IMPLEMENTASI KEBIJAKAN PENANGGULANGAN TUBERKULOSIS OLEH DINAS KESEHATAN KABUPATEN CIAMIS (Studi Kasus Di Wilayah Kecamatan Cipaku)

Abstract

ABSTRACT Tuberculosis (TB) remains a serious public health problem in Indonesia, including in Ciamis Regency, particularly in Cipaku Subdistrict, which recorded an increase in cases from 29 in 2021 to 93 in 2024. This study aims to analyze the implementation of tuberculosis control policies by the Ciamis District Health Office, specifically in Cipaku Subdistrict, using a descriptive qualitative approach. Data were obtained through interviews and document studies, analyzed using the Van Metter & Van Horn model, which includes policy standards, resources, inter-organizational relations, implementer characteristics, and socio-economic conditions. The findings indicate that the implementation of tuberculosis control policies includes socialization through posyandu and posbindu, early detection, and strengthening the role of health cadres. However, several obstacles were identified, including issues of inter-sectoral coordination, the universal nature of tuberculosis transmission, disparities in community understanding, social stigma toward TB patients, suboptimal competence of staff and cadres, as well as limited operational budgets, all of which may hinder the achievement of the 2030 tuberculosis elimination target. The proposed solutions include cross-sectoral synergy, strengthening immunity through health promotion, and inclusive community education. Furthermore, enhancing the capacity of health workers and cadres through regular training, empathetic communication skills, and optimizing budgets by encouraging specific tuberculosis allocations within the Regional Revenue and Expenditure Budget (APBD) are also crucial. If implemented consistently, these solutions are expected to make tuberculosis control programs more effective, sustainable, and impactful for public health. Keywords: Policy Implementation, Tuberculosis, Tuberculosis Elimination