Pelaksanaan Investigasi Kontak untuk Penemuan Kasus Tuberkulosis oleh Kader Tuberkulosis (di Wilayah Kerja Puskesmas Kalisat Kabupaten Jember)

Abstract

Cadres play a crucial role in tuberculosis (TB) control efforts, particularly in case detection and treatment coverage. This study identified the implementation of contact investigation activities for TB case detection conducted by TB cadres in the Kalisat Health Center area. This was a descriptive quantitative approach, data were collected through interviews with 15 TB cadres, predominantly female and aged 36-55 years. The cadre composition included 11 village cadres, 3 YABHYSA cadres, and 1 health center cadre. Findings showed that contact identification and home visits were primarily conducted by YABHYSA and health center cadres, as village cadres showed reduced activity in these roles due to funding constraints and a lack of engagement. While some village cadres continued to provide passive screening and counseling, the responsibility for systematic recording and reporting of findings rested with YABHYSA and health center cadres. Monthly reports were submitted to the community health center for feedback, and online reporting was conducted through the SITB system. The study highlights that many cadres struggle to fulfill their roles effectively, suggesting a necessity for institutional support, including the establishment of Standard Operating Procedures (SOPs) from Kalisat Health Center that clearly delineate the roles and rights of health cadres.