Integrating Educational Management into Tuberculosis Control Program Implementation: A Strategy for Strengthening Primary Health Care Performance

Anggun Febrika Anjola; Yulia Hanoselina

doi:10.61987/jemr.v4i4.1381

Authors

Anggun Febrika Anjola Universitas Negeri Padang
Yulia Hanoselina Universitas Negeri Padang

DOI:

https://doi.org/10.61987/jemr.v4i4.1381

Keywords:

Policy Implementation, Tuberculosis, Health programs

Abstract

This study analyzes the implementation of the Tuberculosis (TB) Control Program at Community Health Centers (Puskesmas) using George C. Edward III’s policy implementation model, which includes four key variables: communication, resources, disposition, and bureaucratic structure. Employing a descriptive qualitative approach through interviews, observations, and document analysis, the research found that the TB program has been implemented effectively, supported by clear national guidelines, standardized operating procedures, adequate laboratory facilities, and a well-functioning SITB reporting system. Strong commitment from program implementers further contributes to its success. However, several challenges persist, including limited human and financial resources, high staff workload, and suboptimal intersectoral coordination. From an educational management perspective, the study highlights the importance of strengthening capacity-building initiatives, continuous professional development, and leadership training among health workers to enhance program sustainability. Integrating management education principles—such as effective communication, collaborative leadership, and strategic planning—into public health practice can improve organizational performance and service delivery in primary care settings. This study contributes to bridging the gap between educational management and public health policy implementation, emphasizing the need for adaptive, learning-oriented management approaches to achieve long-term TB control goals in community-based health systems.

References

Abdul, W., Rusdi, N., Suhermanto, S., & Ali, W. (2022). Internalisasi Nilai-Nilai Pendidikan Agama di Sekolah: Perspektif Manajemen Pendidikan Islam. Journal of Educational Management Research, 1(2), 82–94. https://doi.org/10.61987/jemr.v1i2.39

Adhinugraha, R. B. A., Hardhienata, S., Sunaryo, W., Zaini, A. W., & Rozi, M. F. (2024). Transformative Strategies to Enhance Teacher Innovativeness: Addressing Challenges Through Strengthening Organizational Culture, Transformational Leadership, Self-Efficacy, and Achievement Motivation. Managere: Indonesian Journal of Educational Management, 6(2), 219–232.

Akbarsyah, M., & Rahmah, M. (2025). Efektivitas Kebijakan Penanggulangan Tuberkulosis di Kabupaten Bireuen Provinsi Aceh (Doctoral dissertation, IPDN).

Al Mursyidin, R. A., & Hikam, M. A. (2024). Exploring the Effectiveness of Remedial Programs and Technology in Overcoming Learning Barriers in Secondary Education. International Journal of Instructional Technology, 3(2), 71–78.

Alwi, M. (2023). Evaluation of the Pulmonary Tuberculosis Control Program. Jurnal Penelitian Pendidikan IPA, 9(6), 4387–4394.

Annisa, R., Winda, S., Dwisaputro, E., & Isnaini, K. N. (2020). Mengatasi Defisit Dana Jaminan Sosial Kesehatan Melalui Perbaikan Tata Kelola. Integritas: Jurnal Antikorupsi, 6(2), 209–224.

Basri, H., Manshur, U., Baharun, H., Zaini, A. W., & Suhermanto, S. (2024). Exploring Charismatic Leadership and Personality Competence: Keys to Fostering Teacher Motivation. Bidayatuna: Jurnal Pendidikan Guru Madrasah Ibtidaiyah, 7(2), 109–120. https://doi.org/10.54471/bidayatuna.v7i2.2983

Chairunnisa, C. (2025). Evaluasi Program Pencegahan dan Pengendalian Tuberkulosis di Puskesmas Sei Agul Tahun 2022. Jurnal Kajian Kesehatan Masyarakat, 5(2), 8–16.

Diana, S., & Zaini, A. W. (2023). Nurturing Excellence: Leveraging Service Quality for Competitive Advantage in Islamic Boarding Schools. Journal of Educational Management Research, 2(1), 13–28. https://doi.org/10.61987/jemr.v2i1.280

Elatiwi, A. W., Zaini, A. W., & Suhermanto, S. (2023). Social Media Optimization in School Image Transformation: Instagram Interactive Strategies in Schools. Journal of Social Studies and Education, 1(1), 1–12. https://doi.org/10.61987/jsse.v1i1.511

Fatahillah, A., Chuanchen, C., & Zaini, A. W. (2023). Cultivating Cultural Synergy: Unifying Boarding Schools, Local Wisdom, and Authentic Islamic Values for the Enhancement of Islamic Identity. Managere: Indonesian Journal of Educational Management, 5(2), 187–197. https://doi.org/10.52627/managere.v5i2.339

Fauzi, A., Sanjani, M. A. F., Zaini, A. W., & Lateh, M. (2025). The Influence of Social Media on Public Relations as a Reinforcement of Higher Education Reputation. Managere: Indonesian Journal of Educational Management, 7(1), 91–101.

Fritiara, F. (2025). Hubungan Dukungan Keluarga Dengan Tingkat Stres Pasien Tuberkulosis Paru di Wilayah Kerja Puskesmas Lubuk Buaya Kota Padang Tahun 2024 (Doctoral dissertation, Universitas Andalas).

Hamidah, T. (2023). Transformation of Traditional Values to the Phenomenon of Santri Courtship in the Digital Era. Jurnal Islam Nusantara, 7(2), 211. https://doi.org/10.33852/jurnalnu.v7i2.508

Hardani, dkk. (2020). Metode Penelitian Kualitatif dan Kuantitatif. Yogyakarta: Pustaka Ilmu.

Hasanah, I., Hefniy, H., & Zaini, A. W. (2023). Strengthening Brand Identity: Embracing Local Wisdom Through Character Education Management. Indonesian Journal of Education and Social Studies, 2(2), 83–94. https://doi.org/10.33650/ijess.v2i2.3435

Hidayat, N., & Suryadi, S. (2023). Improving Student Learning Outcomes Through the Use of Digital Learning Media. Jurnal Visi Ilmu Pendidikan, 15(1), 29. https://doi.org/10.26418/jvip.v15i1.54889

Husnol Khotimah, Manshur, U., Zaini, A. W., Sanjani, M. A. F., & Suhermanto, S. (2024). Increasing the Competence of Islamic Religious Education Teachers From a Madrasah-Based Management Perspective. Managere: Indonesian Journal of Educational Management, 6(1), 13–26. https://doi.org/10.52627/managere.v6i1.388

Manurung, D. Y. N. (2023). Implementasi Kebijakan Program Penanggulangan Tuberkulosis Dengan Strategi Directly Observed Treatment, Short-Course (DOTS) di Puskesmas Mandala.

Marhamah, M., Zakiyuddin, Z., Maisyaroh, S., & Yarmaliza, Y. (2022). Evaluasi Pelaksanaan Program Penanggulangan Tuberculosis Paru (P2TB) di Puskesmas Ie Mirah Kecamatan Babahrot Kabupaten Aceh Barat Daya Tahun 2020. Jurnal Mahasiswa Kesehatan Masyarakat (Jurmakemas), 2(1), 11–35.

Mayditania, C. (2023). Implementasi Kebijakan Program Penanggulangan Tuberkulosis Pada Puskesmas di Indonesia: Literature Review. Journals of Ners Community, 14(1), 55–64.

Peraturan Menteri Kesehatan Nomor 67 Tahun 2016 tentang Penanggulangan Tuberkulosis.

Peraturan Menteri Kesehatan Republik Indonesia Nomor 19 Tahun 2022 Tentang Perubahan Atas Peraturan Menteri Kesehatan Nomor 2 Tahun 2022 Tentang Petunjuk Teknis Penggunaan Dana Alokasi Khusus Nonfisik Bidang Kesehatan Tahun Anggaran 2022.

Peraturan Wali Kota Nomor 63 Tahun 2019 Tentang Perubahan Atas Peraturan Walikota Padang Nomor 36 Tahun 2018 Tentang Pengendalian dan Penanggulangan Penyakit Tuberkulosis.

Putri, A. S. (2025). Implementasi Peraturan Presiden RI Nomor 67 Tahun 2021 Tentang Penanggulangan Tuberkulosis (TBC) di Puskesmas Kalijudan. Kebijakan: Jurnal Ilmu Administrasi, 16(2), 46–58.

Putri, D. F. (2024). Human Resource Management in Improving Customer Behavior Through Emotional Attachment. Proceeding of International Conference on Education, Society and Humanity, 2(1), 850–859.

Qusairi, A., et al. (2023). Prophetic Leadership in Increasing the Quality of Education at MI Al-Husna Dawuhan Krejengan Probolinggo. Proceeding of International Conference on Education, Society and Humanity, 1(1), 1233–1238.

Romzy, M., Surbakti, A. H., Nurleli, Ramli, Fitriani, Hidayati, S., Andreas, Setiyono, Ansori, & Astuti, R. (2025). Manajemen Pengembangan Pembiayaan di Pendidikan Lembaga Islam. Yayasan Pendidikan Hidayatun Nihayah.

Sasmita, M., Zainuddin, A., & Yuniar, N. (2024). Implementasi Program Penanggulangan TB Paru di Puskesmas Besulutu Kecamatan Besulutu Kabupaten Konawe. JIIP: Jurnal Ilmiah Ilmu Pendidikan, 7(2), 1579–1586.

Wijaya, M. H., Khoir, A., & Zaini, A. W. (2023). Fostering Public Trust: The Transformative Leadership of School Principals. Indonesian Journal of Education and Social Studies, 1(1), 51–62. https://doi.org/10.33650/ijess.v1i1.3475

Zaini, A. W. (2023). Beyond the Curriculum: Exploring the Influence of Islamic Values and Teacher Role Models on Student Character Formation. AFKARINA: Jurnal Pendidikan Agama Islam, 9(1), 23–34. https://doi.org/10.33650/afkarina.v8i2.9389

Zaini, A. W. (2024). Beyond the Curriculum: Exploring the Influence of Islamic Values and Teacher Role Models on Student Character Formation. AFKARINA: Jurnal Pendidikan Agama Islam, 9(1), 23–34.