Mei Syafriadi
Oral and Maxillofacial Pathology Laboratory, Faculty of Dentistry, University of Jember

Diana Chusna Mufida
Departement of Microbiology, Faculty of Medicine, University of Jember

DOI: https://doi.org/10.19184/ams.v11i2.53703

Abstract

Tuberculosis (TB) is a global disease that poses a significant public health threat, capable of causing death and affecting individuals of all ages. By the year 2020, Indonesia is the top three countries number of tuberculosis (TB) cases identified, including among both adult and child populations. Jember district has the second-highest number of TB cases in East Java, after Surabaya City, with a total of 5,244 cases in adults and 478 cases in children. The identification of pediatric TB cases is imperative for the management of the disease, as children under the age of 14 represent 12% of the population. However, the implementation of Tuberculosis Preventive Therapy (TPT), a government program aimed at strengthening the management of Infectious Latent Tuberculosis (ILTB), remains inadequate. Infants who have close contact with drug-sensitive TB (SO TB) patients are at elevated risk of infection and, as a result, require TPT. The objective of this study was to analyze the factors of drivers, enablers, reinforcers, and the role of Drug Swallowing Supervisors (PMOs) on adherence to medication in the TPT program for TB close contact toddlers in Jember District. The present study employed an explanatory method to test hypotheses and to ascertain relationships between variables. The findings indicated that predisposing factors (p-value 0.000), enabling factors (p-value 0.013), reinforcing factors (p-value 0.049), and the role of PMO had a significant effect on medication adherence. The success of the TPT program is primarily attributable to two factors: family support and the role of PMO.

Keyword: Tuberculosis Prevention Therapy (TPT), Children's TB, Close Contact Toddlers.

REFERENCE

1. Budiana, i., Woge, Y., & Paschalia, Y. P. (2021). Faktor-Faktor Yang Berhubungan Dengan Peran Keluarga Dalam Menunjang Kesembuhan Pasien Dengan Kasus Tuberculosis. Journal of Telenursing, Volume 3 Nomor 1, Juni 2021, 362-371.

2. Bukan, M., Limbu, R., & Ndoen, E. M. (2020). Gambaran Perilaku Pencarian Pengobatan Penyakit Tuberkulosis (TB) pada Masyarakat di wilayah Kerja Puskesmas Uitao Kecamatan Semau Kabupaten Kupang. Media Kesehatan Masyarakat 2(3), 8-16.

3. Fentahun, N., Wasihun, Y., Mamo, A., & Gebretsadik, L. A. (2020). Contact Screening And Isoniazid Preventive Therapy Initiation For Under-Five Children Among Pulmonary Tuberculosis-Positive Patients In Bahir Dar Special Zone, Northwest Ethiopia: A Cross-Sectional Study. Tuberculosis research and Treatment, 1-8.

4. Fitriani, D., Pratiwi, R. D., & Betty. (2020). TBC, Askep dan Pengawasan Minum Obat dengan Media Telepon. Tangerang: STIKes Widya Dharma Husada Tangerang.

5. Ghozali, I. (2018). plikasi Analisis Multivariate Dengan Program IBM SPSS 25 Edisi 9. Semarang: Badan Penerbit Universitas Dipenogoro.

6. Grace, S. G. (2019). Barriers to the Implementation of Isoniazid Preventive Therapy for Tuberculosis in Children in Endemic Settings: A Review. journal Of Paediatrics and Child Health (Vol,. 55, Issue 3), 143-147.

7. Green, C. W. (2016). HIV dan TB. Jakarta: Yayasan Spiritia. 

8. Hendri, M., Yani, F. F., & Edison, E. (2021). Analisa Pelaksanaan Investigasi Kontak dan Pemberian TPT pada anak di Kota Pariaman Tahun 2020. Human Care Journal Volume 6, No. 2 (June, 2021), 406-415.

9. Herawati, C., Abdurakhman, R., & Rundamintasih, N. (2020). Peran Dukungan Keluarga, Petugas Kesehatan dan Perceived Stigma dalam Meningkatkan Kepatuhan Minum Obat pada Penderita Tuberculosis Paru. Jurnal Kesehatan Masyarakat Indonesia 15 (1), 19-23.

10. Jamaluddin, K. (2019). Gambaran Tingkat Kepatuhan Berobat Pada Pasien Tuberkulosis Di Puskesmas Samata Kecamatan Somba Opu Kabupaten Gowa. journal of Chemical Information and Modeling, 21-25.