EVALUASI KEPATUHAN PETUGAS DALAM TATALAKSANA PNEUMONIA DI KABUPATEN TOLITOLI

Abstract

EVALUASI KEPATUHAN PETUGAS DALAM TATALAKSANA PNEUMONIA DI KABUPATEN TOLITOLI

Abd Rahman1, Mohammad Hakimi2, Rina Triasih3

ABSTRACT

Background: The infant mortality rate in Central Sulawesi Province is 52 per 1000 live births, which is
the fifth highest in Indonesia. The high rate of morbidity and mortality of acute respiratory infection and
pneumonia in children under five in Tolitoli District in past year related to the implented efforts triands
ARI eradication program. This is indeed related to how officers comply with pneumonia management
correctly.
Objective: To evaluate officers’ compliance in implementing pneumonia manager Tolitoli Distric.
Method: This was an observational study with cross-sectional study design, using quantitative approach,
Data were collected through observation and interview using standardized questionnaire by tramed
nurses. Officer who handled pneumonia program in Tolitoli District and those in Publich Health Centres
were recruited as subjects.
Result and Discussion: One hundred and nineteen subjects were recruited to this study. The percentase
of officers who complied with pneumonia management was 69%. The result of multivariate analysis that
was training increased officers’ compliance in pneumonia management which was adjusted to education,
knowledge and length of work had a significant relationship (PR: 1.79; 95% CI: 1,38 – 2,33) and the
increased value R2 of 6.3%, it mean.
Conclusion: Trained officers were more compliant than untrained officers with the prevalence risk of
1.79 times. Education, knowledge, and length of working service were related to officers’ compliance in
pneumonia management.

Keywords: training, officers’ compliance in pneumonia management

ABSTRAK

Latar belakang: Angka kematian bayi di Propinsi Sulawesi Tengah sebesar 52 per 1000 kelahiran hidup
dan menempati urutan kelima tertinggi di Indonesia. Tingginya angka kesakitan dan angka kematian balita
akibat pneumonia di Kabupaten Tolitoli dalam beberapa tahun terakhir tidak terlepas dari seberapa jauh
upaya program pemberantasan penyakit ISPA telah dilaksanakan. Hal ini sangat terkait dengan bagaimana
kepatuhan petugas dalam melakukan tata laksana pneumonia secara tepat.
Tujuan: Diketahuinya kepatuhan petugas dalam melakukan tatalaksana pneumonia di Kabupaten Tolitoli.
Metode: Penelitian ini merupakan jenis penelitian observasional dengan rancangan cross sectional dengan
menggunakan pendekatan kuantitatif. Data dikumpulkan melalui observasi dan wawancara dengan subyek
penelitian dengan menggunakan lembar observasi dan kuesioner.
Hasil dan Pembahasan: Sebanyak 119 subyek diikutkan dalam penelitian ini. Rata-rata petugas yang patuh
terhadap tata laksana pneumonia sebesar 69%. Hasil analisis multivariat menunjukkan bahwa variabel
pelatihan dan kepatuhan petugas dalam tatalaksana pneumonia dengan mengikutsertakan variabel pendidikan, pengetahuan dan masa kerja untuk dianalisis secara bersama mempunyai hubungan yang
signifikan ((RP;1,79, IK 95%; 1,38 – 2,33) dan peningkatan nilai R2 sebesar 6,3%
Kesimpulan: Petugas yang telah dilatih lebih patuh dibanding petugas yang belum dilatih dengan risiko
prevalensi 1,53 kali. Faktor pendidikan, pengetahuan dan masa kerja berhubungan secara bermakna
dengan kepatuhan petugas dalam tataksana pneumonia.

Kata kunci: pelatihan, Kepatuhan petugas tatalaksana pneumonia

1 Tolitoli Faculty of Medicine and Health Science
2 Maternal and Child Health-Reproductive Health Graduate Program, FK-UGM
3 Pediatric Department, Dr. Sardjito General Hospital, Yogyakarta