Determinants of Compliance in Taking Tuberculosis Medication at Garoga Health Center, Garoga District, North Tapanuli Regency in 2023
Article metrics
OJS usage and citation sourcesViews and downloads are recorded by OJS; statistics processing may be delayed. A dash means the source count is unavailable. Search Google Scholar
Main Article Content
Abstract
Tuberculosis (TB) is a highly infectious disease caused by Mycobacterium tuberculosis, primarily affecting the lungs and transmitted through airborne droplets. As a global health concern, TB requires long-term treatment adherence to ensure successful outcomes. This study aimed to identify determinants of medication compliance among TB patients at the UPT Garoga Community Health Center, North Tapanuli Regency, in 2023. Using a cross-sectional design, data were collected from 42 patients through interviews and medical records. Variables analyzed included age, gender, education, occupation, knowledge, the role of health workers, and medication supervisors (PMO). Univariate, bivariate, and multivariate analyses were conducted to assess relationships between these factors and medication compliance. Results indicated significant associations between compliance and age (p = 0.001), gender (p = 0.006), education (p = 0.001), knowledge (p = 0.002), the role of health workers (p = 0.001), and PMO support (p = 0.002). However, no significant relationship was found between occupation and compliance (p = 0.036). These findings highlight the importance of patient education, health worker involvement, and family support in improving TB treatment adherence. The study underscores the need for targeted interventions to address these determinants and enhance treatment outcomes in TB patients.
Article Details
Section

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
How to Cite
References
Ri K. Data Dan Informasi Profil Kesehatan Indonesia 2017. KemenKes RI 2018; 2018.
WHO. Global Tuberculosis Report 2022. Https://WwwWhoInt/Teams/Global-Tuberculosis-Programme/Tb-Reports/Global-Tuberculosis-Report-2022 2022.
Kemenkes RI. Tuberculosis Control In Indonesia 2022. Jakarta: 2022.
Kemenkes RI. Kemenkes Ri. Profil Kesehatan Indonesia 2017.
Rumimpunu R, Maramis FRR, Kolibu FK. Hubungan antara dukungan keluarga dan dorongan petugas kesehatan dengan kepatuhan berobat penderita tuberkulosis paru di Puskesmas Likupang Kabupaten Minahasa Utara. KESMAS: Jurnal Kesehatan Masyarakat Universitas Sam Ratulangi 2018;7.
Muna L, Soleha U. Motivasi Dan Dukungan Sosial Keluarga Mempengaruhi Kepatuhan Berobat Pada Pasien TB Paru Di Poli Paru Bp4 Pamekasan. Journal of Health Sciences 2014;7.
Kemenkes RI. Sistem Informasi Tuberkulosis. Https://SitbKemkesGoId/ 2022.
BPS. Jumlah Kasus Penyakit Menurut Kabupaten/Kota dan Jenis Penyakit di Provinsi Sumatera Utara, 2022. Https://SumutBpsGoId/Id/Statistics-Table/1/MzA2NCMx/Jumlah-Kasus-Penyakit-Menurut-Kabupaten-Kota-Dan-Jenis-Penyakit-Di-Provinsi-Sumatera-Utara-2022 2023.
Noor J. Metodelogi penelitian. Jakarta: Kencana Prenada Media Group 2011.
Pamungkas SB, Kurniawati T. Gambaran Pengetahuan Dan Sikap Keluarga Mengenai Pencegahan Penularan Penyakit Tb Paru: Literature Review. Prosiding Seminar Nasional Kesehatan, vol. 1, 2021, p. 421–9.
Wahyuni S, Cahyati P, Limakrisna N. The influence of self efficacy on cognitive load in online learning in the pandemic Covid-19 on nursing students. European Journal of Molecular & Clinical Medicine 2020;7:2562–75.
Chen X, Du L, Wu R, Xu J, Ji H, Zhang Y, et al. The Effects of Family, Society and National Policy Support on Treatment Adherence Among Newly Diagnosed Tuberculosis Patients: A Cross-Sectional Study. BMC Infect Dis 2020;20. https://doi.org/10.1186/s12879-020-05354-3.
Musiimenta A, Tumuhimbise W, Mugaba A, Muzoora C, Armstrong‐Hough M, Bangsberg DR, et al. Digital Monitoring Technologies Could Enhance Tuberculosis Medication Adherence in Uganda: Mixed Methods Study. J Clin Tuberc Other Mycobact Dis 2019;17:100119. https://doi.org/10.1016/j.jctube.2019.100119.
Parwati NM, Bakta IM, Januraga PP, Wirawan IMA. A Health Belief Model-Based Motivational Interviewing for Medication Adherence and Treatment Success in Pulmonary Tuberculosis Patients. Int J Environ Res Public Health 2021;18:13238. https://doi.org/10.3390/ijerph182413238.
Fuadiati LL, Sukartini T, Makhfudli M, Dewi YS, Rosyid AN, Qona’ah A. Development of an EKA Application to Help Tuberculosis Patients Improve Medication Adherence and Self Efficacy. International Journal of Public Health Science (Ijphs) 2024;13:76. https://doi.org/10.11591/ijphs.v13i1.23309.
Nagaraja SB, Kotur NS, Murthy N, Kunjathur SM, Sappandi NB, Murthy D, et al. “Kill-Tb” Drug Reminder Mobile Application for Tuberculosis Patients at Bengaluru, India: Effectiveness and Challenges. J Tuberc Res 2020;08:1–10. https://doi.org/10.4236/jtr.2020.81001.
Fang X-H, Shen H, Hu W-Q, Xu Q, Jun L, Zhang Z, et al. Prevalence of and Factors Influencing Anti-Tuberculosis Treatment Non-Adherence Among Patients With Pulmonary Tuberculosis: A Cross-Sectional Study in Anhui Province, Eastern China. Medical Science Monitor 2019;25:1928–35. https://doi.org/10.12659/msm.913510.
Nyamagoud SB, Swamy AH V, Chathamvelli A, Patil K, Pai Anirudh, Baadkar A. Assessment of Knowledge, Attitude, Practice and Medication Adherence Among Tuberculosis Patients in Tertiary Care Hospital. Int J Pharm Investig 2023;14:135–40. https://doi.org/10.5530/ijpi.14.1.17.
Henderson AD, Miller D, Hambrick DC. How quickly do CEOs become obsolete? Industry dynamism, CEO tenure, and company performance. Strategic Management Journal 2006;27:447–60.
Siahaan PBC, Lubis R, Hiswani H. Faktor-faktor yang mempengaruhi terjadinya TB paru pada pasien HIV/AIDS. Jurnal Kesmas Prima Indonesia 2019;3:17–23.
Siahaan PBC, Lubis R, Hiswani H. Faktor-faktor yang mempengaruhi terjadinya TB paru pada pasien HIV/AIDS. Jurnal Kesmas Prima Indonesia 2019;3:17–23.
Rizqiya RN. Hubungan Stigma Masyarakat Dengan Kepatuhan Minum Obat Pasien Tb Paru Di Puskesmas Puhjarak Kecamatan Plemahan Kabupaten Kediri. Jurnal Ilmiah Kesehatan Keperawatan 2021;17:66–76.
Dedy MAE, Sagita S, Artawan IM. Hubungan Pekerjaan Dan Peran Pengawas Menelan Obat Terhadap Keberhasilan Pengobatan Tuberkulosis Di Kota Kupang. Cerdika: Jurnal Ilmiah Indonesia 2022;2:600–6.
Dwiningrum R, Wulandari RY, Yunitasari E. Hubungan Pengetahuan dan Lama Pengobatan TB Paru dengan Kepatuhan Minum Obat pada Pasien TB Paru Di Klinik Harum Melati. Jurnal Aisyah: Jurnal Ilmu Kesehatan 2021;6:209–14.
Dwiningrum R, Wulandari RY, Yunitasari E. Hubungan Pengetahuan dan Lama Pengobatan TB Paru dengan Kepatuhan Minum Obat pada Pasien TB Paru Di Klinik Harum Melati. Jurnal Aisyah: Jurnal Ilmu Kesehatan 2021;6:209–14.
Syafakamila M, Purbowati R. Relationship between medication adherence level and recovery of pulmonary tuberculosis patients at gapura public health center Sumenep. Jurnal Ilmiah Kedokteran Wijaya Kusuma 2022;11:131–7.
Diesty UAF, Tjekyan RMS, Zulkarnain MZ. Medical compliance determinants for tuberculosis patients in Palembang. Jurnal Ilmu Kesehatan Masyarakat 2020;11:272–84.
Rismayanti IDA, Sundayana IM, Ariana PA, Heri M. Edukasi diabetes terhadap penurunan glukosa darah pada penderita diabetes mellitus tipe 2. Journal of Telenursing (JOTING) 2021;3:110–6.





