Active pulmonary Tuberculosis (TB) cases and drug resistance Myco-baterium tuberculosis strain increase the risk of health workers who contact to TB patients. Primary Health Care (PHC) workers in Indonesia have the risk to be exposed to M. tuberculosis in workplace. This study aimed to evaluate the implementation of occupational health and safety concerning prevention of M. tuberculosis transmission in PHC and the obstacles. It was a cross sectional study in 50 microscopic referral PHCs (PRM)

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... d PHCs with capability in microscopic examination (PPM) in Banten Province, Gorontalo Province, and South Kalimantan Province. Data collection was conducted in 2012 through interview and observation to obtain data on PHC characteristic, occupational health and safety implementation, the completeness of guidelines, and facilities. Occupational health and safety implementation on pulmonary TB prevention in PHCs had not fulfilled all the WHO M. tuberculosis transmission prevention guideline yet. Training on TB prevention for the PHC workers had been conducted. Only 58 % of PHCs implemented the program and 56 % had regular health checkup and TB screening activities. Health promotion equipments and facilities for occupational health and safety were still lacking in 26 % of PHCs. Personal Protection Equipments (PPE) such as gloves and disposable maskers were available in almost all PHCs (98 % and 96 %). General facilities and laboratory facilities were still lacking in 68 % and 40 % of PHCs (n=50), respectively. Conclusions : Occupational health and safety implementation in PRM/PPM need to be improved by completing the facilities of PHC, laboratory, and health promotion. Abstrak Munculnya kasus TB paru aktif dan kedaruratan strain TB resisten obat, meningkatkan risiko bagi pekerja yang kontak dengan penderita TB. Pekerja puskesmas di Indonesia mempunyai risiko terpajan kuman TB dari lingkungan kerja. Penelitian bertujuan mengevaluasi penerapan kesehatan dan keselamatan kerja (K3) dalam pencegahan penularan Mycobaterium tuberculosis di puskesmas dan hambatannya. Disain cross sectional, pada 50 puskesmas (PRM/PPM puskesmas rujukan mikroskopis/puskesmas pelaksana mandiri) di provinsi Banten, Gorontalo, dan Kalimantan Selatan, tahun