Jurnal Ilmu dan Teknologi Kesehatan STIKES Widya Husada, Vol. 13 No. 2 ISSN 2086-8510 (Print), ISSN 2655-5875 (Online) Analysis Of The DOTS Strategy Implementation During COVID-19 (Violita Mellania , Intan Zainafree) 59 ANALYSIS OF THE DOTS STRATEGY IMPLEMENTATION DURING COVID-19 Violita Mellania, Intan Zainafree Universitas Negeri Semarang *violitamella@gmail.com, zainafree.intan@gmail.com Received : 27 June 2022 . Accepted : 15 July 2022 . Published : 20 July 2022 ABSTRACT Tuberculosis is a disease caused by the bacterium Mycobacterium tuberculosis that attacks the lungs and other organs. The target for case finding until August is 176 cases, but the Bulu Lor Health Center has only reached 38 case finding with 21 positive cases. The purpose of the study was to find out how to implement the DOTS strategy policy during the COVID-19. The study uses a qualitative with determination uses purposive sampling technique with all 18 informants include Health workers, cadres, and patients. The research was conducted by in-depth interview. The research aims to find out more in description of the DOTS Strategy implementation. The results showed that communication on the DOTS strategy during the pandemic used electronic media. There have perception problems when communicating. There are candidates who have resigned. DOTS rooms during the COVID-19 pandemic combine with COVID-19 services. The commitment was not good because cadres resigned and patients dropped out of treatment due to drug side effects. The organizational structure of the DOTS strategy refers to the Permenkes No. 67 of 2016, but the sputum examination doesn't comply with regulations. Keyword: Tuberculosis, DOTS Strategy, COVID-19, Policy Implementation, Bulu Lor Primary Health Care BACKGROUND COVID-19 is a disease confirmed by the World Health Organization or also known as WHO as a new form of pneumonia on December 31, 2019 in Wuhan, China which has spread massively throughout the world. COVID-19 has transmission from people which is mostly caused by close contact. The virus from COVID-19 can survive in an open environment for three hours (Irfani et al., 2020). Tuberculosis is a disease caused by infection with the bacterium Mycobacterium tuberculosis which can attack the lungs and can also attack other organs. Tuberculosis has symptoms, namely coughing up phlegm for more than two weeks (Hartanto et al., 2019). Mycobacterium tuberculosis is a pathogenic bacterium that has a very high success rate in transmitting tuberculosis. Mycobacterium tuberculosis is usually transmitted through the air. Tuberculosis on the principle of epidemiology has an interaction between three components, namely the host, the agent, and the environment. The agent in tuberculosis is the Mycobacterium tuberculosis, which is the bacterium that causes tuberculosis which is spread through droplets of infected people (Mathofani & Febriyanti, 2020). These bacteria can survive in damp and dark places. This becomes an environmental component, namely bacteria will last a long time in an environment with air humidity between 25-40℃ (Harmani et al., 2019). The host for tuberculosis is a person with the main symptoms of coughing up phlegm for 2 weeks or more which can be followed by the presence of blood in the sputum, shortness of breath, weakness, decreased appetite, weight loss, night sweats without physical activity, malaise, and fever for more than one month (Kemenkes RI, 2018). The COVID-19 pandemic and mobility restrictions will have a negative impact on tuberculosis control by reducing the detection and treatment of tuberculosis, resulting in increased transmission and mortality. In the first half of 2020, the detection of tuberculosis cases decreased by 25-30% in four high-risk countries. Then there are 78% of tuberculosis programs reported to be disrupted by COVID-19 (Chan et al., 2021). Tuberculosis cases in Indonesia experienced a fluctuating trend, namely from 2015 amounting to 330.910 cases, 2016 amounting to 360.565 cases, 2017 amounting to 425.089 cases, in 2018, the number of tuberculosis cases increased to 566.623 cases which increased from the previous year (Kemenkes RI, 2018). The latest data for tuberculosis in 2020 recorded 357.199 cases found with a death rate of 13.947 deaths (TBC Indonesia, 2021). The