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"ABSTRAKPenyakit TB Paru adalah penyakit infeksi kronis yang masih menjadi masalah kesehatan masyarakat. Diperkirakan setiap tahun di Indonesia terdapat 583.000 kasus Baru TBC , dimana 200.000 penderita terdapat disekitar Puskesmas.Puskesmas Jayagiri di kabupaten Bandung memiliki masalah cakupan pelayanan penderita TB paru yang rendah , sehingga dilakukan studi ini yang hertujuan mengetahui faktor faktor yang berhubungan dengan perilaku pencarian pengobatan pertama kali tersangka penderita TB Paru .Penelitian ini menggunakan Disain Cross sectional dimana sampel penelitian adalah seluruh tersangka penderita Tb paru yang ditemukan melalui skrining sebanyak 338 penderita.Hasil studi ini kami dapatkan Proporsi tersangka penderita TB Paru diwilayah kerja Puskesmas Jayagiri Kecamatan Lembang adalah sebesar 0,79 %,Perilaku Pencarian pengobatan pertama kali tersangka TB Paru diwilayah kerja Puskesmas Jayagiri Kecamatan Lembang tindakan pertama pencarian pengobatan ke puskesmas sebesar 30,7 % non puskesmas 69,3%, dan dari seluruh variabel yang diamati faktor yang berhubungan dengan perilaku pencarian pengobatan tersangka penderita TB Paru adalah yaitu Variabel Persepsi biaya, Variabel Persepsi penyakit, Variabel Pengetahuan TB paru, Variabel status pekerjaan, variabel persepsi menyembuhkan dan variabel anjuran berobat.Selanjutnya studi ini merekomendasikan agar Puskesmas meningkatkan mutu penyuluhan dan sosialisasi Strategi DOTS sehingga bisa terjadi perbaikan persepsi terhadap TB paru. Yang pada akhirnya meningkatkan cakupan pelayanan Puskesmas dan atau disarankan untuk memperluas pelayanan strategi DOTS ke pelayanan Rumah sakit dan pelayanan swasta lainnya.

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ABSTRACTIndonesia is approximatly has 583,000 new TB cases. It is estimated that 200,000 cases are around Community Health Centre (CHC.The coverage of TB cases in Puskesmas Jayagiri, Bandung District is low, therefore the study aims to determine factors related to the first medical treatment seeking behavior by the suspect of pulmonary tuberculosis in puskesmas.The study using cross sectional design, the samples are the whole of pulmonary TB suspected cases founded by screening, with the total number is 338 cases.Conclusions:The study founde proportion of suspected pulmonary TB founded in the area of Puskesmas Jayagiri, Lembang is 0.79 %, and the first health seeking behavior of pulmonary TB suspected in the area of jurisdiction of Puskesmas Jayagiri, Lembang, such as the first action of seeking behavior treatment to the CHC is the 30.7 %, non-CHC 69.3 % and based on the all observed variables factors which related to the first health seeking behavior of pulmonary TB suspected are : cost perception, occupation, disease perception, sick period, distance perception and curing suggestion.Furthermore, this study suggested to increase the quality of personal health education and socialization of directly observed treatment short course (DOTS) strategy, to increase the coverage of TB case finding and expanded DOTS strategy service to hospital and the other private sector.

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"ABSTRACTThe main purpose of the study was to determine which characteristics and factors affect the pattern of treatment-seeking behavior in the sub district. The achievement of this objective was intended to add knowledge of treatment-seeking behavior to existing knowledge on both behavioral epidemiology and health services research as well as to provide useful information to formulate interventions in extending treatment services from the Lilirilau Sub district Health Center to the whole sub district.In early 1982, the data were collected from a representative sample of 1347 households with 472 sick household members. The data were analyzed using univariate, bivariate and discriminant analysis.The main results of the study are: The decision maker who preferred the sick person to be treated at home was more likely to choose home treatment than to seek treatment, to seek treatment from traditional healers than modern health services, and from paramedical personnel than the health center. Those who knew about the medications needed for a sickness were more likely to conduct self-treatment than choose no treatment. Most of those living more than 3 km from the health center were more likely to choose the policlinic and health promoter in the village concerned than the sub district health center.Most of those from families with lower wealth and with occupations in the FHLN (farmers, housewives, laborers and no job) category were more likely to seek treatment from traditional healers than modern health services, and to seek treatment from paramedical personnel than at the health center when compared with those from families with higher wealth and with occupations in the GEMS (government employees, businessmen, merchants and skilled workers) category. The decision makers for under-fives were more likely to-seek treatment from traditional healers than modern health services. Most of those with occupations in the FHLN category and who were uneducated were more likely to seek treatment at the policlinic and health promoter in the village concerned than at the health center. The household head was most often the decision maker for sick persons of all ages, while the housewife had a more important role in making decisions for children under-five than older children.The preference to be treated at home that was associated with knowledge about the medication needed and may be related to the habits of the community, while that associated with the age of the sick person may be related to the beliefs in the community. In line with these habits and beliefs, the sick persons undertake home treatment or seek treatment from paramedical personnel and traditional healers. Thus, the health center should undertake interventions to make self-treatment safe and effective. In addition, the health center should consider and implement alternative interventions so that both paramedical personnel and traditional healers extend treatment services safely and effectively. This intervention should be directed especially toward the target population: those with occupations in the FHLN category in the community, and household heads and housewives at the household level."