Administrasi dan Kebijakan Kesehatan
ISSN 1412-8853
Vol. 5 / No. 1 / Published : 2007-01
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Original Article :
Efforts to accomplish the target of finding positive acid fast bacilli among tb suspects in the regency of south center timor, east nusa tenggara province (performance determinant analysis of the phc laboratorypersonnel
Author :
- Chatarina UW*1
- Fakultas Kesehatan Masyarakat, Universitas Airlangga, Surabaya
Abstract :
Tuberculose (TB) eradication program in the Regency of South Center Timor (SCT) is already improved by various trainings for program executors, Public Health Center (PHC) physicians as well as for TB microscopic personnel. Nevertheless, year by year the TB coverage has not reached the present target (6.18%) which is under the national target (10%). This research aims at analyzing the performance of PHC Laboratory personnel in an effort to increase the target achievement of finding positive AFB (Acid Fast Bacilli) amongst TB suspect in the SCT Regency. This is an observational analytical research conducted cross-sectional with samples of 18 laboratory personnel taken by a simple random sampling method. The primary data is collected through questionnaires for variables of individual characteristics, occupation, organization, and lab facility. Chi-square test is used to analyze data. The research result reveals 50% of PHC Lab personnel show insufficient performance. There is a correlation between the target achievement of finding positive AFB (Acid Fast Bacilli) in TB suspects and (1) lab personnel attitude (p = 0.015), from 10 respondents (55.6%) who have positive attitude towards positive AFB findings, 80% can achieve the positive AFB target amongst TB suspects; (2) lab personnel actions (p = 0.015), from 55.6% personnel who take action compliant with the fixed-procedure, 80% can achieve the positive AFB target amongst TB suspects; and (3) reagent (p = 0.015 ), although 56% of PHCs have sub-standard reagents, 20% can still achieve the target. Strategic issues as the result of a Focus Group Discussion are compiled to formulate the recommendation for improving PHC lab personnel performance in SCT Regency. The recommendation is directed to change lab personnel attitude by enchancing their motivation through new motivators, avoiding things which will bring about disappointments and by changing the monotonous training into a more dynamic interesting simulations, with one hope to change personnel actions into compliant attitude towards fixed procedures).
Keyword :
performance, attitude, action, TB lab personnel, reagent,
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