Program Pengendalian Leptospirosis di Kota Semarang

Abstrak

Abstrak Kasus leptospirosis di Kota Semarang tahun 2018 sebanyak 55 kasus dan 14 meninggal. Berdasarkan Buku Saku Kesehatan Provinsi Jawa Tengah Triwulan 3 Tahun 2018 Case Fatality Rate (CFR) Kota Semarang sebesar 26,7%, melebihi CFR Provinsi Jawa Tengah sebesar 21,3% dan Kota Semarang berada di peringkat ketiga tertinggi kasus leptospirosis di Jawa Tengah. Tingginya leptospirosis di Kota Semarang disebabkan perilaku masyarakat, manajemen pengendalian lingkungan, leptospirosis merupakan Neglected Infectious Diseases (NIDs), terdapat kendala pengendalian leptospirosis di Kota Semarang. Tujuan penelitian ini untuk mengevaluasi pelaksanaan program pengendalian leptospirosis di Kota Semarang tahun 2018. Jenis penelitian ini adalah deskriptif kualitatif dengan fokus penelitian pada 5 puskesmas yang mengalami peningkatan kasus dan kematian akibat leptospirosis, informan penelitian berjumlah 21 orang yang dipilih dengan teknik purposive sampling. Teknik pengumpulan data menggunakan wawancara dan observasi. Data dianalisis secara kualitatif. Hasil penelitian menunjukan perencanaan program telah dilaksanakan namun terdapat kendala anggaran, sinkronisasi waktu, dan SDM. Pengorgnasisasian di Puskesmas Lamper Tengah belum sesuai dengan Pedoman Lokakarya Mini Puskesmas dan terdapat kendala SDM di Puskesmas Ngesrep. Dari segi pelaksanaan 9 kegiatan program pengendalian leptospirosis telah terlaksana namun masih terdapat kendala dari 6 kegiatan program pengendalian leptospirosis di Kota Semarang tahun 2018. Abstract There were 55 Leptospirosis cases and 14 died in Semarang in 2018. Based on Central Java Province Health Pocket Book for the 3rd Quarter of 2018, Semarang Case Fatality Rate (CFR) was 26.7%, exceeded the Central Java Province's CFR which has 21.3% cases and Semarang was the third of highest leptospirosis case in Central Java. The leptospirosis case in Semarang was caused by community behavior, environmental control management, leptospirosis was being neglected Infectious Diseases (NIDs), there were constraints in controlling leptospirosis in Semarang. The purpose of this study was to determine the evaluation of the leptospirosis control program in Semarang City in 2018 which included planning, organizing, and implementing. This type of research was descriptive qualitative with the focus of research on 5 health centers which have increased and death cases due to leptospirosis. Informant of the study amounted to 13 people, selected by purposive sampling technique. Types of data collected by interviews and observations. Data were analyzed qualitatively. The results of this study showed that program planning has been carried out and there were the problem with the budget, time synchronization, and HR. The organizing at Lamper Tengah Community Health Center was not in accordance with the Puskesmas Mini Workshop Guidelines and there were problems with human resources at the Ngesrep Health Center. In the terms of the implementation, 9 leptospirosis control program has been carried out, however there were obstacles from the 6 activities of the leptospirosis control program in Semarang City in 2018.