Evaluation of Tuberculosis Control Program with DOTS Strategy at Pulosari Public Health Center, Pemalang Regency

Tuberculosis (TB) remains a public health problem in Indonesia, with high incidence and suboptimal treatment success rates. The Directly Observed Treatment Short-course (DOTS) strategy is the main approach to TB control in Indonesia. This study aimed to evaluate the implementation of the TB control program using the DOTS strategy at the Pulosari Public Health Center, Pemalang Regency, focusing on input and process components. A qualitative case study method was used, with data collected through in-depth interviews, observation, and documentation involving program holders, health workers, cadres, TB patients, and Treatment Supervisors (PMO). Results showed sufficient human resources and funding, but a shortage of laboratory analysts and lack of diagnostic tools like GeneXpert. Process implementation followed national guidelines but PMO supervision was suboptimal, especially for patients without companions. Structured monitoring was conducted using the SITB system. Strengthening PMO roles, improving diagnostic facilities, and training health workers are recommended to enhance program effectiveness.