Family Training as Medication Supervisors to Prevent Drug-Resistant Tuberculosis Achieves the Third SDG
Keywords:
Pengawas minum obat, tuberculosis, resistenAbstract
Multidrug-resistant tuberculosis (MDR-TB) remains a public health crisis and threat globally, although the incidence of TB is falling at about 2% per year. The main cause of MDR-TB is the low patient adherence to the lifelong TB regimen. High pill burden with long-course treatment simultaneously induces low adherence of the patient to continue the TB regimen. The patient should take four types of TB drugs for at least 6 months. Family support in the management of TB is absolutely needed to alleviate the incidence of TB multidrug resistance. Drug resistance emerges when anti-TB medicines are used inappropriately, through incorrect prescription by health care providers, poor quality drugs, and patients stopping treatment prematurely. The objective of this program is to educate the TB patient's family in monitoring and assisting the patient in taking the TB drug every day and reporting any side effects of the TB drug as soon as possible to prevent low adherence to the treatment. The planned methods are to train the patient's family to monitor the patient's adherence and to assist with treatment at home.
References
Adyaningrum N, Suryawati C, Budiyanti RC. (2019). Analisis pengawasan menelan obat tuberculosis (TB)
dalam program penanggulangan TB di puskesmas Sempor II Kabupaten Kebumen.Jurnal Kesehatan
Masyarakat;7(4):542-555
Aida, N. K. K., Masyeni, D. A. P. S., & Ningrum, R. K. (2022). Karakteristik penderita dengan infeksi
Tuberkulosis di RSUD Sanjiwani. Aesculapius Medical Journal, 2(1), 1-7.
Andarmoyo, Sulistyo, Nurhayati, Tetik. (2018). Pelatihan dan pendampingan PMO (pengawas
menelan obat) dalam meminimalisasi penularan Tuberkulosis paru di kabupaten Ponorogo.
Barik AL, Indarwati R, Sulistiawati. (2020). The role of social support in treatment adherence in TB patient:
a systematic review. Nurse and Health: Jurnal Keperawatan;9(2):201-210
Fahriani, M., Ilmawan, M., Fajar, J. K., Maliga, H. A., Frediansyah, A., & Masyeni, S. Persistence of long
COVID symptoms in COVID-19 survivors worldwide and its potential pathogenesis-A systematic
review and meta-analysis. Narra J [Internet]. 2021; 1 (2).
Handayani D, Ramadhani N, Samudera AG, Ditasari U, Feni T, Rina DE. (2021). Pelatihan pengawas
menelan obat (PMO) pasien Tuberkulosis dalam rangka mengoptimalkan peran pmo untuk meningkatkan kepatuhan minum obat di puskesmas Beringin Raya. Abdimas Unwahas;6(1):26-30
Kementerian Kesehatan RI (2020). Buletin Eliminasi Tuberkulosis: TBC di era COVID-19;1:11-
17. Available at: https://tbindonesia.or.id/wp-content/uploads/2020/11/Buletin-TBC-Vol-1-Tahun-2020-Final.pdf
Kementerian Kesehatan RI (2019). Pedoman Nasional Pelayanan Kedokteran Tata Laksana
Tuberkulosis:1-139
Ma'roef CN, Dhenni R, Megawati D, Fadhilah A, Lucanus A, Artika IM, Masyeni S, Lestarini A, Sari K, Suryana K, Yudhaputri FA, Jaya UA, Sasmono RT, Ledermann JP, Powers AM, Myint KSA. Japanese encephalitis virus infection in non-encephalitic acute febrile illness patients. PLoS Negl Trop Dis. 2020 Jul 14;14(7):e0008454.
Masyeni S, Sukmawati H, Paramasatiari L, et al. Diarrhea among international travelers in Bali-Indonesia: clinical and microbiologicalfinding. Int J Travel Med Glob Health. 2017;5(3):84-88.
Masyeni S, Wardhana IMW, Nainu F. Cytokine profiles in dengue fever and dengue hemorrhagic fever: A study from Indonesia. Narra J. 2024 Apr;4(1):e309.
Masyeni S, Sukmawati H, Siskayani AS, Dharmayanti S, Sari K. Antimicrobial susceptibility pattern of pathogen isolated from various specimens in Denpasar-Bali: a two years retrospective study. Biomed Pharmacol J 2018;11(1)
Sis YH, Jannati A, Jafarabadi MA, Kalan ME, Taheri A, Koosha A. (2014). The effectiveness of Family-
based DOTS versus professional family mix DOTS in treating smear positive tuberculosis. Health Promotion Perspective;4:98-106
Risnasari N (2016). Hubungan pengawas minum obat oleh keluarga dengan kepatuhan dalam
mengkonsumsi obat TBC pada pasien TBC di poli Paru RSUD Gambiran Kediri. Available
at:
Purba B. (2017). Efektifitas pengawas minum obat keluarga sebagai kontrol penularan Tuberkulosis. Public
Health Community;7(2):43-49
Wijaya, M. D., Indraningrat, A. A. G., & Masyeni, D. A. P. S. (2020). Pemberdayaan Karyawan Yayasan
Rama Sesana Sebagai Kader Pencegahan Penularan Covid-19 di Pasar Badung, Bali. Community
Service Journal (CSJ), 2(2), 46-50.
World Health Organization. (2017). Global Tuberculosis Report: TB disease burden:21-61
