations. Public Health Reports, 138(6), 896-907.

Novitasari, A., & Rahingrat, A. (2021). Program Skrining Pada Kasus Tuberkulosis. 1–3. https://doi.org/10.36679/kedokteran.v4i1.62.Mathofani

Oliveira, S. A. D. C., Ruffino Netto, A., Villa, T. C. S., Vendramini, S. H. F., Andrade, R. L. D. P., & Scatena, L. M. (2009). Health services in tuberculosis control: family focus and community orientation. Revista Latino-Americana de Enfermagem, 17, 361-367.

Putra, I. G. N. E., Rahmaniati, M., Sipahutar, T., & Eryando, T. (2022). Modeling the prevalence of tuberculosis in Java, Indonesia: an ecological study using geographically weighted regression.

Protti, S. T., Silva, L. M. C. D., Palha, P. F., Villa, T. C. S., Ruffino-Neto, A., Nogueira, J. D. A., & Sá, L. D. D. (2010). Managing the basic health unit in tuberculosis control: a field of challenges. Revista da Escola de Enfermagem da USP, 44, 665-670.

Romanowski, K., Law, M. R., Karim, M. E., Campbell, J. R., Hossain, M. B., Gilbert, M., ... & Johnston, J. C. (2023). Healthcare utilization after respiratory tuberculosis: a controlled interrupted time series analysis. Clinical Infectious Diseases, 77(6), 883-891.

Simone, P. M. (1995). Essential components of a tuberculosis prevention and control program: recommendations of the Advisory Council for the Elimination of Tuberculosis. Morbidity and mortality weekly report: recommendations and reports, vi-16.

Setyawan, M. F., Mertaniasih, N. M., Utomo, B., DWINATA, I. M., Adnyana, M., Dwinka Syafira Eljatin, D., ... & Nuha, Z. (2023). An Analysis of The Trend of Incidences and Fatality of Pulmonary Tuberculosis in East Java from 2015-2020: A Lesson From COVID-19. National Journal of Community Medicine, 14(5), 308-315.

Selig, L., Belo, M. T. C. T., Teixeira, E. G., Cunha, A. J. L. A., Brito, R., Sanches, K., ... & Trajman, A. (2003). The study of tuberculosis-attributed deaths as a tool for disease control planning in Rio de Janeiro, Brazil. The International Journal of Tuberculosis and Lung Disease, 7(9), 855-859.

Siddik, M. S. M., Ahmed, T. E., Awad Ahmed, F. R., Mokhtar, R. A., Ali, E. S., & Saeed, R. A. (2023). Development of Health Digital GIS Map for Tuberculosis Disease Distribution Analysis in Sudan. Journal of Healthcare Engineering, 2023.

Tyas, R. C. (2020). Penentuan Prioritas Masalah Kesehatan Dan Jenis Intervensi Di Rw 13 Dan Rw 14 Kelurahan Ampel Kecamatan Semampir Surabaya Tahun 2018. Jurnal Penelitian Kesehatan, 18(1), 10–13. https://doi.org/10.35882/jpk.v18i1.2

Wulandari, R. D. (2017). Problems of Health Services in the Border Areas and the Efforts to Overcome. InaHEA 2017, 277.

World Health Organization. (2019). Global Tuberculosis Report.