PERAN INOVASI DALAM PELAYANAN OBAT DENGAN KOTAK PENGINGAT MINUM OBAT TB (KOPI TB) TERHADAP PASIEN TB DI PUSKESMAS BANJARMASIN INDAH

Noor, Muhammad Ary Aprian (2021) PERAN INOVASI DALAM PELAYANAN OBAT DENGAN KOTAK PENGINGAT MINUM OBAT TB (KOPI TB) TERHADAP PASIEN TB DI PUSKESMAS BANJARMASIN INDAH. Masters thesis, Universitas Islam Kalimantan MAB.

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Abstract

ABSTRAK Berdasarkan data Program TB Dinas Kesehatan Kota Banjarmasin tahun 2013, angka kesembuhan 96%, 2014 turun menjadi 93%, 2016 semakin menurun menjadi 91%. Data Puskesmas Banjarmasin Indah tahun 2016 adalah 86% artinya lebih rendah dari rata-rata Kota. Hal ini memerlukan perhatian khusus pada pelayanan obat di Puskesmas Banjarmasin Indah. Salah satu penyebab kegagalan pengobatan TB adalah pasien lupa minum obat sehingga mengakibatkan putus obat. Kondisi ini yang mendasari lahirnya inovasi kotak pengingat minum obat (KOPI TB). Kotak plastik berisi paket obat yang ditempeli pengingat bagi penderita TB untuk minum obat untuk mengingatkan pasien minum obat sesuai nama hari yang tertera di kotak. Penelitian ini bertujuan untuk mengetahui dan membahas bagaimana pelayanan obat TB sebelum adanya Kotak Pengingat Minum Obat TB, bagaimana peran inovasi dan kendala yang dihadapi pada pelayanan obat dengan KOPI TB. Jenis penelitian ini berupa penelitian kualitatif, riset fenomenologi dengan pengambilan data secara retrospektif. Informan dalam penelitian ini berjumlah 8 orang. Teknik pengambilan data melalui observasi, wawancara dan dokumentasi. Hasil penelitian menunjukkan bahwa sebelum adanya KOPI TB belum maksimalnya layanan obat untuk pasien TB. Keluhan pasien kadang lupa minum obat, dan obat bisa tercecer, serta pasien yang repot harus menghitung kembali berapa sisa obat yang ada. Peran inovasi adalah mempermudah pasien minum obat sehingga tidak repot mengatur jumlah obat TB, obat tersusun rapi, serta membantu mengingatkan minum obat TB. Kendala yang dihadapi bagi pasien tidak ada kendala, sedangkan bagi petugas (dokter, perawat, tenaga teknis kefarmasian adalah ketersediaan kotak dan dukungan dana dan keterbatasan kotak yang belum ada alarm atau aplikasi pengingatnya. Kendala Inovasi berupa belum ada sumber dana dari APBD. Keberlanjutan sumber daya keuangan untuk pembelian kotak plastik hingga saat ini masih tersedia dari dana BMHP JKN di Puskesmas Banjarmasin Indah. Kata Kunci : Inovasi, Pelayanan Obat TB, KOPI TB, Puskesmas ABSTRACT Based on data from the TB Program of the Banjarmasin City Health Office in 2013, the cure rate was 96%, 2014 decreased to 93%, 2016 decreased to 91%. Data from the Banjarmasin Indah Health Center in 2016 was 86%, which means it was lower than the city average. This requires special attention to the management of TB drug services at the Banjarmasin Indah Health Center. One of the causes of TB treatment failure is that patients forget to take their medication, resulting in drug withdrawal. This condition underlies the birth of the drug reminder box (KOPI TB) innovation. A plastic box containing a medicine package with a reminder for TB sufferers to take medicine to remind the patient to take medicine according to the name of the day listed on the box. This study aimed to find out and discuss how TB drug services were provided before the TB Drug Reminder Box was introduced, how the role of innovation and the obstacles faced in drug service with TB KOPI. This type of research was qualitative research, phenomenological research with retrospective data collection. There were 8 informants in this study. Data collection techniques through observation, interviews and documentation. The results showed that prior to the existence of TB KOPI, drug services for TB patients had not been maximized. Patients complained that sometimes they forget to take their medicine, and medicine could be scattered, and patients who were bothered had to recalculate how much medicine was left. The role of innovation was to make it easier for patients to take medicine so they didn't have to bother adjusting the amount of TB drugs, drugs were neatly arranged, and helped remind them to take TB drugs. There were no obstacles for patients, while for officers (doctors, nurses, pharmaceutical technical personnel, there were the availability of boxes and financial support and the limitations of boxes for which there was no alarm or application for reminders. Innovation constraints in the form of no funding source from the APBD. Finance for the purchase of plastic boxes was still available from BMHP JKN funds at the Banjarmasin Indah Health Center. Keywords: Innovation, TB Drug Service, TB KOPI, Primary Health Care

Item Type: Thesis (Masters)
Uncontrolled Keywords: Inovasi, Pelayanan Obat TB, KOPI TB, Puskesmas
Subjects: R Medicine > RS Pharmacy and materia medica
Divisions: Faculty of Law, Arts and Social Sciences > School of Social Sciences
Depositing User: Muhammad Ary Aprian Noor
Date Deposited: 05 Jan 2022 01:27
Last Modified: 05 Jan 2022 01:27
URI: http://eprints.uniska-bjm.ac.id/id/eprint/8962

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