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Evaluation and Study of the Cost of Illness of Tuberculosis in Indonesia: A Systematic Review Nova, Hikmah; Nita, Yunita; Priyandani, Yuni
Journal of Public Health and Pharmacy Vol. 6 No. 1 (2026): March 2026
Publisher : Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jphp.v6i1.6854

Abstract

Introduction: Tuberculosis (TB) remains a significant public health challenge in Indonesia, ranking among the highest global TB burden countries. The financial burden of TB is substantial, encompassing direct medical costs, indirect income losses, and catastrophic household expenditures. Although systematic reviews on TB-related cost-of-illness (COI) have been conducted in various settings, this study aims to fill critical gaps in Indonesian TB financial data, provide comparative regional insights, and offer actionable policy recommendations. Methods: This study used the Systematic Review (SR) method on articles relevant to: COI, disease cost evaluation, or therapy costs for tuberculosis. Articles are examined in English or Indonesian; obtain full text through several search engines such as: PUBMED, Science Direct, Google Scholar, and SCOPUS; research coverage in Indonesia; and in an unlimited time frame. Results: A total of 11 eligible articles were obtained based on inclusion and exclusion criteria. The direct cost of TB-DS ranges from Rp2.2-5.8 million, while TB-MDR reaches Rp190 million. Indirect costs due to loss of revenue reached Rp481.5 million for MDR-TB. Catastrophic costs occurred in 83% of TB-MDR households and 36% of TB-DS, exceeding 20% of annual income. Most patients were men of productive age (18-45 years), with 82.33% losing their jobs during treatment. These findings highlight the need for strategic interventions to reduce the economic impact of TB. Conclusions: The impact of moderate financial burdens and other medical aspects on institutions and individuals is caused by tuberculosis. Further research should be conducted related to this study to obtain a larger estimate.
PERBERDAYAAN POSYANDU LANSIA UNTUK MENINGKATKANKUALITAS HIDUP LANSIA DI RW.07 KELURAHAN MAGERSARI KABUPATEN SIDOARJO Wijaya, I Nyoman; I Nyoman Wijaya; Abdul Rahem; Gusti Noorrizka V; Yuni Priyandani; Neny Purwitasari; Umi Athiyah; Andi Hermansyah; Yunita Nita; Ana Yuda; Arie Sulistyarini; Bambang Subakti Z
Jurnal Bakti untuk Negeri Vol 5 No 02 (2025): Jurnal Bakti Untuk Negeri
Publisher : Sekolah Tinggi Ilmu Kesehatan ISFI Banjarmasin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36387/b3ywev37

Abstract

An elderly person is someone who has reached the age of 60 years and above. From a health perspective, the elderly will experience an aging process characterized by a decrease in physical endurance, making them susceptible to disease. Based on the problem of the elderly in Sidoarjo not understanding healthy lifestyles, how to manage medication has the potential to decrease the quality of life of the elderly. Therefore, it is necessary to empower the elderly through training to improve the quality of life of the elderly. This community service activity targets the category of Sustainable Development Goals (SDGs), namely SDGs 3, which is ensuring a healthy life and improving the welfare of all residents of all ages. The empowerment activity was carried out at the RW.07 Hall, Magersari Village, Sidoarjo District on Saturday, June 28, 2025. Attended by 90 elderly people. The activity began with morning exercise, providing material and demonstrations on making herbal medicine, providing material on infectious diseases (TB) and degenerative diseases (DM and hypertension), providing material on how to properly manage medication and ending with a post-test. The results of the activity showed that the elderly were very enthusiastic about participating in the entire series of activities. The increase in elderly knowledge was seen from the increase in post-test scores. The paired-sample statistical test results yielded a P-value of 0.000. This indicates a significant difference between the pre-test and post-test results. Participants' understanding improved both before and after the educational material was provided.
PEMBERDAYAAN KAMPUNG ASK ME DAGUSIBU SEBAGAI PUSAT EDUKASI PENGGUNAAN OBAT YANG AMAN DAN BERTANGGUNG JAWAB MELALUI EDUKASI KOMUNITAS Octavia, Devi Ristian; Nita, Yunita; Hermansyah, Andi
JMM (Jurnal Masyarakat Mandiri) Vol 9, No 3 (2025): Juni
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v9i3.30220

Abstract

Abstrak: Desa Banjarrejo memiliki akses lokasi yang kurang memadai terhadap fasilitas pelayanan kesehatan, sehingga masyarakat cenderung mendapatkan obat tanpa disertai informasi yang lengkap dalam penggunaannya. Dampak negatif yang timbul akibat penggunaan obat tanpa pengetahuan yang baik adalah kesalahan masyarakat dalam mendapatkan, menggunakan hingga membuang obat yang membahayakan kesehatan masyarakat dan lingkungan. Pengabdian masyarakat ini bertujuan untuk meningkatkan soft skill masyarakat tentang pengelolaan dan penggunaan obat yang benar, aman dan bertanggung jawab. Kegiatan pengabdian masyarakat ini dilakukan dengan metode pelatihan tentang pengelolaan dan penggunaan obat yang benar di rumah tangga dengan memberikan edukasi dan pendampingan kepada masyarakat dalam kelola obat. Pendekatan berbasis komunitas terhadap 85 masyarakat yang terlibat selama kegiatan dan evaluasi melalui pemberian feedback secara langsung kepada peserta, menggunakan pendekatan kualitatif berbasis tanya jawab lisan terstruktur menunjukkan program ini dapat mencapai lebih dari 67% kesadaran komunitas tentang pentingnya penggunaan obat yang tepat, mengurangi risiko penggunaan obat yang salah, dan membentuk penggunaan obat yang aman dan bertanggung jawab di masyarakat.Abstract: Banjarrejo Village has inadequate access to health service facilities, so people tend to get medicine without complete information. The negative impacts of using medicine without good knowledge are mistakes made by people in obtaining, using, and disposing of medicines that endanger public health and the environment. This community service aims to improve the community's soft skills in the management and use of correct, safe, and responsible medicines. This community service activity is carried out using a training method on the management and use of medicines correctly in households by providing education and assistance to the community in managing medicines. A community-based approach to 85 communities involved during the activity and evaluation through direct feedback to participants, using a qualitative approach based on structured oral questions and answers shows that this program can achieve more than 67% community awareness of the importance of proper use of medicines, reduce the risk of misuse of medicines, and form safe and responsible use of medicines in the community.
Co-Authors Abdul Rahem Abdul Rahem, Abdul Achmad Ridwan, Achmad Adinda Siti Almirah Fatima Alfiana Istighfarin Amanda, Natasya Noor Ana Yuda Ananda Indzar Kholilah Ananda, Yussi Anatasya Andini Setiawan Andi Hermansyah Angelica Kresnamurti Aprilia Purwita Arie Sulistyarini As Sulton, Alfiansyah Maulana Aswarliansyah Ayu Dewi Sartika Bambang Subakti Z Byandra, Naila Devita Ivana Putri Diamita, Bernardina Dihan Asnafin Fadhila Dina Syauqina Hamid Dinara Fathya Rahma P Ditha Carolina Emanuella Elian Haris Darmawan Elida Zairina Fauziyyah Labibah Firdaus, Favian Rafif Gamar, Fahmi Haitsami Ibnu Gesnita Nugraheni Gusti Noorrizka V Hamidah, Nabilah Nur Hanifiyah, Izzatu Al Hasna, Safina Hanifa Hermansyah, Andi I NYOMAN WIJAYA Ihda Nuril Fitriani Iim Suhaemi, Iim Ike Septi Marinda Indah Pratiwi Aryani Kevin Hermawan Hutahaean Kristiani, Ananda Dwi Laras, Kirana Sekar Libriansyah M Aqbil Izzul Haq Mahanggi, Oktarina Maldini, Cindy Andrifo Marensa Faradilla Mareta Rindang Andarsari Marita Belia Putri Muhammad Rizky Nadilah Sobrina Zakiroh Nafi' Nur Hidayah Nafisah Putri Syaharani Najmi MY. Tunggeng Nasywa Ekgi Cahyani Ningsih, Sulistiya Noor Baihaqi, Reihan Ananta Noorrizka, Gusti Nova, Hikmah Octavia, Devi Ristian Pratiwi, Kusma Ayu Priyandani, Yuni Purwitasari, Neny Puspitasari, Hanni Prihhastuti Putri Anggi Aprilia Marcelina Putri, Fida Roesdiana Putri, Sonia Anggitha Rahmawati, Diana Aulia Ridzhan Mawasa Riza Alfian Rokayah Rokayah Rosinta Dewi Anggraeni Sapna Rizka Salsabila Sari, Febrina Kurnia SETIAWAN, Catur Dian Setyawan, Rr. Elmira Sidiq, Kadavi Arafat Silalahi, Zavirah Suhaemi, Iim Talitha Danendra Putri Tsabita, Irdandia Maitsa Tyrzaurra Amalya Maharani Umi Athiyah Umi Athiyah, Umi Virly Natalia Wahyuningtyas, Afifah Rahma Wardhani, Dewanti Wijaya, Aurellia Chance Yuni Priyandani Za'im Hanif Al Fathoni Zahrani, Nafisah Zakiyya, Reyhana Rona