Analisis Situasi Masalah Kesehatan Penyakit Menular di Provinsi Kalimantan Barat

Luqman Luqman, M. K. Sudaryo, Antonius Suprayogi
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Abstract

Background: Health problems in West Kalimantan are dominated by infectious diseases based on health data showing that the list of the top 10 diseases is dominated by infectious diseases, the CFR rate is still quite high and outbreaks routinely occur due to infectious diseases. The purpose of the situation analysis is to determine priorities for infectious disease problems in West Kalimantan in 2019.Methods: This research was conducted from December 2020 to February 2021 in West Kalimantan Province. The research method used is an assessment method whose results will be presented descriptively with quantitative and qualitative approaches. Determining the priority of the problem using the PAHO-Adapted Hanlon method with assessment criteria based on the size of the problem, seriousness of the problem, intervention effectiveness, inequity and institutional factors by means of interviews with related parties within the West Kalimantan Provincial Health Office.Result: The results of the analysis of infectious disease problems in West Kalimantan Province show that the top 10 diseases are still dominated by infectious diseases such as diarrhea, TB and DHF. The CFR figure which is still quite high is contributed by TB, HIV/AIDS, diphtheria and DHF. In this study, TB was selected as a priority health problem because it obtained the highest PAHO score of 25.16. TB is still a major problem because case finding has not reached the national target of 80%, there is still transmission in the community and cases of TB in children are still quite high.Conclusion: Tuberculosis is a priority infectious disease problem in West Kalimantan. TB is the first priority problem in this study because case finding is not optimal, there is transmission in the community and there are still cases of TB in children. It is hoped that with monitoring and evaluation of training for cadres and health workers, screening of TB patients can be more massive and sensitive for providing complete TB treatment.
分析西加里曼丹省传染病健康问题的情况
背景:西加里曼丹的卫生问题主要是传染病,根据卫生数据显示,前10大疾病主要是传染病,CFR率仍然很高,传染病经常引起疫情。形势分析的目的是确定2019年西加里曼丹传染病问题的优先事项。方法:本研究于2020年12月至2021年2月在西加里曼丹省进行。所使用的研究方法是一种评估方法,其结果将以定量和定性的方法描述。通过与西加里曼丹省卫生办公室内的有关各方进行面谈,采用泛美卫生组织改编的汉隆方法,根据问题的规模、问题的严重性、干预的有效性、不公平和体制因素确定问题的优先次序。结果:西加里曼丹省传染病问题分析结果显示,前10位疾病仍以腹泻、结核病、登革出血热等传染病为主。结核病、艾滋病毒/艾滋病、白喉和登革出血热造成的病死率仍然很高。在本研究中,结核病被选为优先卫生问题,因为它获得了最高的PAHO评分25.16。结核病仍然是一个主要问题,因为病例发现率尚未达到80%的国家目标,社区中仍有传播,儿童结核病例仍然很高。结论:结核病是西加里曼丹省的重点传染病问题。结核病是本研究的首要问题,因为病例发现情况不理想,存在社区传播,儿童中仍有结核病病例。希望通过对干部和卫生工作者培训的监测和评估,可以更大规模和更敏感地筛查结核病患者,从而提供完整的结核病治疗。
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