The Utilization of SOSA Bags to Terminate Pulmonary TB

Transmission Integrated with DOTS System Treatment Program

S. M. Sarumpaet

, E. Aritonang

, Syarifah

and L. Tarigan

Department of Epidemiology FKM, Universitas Sumatera Utara, Medan, 20155, Indonesia

Department of Community Nutrition FKM, Universitas Sumatera Utara, Medan, 20155, Indonesia

Department of Health Education and Behavioural Science FKM, Universitas Sumatera Utara, Medan, 20155, Indonesia

Department of Occupational Safety and Health FKM, Universitas Sumatera Utara, Medan, 20155, Indonesia

Keywords: SOSA Bags, Pulmonary TB Patients, DOTS System

Abstract: Pulmonary TB patients in Medan increased from 5.936 patients in 2012 to 6.541 patients in 2015. Study by

Sarumpaet and Syarifah in 2017 showed that SOSA bag containing 5% Lysol and prevention promotion

message can reduce the risk of pulmonary TB BTA (+) transmission. DOTS system implemented by the

partner has yet to be equipped with a pulmonary TB termination effort and effective promotion. Through

Hi-Link community service, an effort to reduce pulmonary TB incident is performed by utilizing SOSA

bags being implemented in MoA with Medan Health Office. Furthermore, a MoA is established between

Research and Community Service Institute USU with the City Health Office of Medan as the industry

partner. The draft of MoA has been created as a result of the community service, social campaign on the

utilization of SOSA bags in the Health Office of Medan and implementation by the officer of pulmonary TB

in Public Health Center in Helvetia also have been carried out. Social campaign to all the head of Health

Center has been given a chance by PT Coca-cola in giving out a CSR fund to produce SOSA bags an MoA

between PT Cola-cola and Marelan Health Center and Hi-Link community service team.

1 INTRODUCTION

Tuberculosis (TB) is a communicable disease caused

by Mycobacterium Tuberculosis (BTA) that comes

from sputum patient. Six countries were accounting

for 60% of new cases, namely India, Indonesia,

China, Nigeria, Pakistan, and South Africa (WHO,

2016).

The estimated prevalence of all TB cases in

Indonesia was 660,000 and the incidence estimates

was 430,000 cases per year. The number of TB

deaths was estimated at 61.000 deaths per year. The

number of pulmonary TB new and relapsing cases

notification were fluctuating between the years of

2000-2015. In 2015, the notification number of new

pulmonary TB cases for Indonesia was 117 per

100,000 population. In 2012, there are 5,936 patients

of pulmonary TB in Medan. The number of cured

pulmonary TB BTA (+) is 2,286 patients and in

2015, it increased to 6,541 cases (Kemenkes, 2016).

According to a study result of Sarumpaet and

Syarifah (2017) concluded a SOSA bag containing

5% Lysol

(4-kloro-alfa-fenilokresol) and prevention

promotion message as well as treatment (image

attached) can reduce the risk of pulmonary TB BTA

(+) transmission.

The problem of this community service is the

increasing incidence number of pulmonary TB in

Medan, DOTS system implemented by the partner

has yet to be equipped with an effective pulmonary

TB termination effort, and the lack of patients’

knowledge in terminating pulmonary TB

transmission.Through Hi-Link community service,

an effort to reduce pulmonary TB incident is

performed by utilizing SOSA bags as a media of

pulmonary TB termination and being implemented

in MoA with the City Health Office (Dinas

Kesehatan) of Medan.

Sarumpaet, S., Aritonang, E., Syarifah, . and Tarigan, L.

The Utilization of SOSA Bags to Terminate Pulmonary TB Transmission Integrated with DOTS System Treatment Program.

DOI: 10.5220/0010086318751878

In Proceedings of the International Conference of Science, Technology, Engineering, Environmental and Ramiﬁcation Researches (ICOSTEERR 2018) - Research in Industry 4.0, pages

1875-1878

ISBN: 978-989-758-449-7

1875

2 IMPLEMENTATION METHOD

2.1 Implementation Method

This community service is being implemented with

the cooperation of Faculty of Public Health (FKM)

USU Dean with the City Health Office of Medan

Number: 4798/UN5.2.1.10/KPM/2017 and Number:

440/270.51/VII/2017 about the implementation of

Tri darma of Higher Education Faculty of Public

Health (FKM) USU in the Health Office of Medan

City. Furthermore, a MoA is established between

Research and Community Service Institute (LPPM)

USU with the City Health Office (Dinas Kesehatan)

of Medan as the industry partner.

2.2 Social Campaign of the Utilization

of SOSA Bags in Terminating

Pulmonary TB Transmission

Social campaign is being carried out on the decision

maker of pulmonary TB in the City Health Office of

Medan. Social campaign is conducted by the

community service team with lecture, discussion,

and Q & A session to introduce SOSA bags as a

promotion media in terminating pulmonary TB

transmission.

2.3 Social Campaign and Education

The officer of pulmonary TB is socializing and

educating pulmonary TB patients on the utilization

and benefit of SOSA bags as a media of pulmonary

TB transmission termination and increasing the

knowledge of pulmonary TB patients. Social

campaign is performed when a patient of pulmonary

TB BTA (+) is being diagnosed in Puskesmas to

follow the TB treatment with DOTS program.

2.4 Business Plan Preparation

The community service team is preparing a business

plan to supply SOSA bags according to the need of

the Puskesmas.

2.4.1 The Business Plan of SOSA Bags

Procurement

The business plan of SOSA bags procurement is

done by the community service in the laboratory of

Faculty of Public Health (FKM) USU by preparing

facilities, such as:

a. SOSA bags container

b. Sticker design and promotion media of SOSA

bags.

c. 5% lysol.

d. Tanks to fill the SOSA bags container with lysol.

e. Tissue.

f. Mask.

g. Measuring cup.

Figure 1: SOSA Sac Package

2.4.2 SOSA Sac Usage Guideline for

Pulmonary TB Patient

a. Pour 350 ml of 5% Lisol into the SOSA sac.

b. Place used tissue and disposable mask in the

SOSA sac.

c. After the SOSA sac is full, put the content of

SOSA sac in a plastic bag then throw it to the

waste disposal.

d. Next, refill the 5% Lisol into the SOSA sac for

future use.

e. Use the SOSA sac until the Puskesmasdetermine

there is no pulmonary TB germs in the sputum.

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3 THE RESULT OF

COMMUNITY SERVICE

3.1 The Preparation of Memorandum

of Agreement (MoA) Draft

The preparation of MoA draft is based on the

cooperation of Faculty of Public Health (FKM) USU

Dean with the City Health Office of Medan Number:

4798/UN5.2.1.10/KPM/2017 and Number:

440/270.51/VII/2017 about the implementation of

Tri darma of Higher Education Faculty of Public

Health (FKM) USU in the Health Office of Medan

City. Furthermore, a MoA draft is being prepared

between Research and Community Service Institute

(LPPM) USU with the City Health Office (Dinas

Kesehatan) of Medan as the industry partner.

3.2 Social Campaign of the Utilization

of SOSA Bags in Terminating

Pulmonary TB Transmisson

Social campaign is being carried out on the decision

maker of pulmonary Tb in the City Health Office of

Medan. This activity is conducted by Hi-Link

Community Service team with lecture, discussion,

introduction and application of SOSA bags as a

promotion media as well as Q & A session in

terminating pulmonary TB transmission.

3.3 This Social Campaign Activity Was

Followed by More or Less 60

Participants Consisting of the Head

and Officers of the TBPuskesmas,

Program Managers at the City

Health Office of Medan

The participants were very enthusiastic in the social

campaign, it can be seen from the amount of

questions the participants asked. For instance, a

question from dr. Eva Sinaga, a representative from

Puskesmas Medan Labuhan, about whether the

dosage of 5% Lisol can kill TB germs or no and if

SOSA bags is effective when used by TB MDR

patients. The next question by dr. FizaHasibuan

from Puskesmas DesaTerjun about the resistance of

SOSA bags to the Lisol solution.

Moreover, a question by Dirgo Dirmansyah as

the Head of HR of City Health Office of Medan,

about the SOSA bag testing, has it been tested by the

laboratory in the Food and Drug Administration

(Balai POM) and has it fulfilled the Indonesia

National Standard (SNI). The fourth question was

asked by MasritaTobing, SKM, M,Kes as the Head

of Health Problem Control in the City Health Office

of Medan about the cooperation with Non-

Governmental Organization (LSM). Then, the fifth

question was asked by Alimudin as an officer of TB

Puskesmas Pulo Brayan about how to change the

behavior of TB patients who were having a tough

time throwing sputum in the designated place.

The last question was asked by Drg. Irma

Suryani, MKM as the Secretary of City Health

Office of Medan about the level of effectivity,

economics value, and how long the SOSA bags can

be used. All questions were answered and explained

by Prof. dr. Sorimuda Sarumpaet. At the time of

social campaign, a demonstration of SOSA bags

utilization was also being exhibited by the

community service team. The impact of social

campaign to all heads of Puskesmas in Medan have

given a chance to one of major beverage companies

in Indonesia, which is Coca Cola, who will give

their CSR funds to produce SOSA bags, especially

to Puskesmas Marelan. This will be followed up

with a MoA between Coca Cola and Puskesmas

Marelan.

Figure 2: Social Campaign of the Utilization of SOSA

Bags in City Health Office of Medan

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3.4 The Implementation by the Officer

of Pulmonary TB Puskesmas

For the implementation, a public health center with

the highest number of pulmonary TB patients was

chosen, which is Puskesmas Helvetia. The officer of

pulmonary TB who have received a training in the

City Health Office of Medan are given directions by

the Hi-Link community service in applying the

utilization of SOSA bags to the pulmonary TB BTA

(+) patients who visit the public health center. The

officer of pulmonary TB is socializing and educating

pulmonary TB patients on the utilization and benefit

of SOSA bags as a media of pulmonary TB

transmission termination and increasing the

knowledge of pulmonary TB patients.

Social campaign is performed when a patient of

pulmonary TB BTA (+) is being diagnosed in the

public health center to follow the TB treatment with

DOTS program. The pulmonary TB officers are also

trained to evaluate the acceptance and compliance of

SOSA bags utilization by pulmonary TB patients.

Figure 3: The Head of Puskesmas Helvetia, TB Officers of

Puskesmas Helvetia, TB Patients and Community Service

Team during Social Campaign of TB Officers.

ACKNOWLEDGEMENT

Thank you to the Community Service Institute

(Lembaga Pengabdian Kepada Masyarakat)

Universitas Sumatera Utara as the source of Non

PNBP USU2018 research fund,Community Service

scheme,Hi-Link Research Based of Fiscal Year 2018

Number: 175/UN5.2.3.2.1/PPM/2018 16

April

2018.

REFERENCES

Kemenkes, 2016. Infodatin Tuberkulosis. Available from

http://www.depkes.go.id/download.php?file=downloa

d/pusdatin/infodatin/InfoDatin-2016-TB.pdf

WHO, 2016. Global Tuberculosis Report. Available from

http://www.who.int/tb/publications/global_report/en/

WHO, 2016. Tuberculosis Country Profiles. Available

from http://www.who.int/tb/country/data/profiles/en/

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