ABSTRAK

Tuberkulosis paru merupakan penyakit infeksi yang masih menjadi masalah

kesehatan di Indonesia. Tuberkulosis (TB) adalah suatu penyakit infeksi yang
disebabkan Mycobacterium Tuberkulosis. Dari hasil survei di Puskesmas Mandala
Kecamatan Medan Tembung, setiap tahunnya kasus TB paru mengalami peningkatan.
Tahun 2008 terdapat 108 kasus dan Tahun 2009 terdapat 121 kasus. Hal ini terkait
dengan tugas kader Posyandu dalam mencari penderita suspek TB Paru yang tidak
datang ke Puskesmas.
Tujuan penelitian ini untuk menganalisis pengaruh karakteristik kader
posyandu terhadap kemampuan dalam penemuan kasus tersangka Tuberkulosis di
Puskesmas Mandala Kecamatan Medan Tembung. Jenis penelitian ini adalah survei
explanatory. Populasi dalam penelitian ini adalah seluruh kader Posyandu di wilayah
kerja Puskesmas Mandala Kecamatan Medan Tembung sebanyak 200 orang, sampel
diambil sebanyak 67 orang dengan teknik proportional sampling. Data diperoleh
dengan wawancara menggunakan kuesioner, dianalisis dengan regresi berganda pada
α=0,05.
Hasil penelitian menunjukkan bahwa karakteristik kader (umur, pekerjaan,
pendidikan, pendapatan, penghargaan, lama menjadi kader dan pengetahuan)
berpengaruh signifikan terhadap kemampuan dalam penemuan kasus tersangka
Tuberkulosis (p<0,05). Variabel penghargaan memberikan pengaruh paling dominan
terhadap kemampuan kader Posyandu dalam penemuan kasus tersangka
Tuberkulosis.
Disarankan kepada Dinas Kesehatan Kota Medan untuk : 1) Meningkatkan
pengetahuan dan kemampuan kader Posyandu melalui pelatihan dan seminar berkala
terutama mengenai penyakit TB dengan melibatkan petugas kesehatan yang terlatih
bersama kader Posyandu secara langsung mengenal penderita TB, 2) Membuat
kebijakan pembuatan anggaran pemberian insentif tambahan kepada kader Posyandu
yang menemukan penderita TB, dan 3) Puskesmas Mandala dan kepala lingkungan
setempat mempertimbangkan untuk mengangkat PMO dari penderita TB menjadi
kader Posyandu.

Kata kunci : Karakteristik, Kader, Kemampuan, Tuberkulosis

Universitas Sumatera Utara

 ABSTRACT

Lung Tuberculosis still becomes a health problem in Indonesia. Based on the

result of the survey conducted at Mandala Health Center, Medan Tembung Sub
district, the TB case increased every year, for example, it increased from 108 cases in
2008 to 121 cases in 2009. This incident was related to job of the cadres of Posyandu
(Integrated Health Service Post) in inventorying those developing lung TB who did
not visit the health center.
The purpose of this study was to analyze the influence of the characteristics
cadre of Posyandu on the ability in early finding those developing Tuberculosis in the
working area of Mandala health center. This research was survey explanatory. The
population of this study were all of cadre of Posyandu of Mandala health center, as
many as 200 and 67 of them were selected to be the samples through proportional
sampling technique. The data for this study were obtained through questionnaire
based interviews. The data obtained were analyzed through multiple regression test
at α = 0.05.
The result of this study showed that the characteristics of the cadres (age,
occupation, education, income, reward, length of work, and knowledge) had
significant influence on their ability to find those developing tuberculosis. Reward
was the most dominant variable influenced the ability of cadres of Posyandu in
finding those developing Tuberculosis.
It is suggested to City Health Office of Medan to: 1) increase the knowledge
and capability of the cadres of Posyandu through training and regular seminar
especiallly on TB with trained health workers together in identification those
suffering from TB, 2) make the budget policy to provide an extra incentive the cadres
of Posyandu who find suffering from TB and 3) Mandala health centre and the leader
of local neighborhood should consider to promote the Medicine Taking controller
(PMO) of those suffering from TB, a cadres of Posyandu.

Key words: Characteristics,Cadres, Ability, Tuberculosis

.

Universitas Sumatera Utara