scholarly journals Analysis of Concordance of Medication-Taking Behaviour in Tuberculosis Patients in Medan, Indonesia

2018 ◽  
Vol 6 (9) ◽  
pp. 1699-1701
Author(s):  
Arlinda Sari Wahyuni ◽  
Noni Novisari Soeroso ◽  
Dian Dwi Wahyuni

AIM: This study aimed to analyse tuberculosis (TB) medication-taking behaviour based on the concept of concordance between health workers and TB patients in Medan, Indonesia. METHODS: This study was an analytical study with a cross-sectional design. A total of 100 patients undergoing TB treatment at several public health centres in Medan City participated in the study. RESULTS: The results showed that there was a relationship between the concordance behaviour of the health workers with the attitude and medication-taking behaviour of the patients (p < 0.05). However, there was no relationship found between concordance and knowledge of the patients (p > 0.05). CONCLUSION: The results showed that most of the concordance behaviour, knowledge, attitude, and behaviour in the sample were good.

2021 ◽  
Vol 7 (1) ◽  
pp. 1
Author(s):  
Ayu Putri Utami ◽  
Fajar Ariyanti

Tuberculosis is a chronic disease that requires prolonged medication and slow recovery, hence the problem that often occurs is the patients’ medication compliance. This study is aimed to identify the Description of the Medication Compliance for Tuberculosis Patients with Quote TB Light in Public Health Center. The method of this study was quantitative descriptive using cross sectional design with 92 patients from February to March 2020. The results showed that 51% of tuberculosis patients had complied with the medication. Based on the dimensions of Quote TB Light, the majority of patients have a good perception regarding: TB services (93.65%); the information received is appropriate (100%); health workers when providing consultations (100%); the availability of infrastructures (66%); the service provided by health workers is appropriate (74.5%); the affordability of TB medication is good (100%); and the attitude of health workers (100%). The conclusion is that the description of the medication compliance of tuberculosis patients based on Quote TB Light is good, but it is necessary to improve the quality of services on health workers’ capability and competence, to make improvements and consistent interventions in waiting time, and to pay attention to the infrastructure in order to provide the comfort for patients.


2021 ◽  
Author(s):  
Hanum Nurma Azuro ◽  
Moch Yunus ◽  
Rara Warih Gayatri

Based on the Basic Health Research (Riskesdas) 2018, the incidence of periodontitis in Indonesia was reported at 74.1%, which makes it one of the most common oral health problems in the country. Overall, 2,759 patients, aged 19–64 years underwent periodontal examinations at the Public Health Centres in Malang between January and September 2019. The present study aimed to determine the description of periodontitis patients at the Public Health Centres, Malang, by conducting an early detection of periodontitis against the risk of the disease. This study used a cross-sectional design and a proportional random sampling technique. In total, 277 respondents visited the Public Health Centres in Malang during the study period. The early detection result is based on the number of questionnaire scores on signs, symptoms, and exposures to risk factors for periodontitis, which are divided into three categories: high, moderate, and low risks. The instrument used in this study is a modification of the previous research instrument by Renatus. The result showed that 58 respondents had moderate (21%), 4 (1.4%) had high, and 215 (77.6%) had low risks of periodontitis. Respondents who had a lower risk of periodontitis were more than the respondents who had high and moderate risks of periodontitis. Keywords: periodontitis, history of gingivitis, heredity (family history), oral hygiene, history of tobacco use


2020 ◽  
Vol 12 (2) ◽  
pp. 280
Author(s):  
Devi Ristian Octavia ◽  
Primanitha Ria Utami

Treatment non-adherence in tuberculosis (TB) patients is a challenge in TB treatment. This research was an observational analysis study with a cross-sectional design. The population of this study were all tuberculosis patients at Karanggeneng Community Health Center, Lamongan from January to September 2018 who were still undergoing treatment process. Total sampling technique was utilized which obtained 40 patients. The data were collected through a closed questionnaire sheet of the method applied by the MMAS (Morisky Medication Adherence Scale). Then, the data were analyzed by editing, coding, scoring and tabulating. The results showed that 92% of patients adhered to Tuberculosis treatment and their influential perceptions included patients’ belief, family support, and motivation from health personnel. Treatment supporter is very influential on the success of Tuberculosis therapy.


2020 ◽  
Vol 11 (3) ◽  
pp. 272-284
Author(s):  
Uca Ayu Frama Diesty ◽  
RM. Suryadi Tjekyan ◽  
M.Zulkarnain Zulkarnain

The majority of countries in the world have tuberculosis, including Indonesia, which has the third rank in the world. This is due to a large number of sufferers who were not successfully cured. One of the factors that influence the recovery of tuberculosis patients is adherence to taking anti-tuberculosis drugs for a certain period of time. Non-adherence to treatment can exacerbate the risk of disease because it can lead to MDR (Multi Drugs Resistant) tuberculosis. This study aims to analyze the determinants of tuberculosis treatment compliance in the city of Palembang. This study used an analytical study with a semi-quantitative approach, with a cross-sectional design. Sampling was carried out by proportional random sampling at 39 Puskesmas Kota Palembang, a total of 243 samples that met the inclusion and exclusion criteria. Data collection was carried out by means of interviews using a questionnaire. Data were analyzed using the chi-square test and multiple logistic regression. Obtained adherence to treatment of tuberculosis patients by 42.8%. There was a significant relationship between perceived benefits (p = 0.000; OR = 3.556), family support (p = 0.000; OR = 3.512), support from health workers (p = 0.001; OR = 2.712), knowledge (p = 0.018; OR = 2,027) with adherence to treatment of tuberculosis patients. The level of compliance with tuberculosis patients in Palembang City is still low, namely 42.8%. The most important determinant of adherence is perceived benefit with a 3.556 times greater opportunity after controlling for other variables.


e-GIGI ◽  
2021 ◽  
Vol 9 (2) ◽  
pp. 368
Author(s):  
Michelle Wilia ◽  
Mia A. Prasetya ◽  
Putri Rejeki

Abstract: Coronavirus disease 2019 (Covid-19) can cause respiratory problems and affect all ages. The nature of the transmission and the mortality rate of this viral infection bring about anxiety among health workers, inter alia, dentists because they have a high risk of contracting Covid-19. This study was aimed to determine the relationship between anxiety levels and the preparedness of dentists in facing the Covid-19 pandemic. This was an analytical study with a cross-sectional design. A quantitative study was conducted using a questionnaire that has been structured and tested for its validity and reliability. The questionnaire was divided into two parts, as follows: demographic data and levels of anxiety. Data were analyzed univariately and bivariately with the Spearman correlation test. There were 276 dentists in Bali as respondents who participated in this study. The results showed that the highest level of anxiety was moderate anxiety (54.3%) and there was a relationship between level of anxiety and the number of screening and patient settings with a p-value of 0.034 (p<0.05). In conclusion, there is a relationship between level of anxiety and the dentist's preparedness in the form of number of screening and patient setting to face the Covid-19 pandemic in Bali.Keywords: Covid-19; dentist; anxiety Abstrak: Coronavirus disease 2019 (Covid-19) dapat menyebabkan gangguan pernapasan dan menyerang segala rentang usia. Sifat transmisi dan tingkat mortalitas infeksi virus ini menye-babkan kecemasan di kalangan petugas kesehatan, salah satunya dokter gigi karena memiliki risiko tinggi tertular Covid-19. Penelitian ini bertujuan untuk mengetahui hubungan antara tingkat kecemasan dan kesiapan dokter gigi dalam menghadapi pandemi Covid-19 di Bali. Jenis penelitian ialah analitik dengan desain potong lintang. Penelitian kuantitatif dilakukan menggunakan kuesioner yang telah disusun dan diuji validitas dan reliabilitasnya. Kuesioner dibagi menjadi dua bagian yaitu data demografi dan tingkat kecemasan dokter gigi. Hasil data dianalisis secara univariat dan bivariat menggunakan uji korelasi Spearman. Terdapat 276 dokter gigi di Bali yang berpartisipasi dalam penelitian ini. Hasil penelitian menunjukkan bahwa tingkat kecemasan paling tinggi ialah kecemasan sedang (54.3%) dan terdapat hubungan antara tingkat kecemasan dengan jumlah skrining dan pengaturan pasien dalam menghadapi pandemi Covid-19 di Bali dengan p=0,034 (p<0,05). Simpulan penelitian ini ialah terdapat hubungan antara tingkat kecemasan dengan kesiapan dokter gigi yang dinyatakan dalam jumlah skrining dan pengaturan pasien dalam menghadapi pandemi Covid-19 di Bali.Kata kunci: Covid-19; dokter gigi; kecemasan


2017 ◽  
Vol 2 (1) ◽  
pp. 18
Author(s):  
Rahmayani Afrah ◽  
Defrin Defrin ◽  
Ayu Nurdiyan

Satisfaction is someone’s level of approval when comparing perceived performance or result with his or her expectation. Satisfaction assessment aims to determine the quality of a service. Based on the preliminary survey, Lubuk Buaya Public Health Center has the largest number of BPJS Health participants in Padang, but the scope of maternity gets decreased. This study seeks to investigate the relevant factors that influence the satisfaction assessment of BPJS Health participants with maternity services in the working area of Lubuk Buaya Public Health Center in Padang in 2017.This study was quantitative research with cross sectional design and was conducted in the working area of Lubuk Buaya Public Health Center from May to July 2017. Sample of this research were 75 puerperal mothers. Data were collected by using questionnaire. Data analysis was performed by using univariate and bivariate.The results showed that there are 26 dissatisfied respondents (34.7%) and 49 satisfied respondents (65.3%). Based on the analysis of maternal satisfaction level, the satisfaction of BPJS Health participants in the working area of Lubuk Buaya Public Health Center was 76.13%. The result of bivariate analysis showed that there was no correlation between participants’ age (p=0,198), membership of BPJS Health (p=0,961), and previous service (p = 0,673), but there was a correlation between education (p=0,001), employment (p=0,001) and parity (p=0,035) with assessment of BPJS Health participants in working area of Lubuk Buaya Public Health Center in Padang in 2017.There was a correlation between education, employment, and parity with the assessment of BPJS Health participants who got maternity services. Therefore, health workers have to do evaluation about  the maternity services in order to improve maternity satisfaction of BPJS Health participants.


2021 ◽  
Vol 21 (1) ◽  
pp. 277
Author(s):  
Dwi Anna Nurkhasanah ◽  
Rico Januar Sitorus ◽  
Heru Listiono

The factors related to the prevention of dengue include knowledge, attitudes, and the role of health workers. clean and healthy lifestyle (PHBS), education, knowledge, attitudes, motivation and the environment. One of the efforts that can be done is by implementing 3M plus, namely burying, draining, and giving abate powder and burning the remains of garbage. The purpose of this study was to determine the relationship between knowledge, attitudes and roles of health workers simultaneously with the prevention of Dengue Hemorrhagic Fever (DHF) at Simpang Babat Public Health Center in Pali Regency in 2020. This study used a quantitative analytical study method with a cross-sectional research approach, with the number of a sample of 51 respondents. The results showed that there was a relationship between knowledge, attitudes and the role of health workers simultaneously on the prevention of DHF.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jinghua Li ◽  
Jingdong Xu ◽  
Huan Zhou ◽  
Hua You ◽  
Xiaohui Wang ◽  
...  

ABSTRACT Background Public health workers at the Chinese Centre for Disease Control and Prevention (China CDC) and primary health care institutes (PHIs) were among the main workers who implemented prevention, control, and containment measures. However, their efforts and health status have not been well documented. We aimed to investigate the working conditions and health status of front line public health workers in China during the COVID-19 epidemic. Methods Between 18 February and 1 March 2020, we conducted an online cross-sectional survey of 2,313 CDC workers and 4,004 PHI workers in five provinces across China experiencing different scales of COVID-19 epidemic. We surveyed all participants about their work conditions, roles, burdens, perceptions, mental health, and self-rated health using a self-constructed questionnaire and standardised measurements (i.e., Patient Health Questionnaire and General Anxiety Disorder scale). To examine the independent associations between working conditions and health outcomes, we used multivariate regression models controlling for potential confounders. Results The prevalence of depression, anxiety, and poor self-rated health was 21.3, 19.0, and 9.8%, respectively, among public health workers (27.1, 20.6, and 15.0% among CDC workers and 17.5, 17.9, and 6.8% among PHI workers). The majority (71.6%) made immense efforts in both field and non-field work. Nearly 20.0% have worked all night for more than 3 days, and 45.3% had worked throughout the Chinese New Year holiday. Three risk factors and two protective factors were found to be independently associated with all three health outcomes in our final multivariate models: working all night for >3 days (multivariate odds ratio [ORm]=1.67~1.75, p<0.001), concerns about infection at work (ORm=1.46~1.89, p<0.001), perceived troubles at work (ORm=1.10~1.28, p<0.001), initiating COVID-19 prevention work after January 23 (ORm=0.78~0.82, p=0.002~0.008), and ability to persist for > 1 month at the current work intensity (ORm=0.44~0.55, p<0.001). Conclusions Chinese public health workers made immense efforts and personal sacrifices to control the COVID-19 epidemic and faced the risk of mental health problems. Efforts are needed to improve the working conditions and health status of public health workers and thus maintain their morale and effectiveness during the fight against COVID-19.


Author(s):  
Kahler W. Stone ◽  
Kristina W. Kintziger ◽  
Meredith A. Jagger ◽  
Jennifer A. Horney

While the health impacts of the COVID-19 pandemic on frontline health care workers have been well described, the effects of the COVID-19 response on the U.S. public health workforce, which has been impacted by the prolonged public health response to the pandemic, has not been adequately characterized. A cross-sectional survey of public health professionals was conducted to assess mental and physical health, risk and protective factors for burnout, and short- and long-term career decisions during the pandemic response. The survey was completed online using the Qualtrics survey platform. Descriptive statistics and prevalence ratios (95% confidence intervals) were calculated. Among responses received from 23 August and 11 September 2020, 66.2% of public health workers reported burnout. Those with more work experience (1–4 vs. <1 years: prevalence ratio (PR) = 1.90, 95% confidence interval (CI) = 1.08−3.36; 5–9 vs. <1 years: PR = 1.89, CI = 1.07−3.34) or working in academic settings (vs. practice: PR = 1.31, CI = 1.08–1.58) were most likely to report burnout. As of September 2020, 23.6% fewer respondents planned to remain in the U.S. public health workforce for three or more years compared to their retrospectively reported January 2020 plans. A large-scale public health emergency response places unsustainable burdens on an already underfunded and understaffed public health workforce. Pandemic-related burnout threatens the U.S. public health workforce’s future when many challenges related to the ongoing COVID-19 response remain unaddressed.


2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Marta Blanco ◽  
Pablo Suárez-Sanchez ◽  
Belén García ◽  
Jesús Nzang ◽  
Policarpo Ncogo ◽  
...  

Abstract Background In 2018, an estimated 228 million cases of malaria occurred worldwide. Countries are far from having achieved reasonable levels of national protocol compliance among health workers. Lack of awareness of treatment protocols and treatment resistance by prescribers threatens to undermine progress when it comes to reducing the prevalence of this disease. This study sought to evaluate the degree of knowledge and practices regarding malaria diagnosis and treatment amongst prescribers working at the public health facilities of Bata, Equatorial Guinea. Methods A cross-sectional survey was conducted in October-December 2017 amongst all public health professionals who attended patients under the age of 15 years, with suspected malaria in the Bata District of Equatorial Guinea. Practitioners were asked about their practices and knowledge of malaria and the National Malaria Treatment Guidelines. A bivariate analysis and a logistic regression model were used to determine factors associated with their knowledge. Results Among the 44 practitioners interviewed, 59.1% worked at a Health Centre and 40.9% at the District Hospital of Bata. Important differences in knowledge and practices between hospital and health centre workers were found. Clinical diagnosis was more frequently by practitioners at the health centres (p = 0.059), while microscopy confirmation was more frequent at regional hospital (100%). Intramuscular artemether was the anti-malarial most administrated at the health centres (50.0%), while artemether-lumefantrine was the treatment most used at the regional hospital (66.7%). Most practitioners working at public health facilities (63.6%) have a low level of knowledge regarding the National Malaria Treatment Guidelines. While knowledge regarding malaria, the National Malaria Treatment Guidelines and treatment resistances is low, it was higher amongst hospital workers than amongst practitioners at health centres. Conclusions It is essential to reinforce practitioners’ knowledge, treatment and diagnosis practices and use of the National Malaria Treatment Guidelines in order to improve malaria case management and disease control in the region. A specific malaria training programme ensuring ongoing updates training is necessary in order to ensure that greater experience does not entail obsolete knowledge and, consequently, inadequate diagnosis and treatment practices.


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