Evaluasi Implementasi Program Pengendalian Tuberkulosis di Puskesmas Limboto Kabupaten Gorontalo

Abstract

Background: Tuberculosis remains a public health problem in Indonesia, including in Gorontalo Regency,
with treatment success rates not yet meeting the national target of 85%.
Objective: To evaluate the implementation of the Tuberculosis control program at Limboto Health Center
through an analysis of input, process, and output components, as well as supporting and inhibiting factors.
Method: A descriptive qualitative study using a case study approach. Data were collected through in-depth
interviews with seven informants (head of the health center, program officers, laboratory staff, health office
staff, and patients), observations, and document review, and then analyzed using data reduction, data
presentation, and conclusion drawing with the assistance of NVivo.
Results: The study shows that the implementation of the Tuberculosis program is limited by the number and
competence of human resources, diagnostic facilities, and funding. The processes of screening, diagnosis,
treatment, and reporting are ongoing but constrained by equipment, logistics, and staff workload. The
program output indicates an increase in treatment success, but new cases and treatment interruptions
remain high. Supporting factors include policy, training, health volunteers, and family involvement, while
limited human resources, facilities, funding, and socio-cultural barriers act as inhibiting factors.
Conclusion: The Tuberculosis control program at Limboto Health Center is ongoing despite limitations in
human resources, diagnostic facilities, and funding. Screening, diagnosis, treatment, and reporting
processes are carried out but face challenges from logistics and staff workload. Treatment success has
improved, yet new cases and treatment interruptions remain high. Supporting factors include policy,
training, health volunteers, and family involvement, while limited human resources, facilities, funding, and
socio-cultural barriers act as inhibiting factors.