The Role Of Community Health Centers In Improving Early Detection Of Tuberculosis (DENI TB) At The Long Alango Community Health Center, Bahau Hulu District, Malinau Regency In 2026

Abstract

ABSTRACT

 Mycobacterium tuberculosis bacteria are the main cause of tuberculosis (TB) in humans. TB can spread through secretions released by patients with respiratory diseases from their throats and lungs, which can cause bloody coughing in advanced stages. This study aims to improve early detection of TB cases through a program implemented at the Long Alango Community Health Center (UPTD Puskesmas Long Alango) using active and passive methods. This qualitative study used purposive sampling to select informants. Data for this study were collected through in-depth interviews and observations, as well as documentation of the informants' daily activities. The results of the study show that TB cases are detected through passive and active methods. The passive method is carried out by examining patients who come to the health center with TB symptoms through sputum examination, then undergoing treatment for six months if they test positive. The active method is carried out through household contact examination, Early Detection of Tuberculosis (DENI TB) screening, and the role of village midwives and TB cadres. Screening is conducted door-to-door by collecting sputum samples from residents. The Long Alango Community Health Center (UPTD Puskesmas Long Alango) plays an important role as the frontline of health services in remote and border areas, particularly in the early detection of tuberculosis through the Early Detection of Tuberculosis (DENI TB) program. Case detection is carried out actively and passively by involving community leaders, village governments, integrated health service posts (posyandu), and recording through SITB. This proactive approach enables more effective TB case detection and treatment. However, its implementation still faces obstacles in the form of limited numbers of cadres, health workers, facilities, and difficult access to the region.