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Astri Yuliandini
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Factors Influencing Medication Adherence Among Children and Adolescents with Tuberculosis: Factors Affecting TB Medication Adherence in Youth Rindani Claurita Toban; M. Alfian Rajab; Astri Yuliandini
Innovative Approaches in Health Science Journal Vol. 3 No. 1 (2026): Innovative Approaches in Health Science Journal
Publisher : CV. Paperhome Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.64871/9xwet743

Abstract

Background: Tuberculosis (TB) remains a major global health challenge, particularly in low-resource and geographically isolated areas such as Papua, Indonesia. Medication adherence among children and adolescents is crucial to achieving successful treatment outcomes and preventing drug resistance. However, adherence rates remain suboptimal due to various individual, familial, and healthcare-related factors. This study aimed to identify factors associated with medication adherence among children and adolescents with TB undergoing treatment at the Agats Public Health Center, Asmat Regency, South Papua.. Methods: A quantitative analytical observational study with a cross-sectional design was conducted from November to December 2024. The study included all 35 pediatric and adolescent TB patients registered at the health center, using a total sampling technique. Data were collected through validated questionnaires measuring knowledge, attitude, family support, the role of healthcare workers, and medication adherence using the Morisky Medication Adherence Scale (MMAS-8). Data were analyzed using univariate and bivariate analyses with the Chi-square test at a 95% confidence level (p ≤ 0.05). Results: Most respondents had low knowledge (77.1%), negative attitudes (85.7%), and poor family support (77.1%), while the majority perceived the role of healthcare workers as good (82.9%). Significant associations were found between knowledge (p = 0.033), attitude (p = 0.000), and the role of healthcare workers (p = 0.000) with medication adherence. Family support was not significantly associated with adherence (p = 0.068). Conclusion: Knowledge, attitude, and the role of healthcare workers significantly influence medication adherence among children and adolescents with TB. Although family support was not statistically significant, it remains an important contextual factor. Strengthening community-based health education, enhancing healthcare worker engagement, and empowering families are recommended to improve treatment adherence and outcomes, particularly in remote settings such as South Papua.
The Relationship Between Papaya Consumption During Pregnancy and Smooth Breast Milk Production in Postpartum Mothers in the Work Area of UPT Puskesmas Bontonompo 1, Gowa Regency Yudiarsi Eppang; Evi Kusmayanti; Astri Yuliandini; Suhartini
Indonesian Journal of Nursing and Health Care Vol. 1 No. 2: August (2024)
Publisher : Ammar Dharma Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.64914/39a0p128

Abstract

Background: Breastfeeding is the best feeding method for infants. The coverage of exclusive breastfeeding in the Upt Puskesmas Bontonompo 1 work area remains below target due to insufficient milk production. Lactagogum, a substance found in papaya, is known to enhance breast milk production.Objective: This study aims to investigate the relationship between papaya fruit consumption during pregnancy and smooth breastfeeding in postpartum mothers in the Upt Puskesmas Bontonompo 1 work area.Research Method: This study is an observational study with a cross-sectional approach. The sample consisted of 48 respondents selected using purposive sampling based on inclusion criteria in the work area of UPT Puskesmas Bontonompo 1, Gowa Regency. Data analysis was conducted using bivariate analysis with the Mann-Whitney test.Results: The Mann-Whitney test results showed a p value 0.000 < 0,05, indicating a significant relationship between papaya fruit consumption during pregnancy and smooth breastfeeding in postpartum mothers.Conclusion: There is a significant relationship between papaya fruit consumption during pregnancy and smooth breastfeeding in postpartum mothers in the Upt Puskesmas Bontonompo 1 work area.
Co-Authors Evi Kusmayanti M. Alfian Rajab Rindani Claurita Toban Suhartini Yudiarsi Eppang