PENERAPAN MATRAS-TBC SEBAGAI STRATEGI INTERVENSI BERBASIS KOMUNITAS DALAM ELIMINASI TB–DM

Agung Eko  Hartanto; Heru  Wiratmoko; Endang  Purwaningsih; Agus Wiwit  Suwanto; Yustina  Purwaningsih; Gandes Widya  Hendrawati

doi:10.51878/community.v6i1.8951

Authors

Agung Eko Hartanto Poltekkes Kemenkes Malang
Heru Wiratmoko Poltekkes Kemenkes Malang
Endang Purwaningsih Poltekkes Kemenkes Malang
Agus Wiwit Suwanto Poltekkes Kemenkes Malang
Yustina Purwaningsih Poltekkes Kemenkes Malang
Gandes Widya Hendrawati Poltekkes Kemenkes Malang

DOI:

https://doi.org/10.51878/community.v6i1.8951

Keywords:

skrining TB-DM, door to door, kesehatan komunitas

Abstract

Integrated community-based screening for Tuberculosis (TB) and Diabetes Mellitus (DM) is an essential strategy to enhance early detection of communicable and non-communicable diseases. This community engagement activity was conducted in July 2024 in Kadipaten Village, Ponorogo, using four screening approaches: village hall service, Posbindu, elderly health screening, and door-to-door. A total of 265 participants underwent TB screening and 166 underwent DM screening. Results showed 16 suspected TB cases (6%) and 15 individuals (9%) with elevated blood glucose, including four new DM cases (2.4%). The door-to-door method yielded the highest detection in both TB and DM screenings. The findings support existing evidence that active case finding improves detection coverage among at-risk populations. This integrated screening emphasizes the need for structured referral pathways, community health education, cross-program collaboration, and integrated health information systems to ensure sustainable TB–DM detection programs.

ABSTRAK

Kegiatan skrining terpadu Tuberkulosis dan Diabetes Mellitus (skrining TB-DM) berbasis komunitas merupakan salah satu strategi penting dalam meningkatkan deteksi dini penyakit menular dan tidak menular, khususnya di wilayah dengan akses terbatas terhadap layanan kesehatan. Pengabdian masyarakat ini dilaksanakan pada Juli 2024 di Kelurahan Kadipaten, Kecamatan Babadan, Kabupaten Ponorogo, melalui empat pendekatan, yaitu Balai Kelurahan, Posbindu, kegiatan lansia, dan door-to-door. Sebanyak 265 peserta mengikuti skrining TBC dan 166 peserta mengikuti skrining DM. Hasil menunjukkan 16 peserta (6%) terduga TBC dan 15 peserta (9%) dengan gula darah tinggi, termasuk 4 kasus DM baru (2,4%). Pendekatan door-to-door memberikan kontribusi temuan terbanyak baik pada TBC maupun DM baru. Temuan ini sejalan dengan bukti penelitian bahwa active case finding meningkatkan cakupan deteksi pada komunitas berisiko. Skrining terpadu ini menegaskan perlunya jalur rujukan konfirmasi, edukasi kesehatan masyarakat, kolaborasi lintas program, dan integrasi sistem informasi kesehatan untuk keberlanjutan program deteksi dini TB–DM.

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