PUSKESMAS SERVICE MANAGEMENT MODEL IN ORDER TO CONTROL DRUG-RESISTANT TUBERCULOSIS IN THE CITY OF MEDAN, NORTH SUMATERA-INDONESIAMAYANG SARI AYU, MARLON SIHOMBING, HERU SANTOSA AND ERNA MUTIARAAbstract The drug resistance tuberculosis is a complex health problem because it can be affected by several factors such as the role of the public health offices who are less concerned about the patient, the quality of services from the puskesmas, drug management, microbiological analysis, and patient compliance. The study aims to analyze the management of puskesmas service in controlling drug resistance tuberculosis. The study was an observational analytical research with the cross-sectional design. The research was conducted in the puskesmas in Medan, North Sumatera-Indonesia with 64 respondents from the drug-resistant tuberculosis patient in 2016. The samples were taken by the purposive sampling technique. The independent variable is the service system, officer role, and service strategies. While the dependent variable is the control of drug-resistant tuberculosis. The primary data is obtained by the interview using structured questionnaire. The secondary data is obtained from the medical record of the health center and the data of puskesmas in the city of Medan. The data were analyzed by some methods such as univariate, bivariate with the chisquare test, and multivariate using Binomial logistic regression test. Bivariate analysis showed that the influential variable was the service system and officer roles. The results of multivariate analysis represented that the drug tuberculosis control variable had the significant relation to the service system and officer roles. It can be concluded that the management of health services played an important role in the control of drug resistant tuberculosis.
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