368 PENGARUH PELATIHAN DENGAN PENJARINGAN SUSPEK TUBERKULOSIS ANAK OLEH PETUGAS PUSKESMAS The Effect of Training to the Screening of Tuberculosis Suspected Children by Health Centers Officer Rizka ‘Afifatussalamah 1 , Muhammad Atoillah Isfandiari 2 1 FKM UA, rizkaafifatussalamah@gmail.com 2 Departemen Epidemiologi FKM UA, ato_epid@yahoo.co.id Alamat Korespondensi: Departemen Epidemiologi Fakultas Kesehatan Masyarakat Universitas Airlangga, ABSTRAK Anak-anak adalah salah satu kelompok yang rentan tertular tuberkulosis (TB), namun sejauh ini tuberkulosis anak belum menjadi prioritas. Proporsi penemuan kasus tuberkulosis anak masih rendah di antara semua kasus tuberkulosis. Kabupaten Bojonegoro merupakan salah satu Kabupaten di Jawa Timur yang ditunjuk sebagai operational trial uji tuberkulin. Penemuan kasus diawali dengan penjaringan suspek tuberkulosis anak yang menjadi penentu seberapa besar kasus tuberkulosis ditemukan oleh petugas di Puskesmas. Petugas kesehatan di fasilitas pelayanan kesehatan menjadi faktor yang paling dominan dalam penjaringan suspek tuberkulosis anak. Pelatihan terkait tuberkulosis anak baru dilakukan di 16 Puskesmas di antara 36 Puskesmas yang ada di Kabupaten Bojonegoro. Penelitian ini bertujuan untuk menganalisis pengaruh pelatihan terhadap penjaringan suspek tuberkulosis anak oleh petugas Puskesmas di Kabupaten Bojonegoro. Penelitian ini merupakan penelitian analitik observasional dengan desain cross sectional. Teknik pengambilan sampel dengan cara simple random sampling. Responden terdiri dari 2 (dua) yaitu 29 dokter dan 29 bidan/perawat di 29 Puskesmas Kabupaten Bojonegoro. Variabel yang diteliti adalah pelatihan dan penjaringan suspek tuberkulosis anak. Hasil penelitian menunjukkan penjaringan suspek tuberkulosis anak sebagian besar masih kurang (75,9%) dan petugas yang belum pernah mengikuti pelatihan tentang tuberkulosis anak sebesar 58,6%. Uji regresi logistik menunjukkan ada pengaruh antara pelatihan terhadap penjaringan suspek tuberkulosis anak (p = 0,019) dan nilai PR menunjukkan petugas yang pernah mengikuti pelatihan dapat melakukan penjaringan suspek tuberkulosis anak dengan baik sebesar 8,50 kali lebih besar. Perlu dilakukan pelatihan tentang tuberkulosis anak, agar penjaringan suspek tuberkulosis anak dapat terlaksana lebih optimal. Kata kunci: penjaringan, suspek, pelatihan, tuberkulosis, tuberkulosis anak ABSTRACT Children are the ones who are at risk of contracting tuberculosis (TB), but so far it has not been a priority. The proportion of tuberculosis in children case detection remains low among all tuberculosis cases. Bojonegoro is one among regencies in East Java which was appointed as the operational trial tuberculin test. The case detection begins with screening of tuberculosis suspects. Screening of tuberculosis suspected children by health centers officer will determine how much the cases of tuberculosis in children are found in health centers. Health officers at the health centers became the most dominant factor in screening of tuberculosis suspected children. Training about tuberculosis in children was done in 16 health centers among 36 health centers in Bojonegoro. This study aimed to analyze the effect of training to the screening of tuberculosis suspected children by health center officers in Bojonegoro. This study is observational analytic with cross-sectional design. The sampling technique is simple random sampling with respondents consisting of 29 doctors and 29 nurses who are responsible for tuberculosis programs in 29 health centers in Bojonegoro. The variables studied were the training and screening of tuberculosis suspected children. The results showed that screening of tuberculosis suspected children was inappropriate from the target (75.9%) and officers who have not attended the training of tuberculosis in children were 58.6%. Logistic regression test showed that there was effect of training to the screening of tuberculosis suspected children (p = 0.019) and prevalence ratio showed that health officers who was attended the training of tuberculosis in children were able to do the screening of tuberculosis suspected children well 8,50 times greater than those who didn’t. The training for the officers who have not attended the training of tuberculosis in children needs to be done, so that screening of tuberculosis suspected children in Bojonegoro can be optimally implemented. Keywords: screening, suspected, training, tuberculosis, tuberculosis in children