Spatial Epidemiology Occurrences of a Disease Pulmonary TB Smear (+) and Implementation Overview of Case Finding at Ciputat Health Center South Tangerang City, Banten Province in 2009-2013

Abstract

Ciputat Health Center is a clinic in South Tangerang that has decreased detection rate of pulmonary TB smear (+) by 30% in 2012-2013. Not yet implemented to case finding based spatial analysis made researcher wanted to know spatial epidemiology occurrences of a disease pulmonary TB smear (+) and implementation overview of
fact-finding at Ciputat Health Center, South Tangerang, Banten Province in 2009-2013. This research was epidemiology descriptive by design a case study supported by a qualitative approach — informants; holder of TB program, analyst laboratory, and nurse at Ciputat Health Center and vice supervisor of TB in Health Department South Tangerang. The object of research were 45 cases of pulmonary TB smear (+) that
recorded in Ciputat Health Center years 2009 to 2013 and still had been living there until years 2014. The instrument of this research is the spatial data processing, meter, questionnaires, interview guides and a list of documents. The result was the distribution pattern of cases of pulmonary TB smear (+) in Ciputat Health Center was more clustered with the most disease occurrence in males, ages productive, low nutritional status,
smoking behavior, little education and had a working condition. The overview of case-finding activities by the implementation of netting suspected activities to have cluster pattern to the north, the village of Ciputat and inspection operation were not conducted on household contacts. Ciputat Health Center needed to do cloth suspected based on the design of the spread of cases and carried out household contacts.



Keywords: Spatial epidemiology; tuberculosis; case finding

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