scholarly journals Measurement of Adherence Level of Pulmonary Tuberculosis Drugs use in Patients in the Primary Health Centers in Karawang Regency, West Java, Indonesia, using MMAS Instrument

Author(s):  
Maya Arfania ◽  
Dedy Frianto ◽  
Diany Astuti ◽  
Ebta Narasukma Anggraeny ◽  
Triani Kurniawati ◽  
...  

Aims: This study aims to determine the level of drug adherence in patients with pulmonary tuberculosis at the Cilamaya Kulon Primary Health Center area, Karawang Regency, West Java, Indonesia. Study Design: The measurement of adherence level was carried out using the MMAS (Morisky Medication Adherence Scale) instrument. Place and Duration of Study: This study was conducted at Cilamaya Kulon Primary Health Center area, specifically in Bayur Lor and Pasirukem Primary Health Centers, Karawang Regency, West Java, Indonesia, from July to September 2021. Methodology: A cross-sectional design with a purposive sampling data collection method was used. Furthermore, the subjects were pulmonary TB patients from the Bayur Lor and Pasirukem Primary Health Centers, Karawang Regency. The instrument used was the MMAS questionnaire sheet, and data analysis was performed using SPSS (version 22.0) and continued with statistical tests using the chi-square test. Results: The results showed there was no significant relationship (p>0.05) between age, gender, educational status, employment status, income level, smoking status, duration of treatment, drugs side effects, medication supervision, and patient motivation for drugs adherence in the Cilamaya Kulon Primary Health Center area. Furthermore, the level of medication adherence of pulmonary TB patients at this Primary Health Center area was high with a value of 84.13%. Conclusion: Adherence to medication in pulmonary TB patients was not influenced by age, gender, educational status, employment status, income level, smoking status, duration of treatment, drug side effects, medication supervision, and patient motivation. Therefore, the adherence level is included in the high category.

Author(s):  
Naresh Kumar S. J. ◽  
Ranganth B. G.

Background: Malaria is a major public health problem in several parts of country.  Malaria beliefs and practices are often related to culture, and can influence the effectiveness of control strategies. This study was undertaken to assess the awareness of malaria in rural areas of Kolar with varying endemicity.Methods: A cross sectional community based study was conducted. A sample of 207 Household respondents across the Kolar rural area were randomly selected and interviewed to collect information on awareness regarding Malaria. Two villages each were randomly selected from the two PHC areas in Mulbagal Taluk, Kolar District. PHC areas was taken based on annual parasite incidence more than 2 and less than 1 consistently in the past five years by using pre-tested structured proforma. Data analyzed by using epi info 2.5 version software.Results: It was observed that appropriate knowledge regarding malaria transmission from person to person is more in Devarayasamudra Primary Health Center area (69.2%) where API>2 compared to Nangli Primary Health Center area (26.2%) where API<1 and the knowledge regarding causes of malaria is also more in Devarayasamudra PHC area compared to Nangli area.  Majority (87%) of the respondents got information about malaria from the health workers at Devarayasamudra PHC area.Conclusions: The Community knowledge on malaria, its transmission and its prevalence and control clearly depends on the endemicity of malaria. The communities studied under Devarayasamudra PHC area which is problematic for malaria had a better knowledge on malaria transmission and its prevention.


2018 ◽  
Vol 8 (3) ◽  
pp. 69-72
Author(s):  
Shumneva Shrestha ◽  
Randhir Sagar Yadav ◽  
Suwash Baral ◽  
Dwarika Prasad Shrestha

Skin diseases are among leading health problems in Nepal. Fungal infections are the tenth most common reason of OPD visits in Nepal. Due to inappropriate or inadequate treatment, clinically modified tinea infections known as tinea incognito is very common. There is no dermatological care in the primary health centers. The medical officers in these centers have inadequate training to manage skin diseases, while the health workers have no training. Most dermatologists are based in tertiary hospitals and medical colleges of bigger cities. Mobile teledermatology is an innovative method to provide dermatological care to the health centers where there are no dermatologists. It is equally effective means of on-site training for the medical officers. We report two cases of tinea incognito, which were treated by a medical officer at a primary health center with the aid of mobile teledermatology consultation provided by a dermatologist.


2020 ◽  
Vol 9 (2) ◽  
pp. 57
Author(s):  
Syamira Nurjannah Ramadhani

Background: The implementation of the referral system in the JKN era is not yet running optimally due to an increase in the number of referrals from FKTP to FKRTL. The applicable standard for referral ratio is 15%, from the total BPJS patient visits every month, but the above standard reference ratio is still found in various health centers in Indonesia.Objectives: This study aims to determine the factors that cause the high number of referrals in health centers in the JKN era Methods: This research is a type of literature review where the articles obtained are sourced from Google Scholar as a database. There were 13 articles published from 2010 to 2020 that were considered relevant to the research topicResults: Research shows that Primary Health Center with increased referral are caused by low quality and quantity of human resources, lack of SOP, lack of complete and adequate facilities and infrastructure, medical indications suffered by patients beyond the ability of Primary Health Center, incompleteness of medicines and medical materials and lack of understanding patients with the referral systemConclusions: Factors causing the high number of referrals in health centers in the JKN era included the availability of human resources, the existence of SOPs, the completeness of facilities and infrastructure, types of medical indications, availability of medicines and patient behavior


Author(s):  
Auliadina Tetrania Darmastuti ◽  
Judya Sukmana ◽  
Nita Pranitasari

Introduction: Pulmonary tuberculosis (TB) is caused by Mycobacterium tuberculosis and has infected one-third of all human populations around the world, so it has been a global problem. Smoking is one of the risk factors that cause a high mortality rate in TB sufferers. Aim of study: This study aims to evaluate the relationship between smoking behaviur and the incidence of Pulmonary TB in the Kenjeran’s Primary Health Center 2017-2018. Method: This study is observative analytic research with a cross-sectional design. The population in this study were Pulmonary TB in the medical record of the Kenjeran Health Center in 2017-2018. The sample was taken based on the purposive sampling method. 71 people were suffered from pulmonary TB obtained as samples. Results and Discussions: The results of the statistical analytic stated that there was no significant correlation between smoking and the incidence of pulmonary TB, the p-value was 0,601 found in the data analysis (p > 0,05). From 71 respondents, 56 respondents (80,3%) were BTA + patients and 15 respondents (19,7%) were BTA - patients. Based on smoking behavior, there were 56 respondents (78,9%) non-smokers. Based on most sexes, 50 respondents were male. Based on the age group, most of them were in the 17-35 years, amounting to 44 respondents (62%). Conclusions: The conclusion of this research is that there is no relationship between smoking behavior and the incidence of pulmonary TB in the Kenjeran Primary Health Center in 2017-2018.


2016 ◽  
Vol 7 (3) ◽  
pp. 93-98 ◽  
Author(s):  
Fernanda Borges Carlucio da Silva ◽  
Rosangela Filipini ◽  
Ana Paula Guarnieri ◽  
Nathalia Grangeiro Vieira ◽  
Andrea Bonvini ◽  
...  

2018 ◽  
Vol 5 (2) ◽  
pp. 27-31
Author(s):  
Maryam Ulfah ◽  
Yani Kamasturyani ◽  
Putri Mutiara Ramandani

Background:Knowledge of leprosy prevention is the knowledge of a person doing a first line prevention or pervention action before a disease occurs. Based on data from Cirebon district Health OfficeThe incident of leprosy are 232 patients.According to the data primary health center Losari, Kedaton and Babakan There are 37 leprosy patients. Purpose: This research aimed to know an overview of knowledge about the prevention of leprosy, know an overview risk of cutaneous transmission, and knowlegde connection of prevention with leprosy transmission of primary health center Lossari, Kedaton and Babakan Cirebon District. Method:This is quantitative with Cross Sectional Study design. The population in this research is family members of leprosy primary health center Losari, Kedaton dan Babakan Cirebon district. The samples were choosen by Propotional Random Sampling which amounted to 114 respondents. The data retrieval research was conducted on 15 July – 15 September 2018. The research instrument was a questionnaire. Data analysis using Chi Square test. Result:The result of univariate analysis shows that connection of prevention leprosy was motsly good, that is mostly less 14 respondent (46,7%) and leprosy transmission mostly not risk 21 respondent (70,0%),. The result of chi square test was obtained p value = 0,011. Conclusion:Its indicatedthat there is a relationship betweenIndicating that H0 is rejected an Ha accepted means the a knowlegde connection of prevention with leprosy transmission of primary health center Lossari, Kedaton and Babakan Cirebon District


Author(s):  
Deviani Saskia Putri ◽  
Ayun Sriatmi ◽  
Eka Yunila Fatmasari

Background: Treatment adherence among patients with severe mental disorders is needed to avoid drop-outs, relapses, and shackling. Kedungmundu Primary Health Center in Semarang City is known to have a low treatment adherence to patients with severe mental disorders. This study aimed to determine the factors associated with treatment adherence among patients with severe mental disorders.Methods: A quantitative study with a cross-sectional approach. The samples were 73 patients with severe mental disorders at The Kedungmundu Primary Health Center. Data were collected using questionnaires and analyzed using frequency distribution analysis and Spearman Rank Correlation Test.Results: The results indicated that knowledge (p = 0,000; r = 0,715), attitudes (p = 0,000; r = 0,839), family support (p = 0,000; r = 0,427), assessment of health workers (p = 0,000; r = 0,456), and the need for health services (p = 0,000; r = 0,716) have a positive correlation with treatment adherence among severe mental disorders patients.Conclusion: Kedungmundu Primary Health Center is suggested to provide psychoeducation to patients and families, improve the implementation of mental health programs, and empower mental health cadres.


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