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The Role of Treatment Supporters in Addressing Adverse Effects of Anti-Tubercolusis Treatment: Cross-Sectional Study in Timor Leste Nita Yunianti Ratnasari; Weni Hastuti; Domingos Soares; Joaquim Gregorio de Carvalho; Jose Dionisio Ximenes; Eduardo C. Gaio
Jurnal Kesehatan Masyarakat Vol. 21 No. 4 (2026)
Publisher : Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v21i4.38216

Abstract

Tuberculosis (TB) remains a critical health challenge in Timor-Leste, as one of the 30 countries with the highest TB burden globally. The involvement of Treatment Supporters or Pengawas Minum Obat (PMO) has been widely implemented to address these challenges. Purpose: This study aims to examine the relationship between the presence of active PMO and the incidence of OAT adverse effects among TB patients in Timor Leste. Methods: A descriptive-correlational study was conducted from July to November 2023. A total of 69 pulmonary TB patients who had completed the intensive treatment phase were selected through purposive sampling. Data were collected using a validated questionnaire; analysis was conducted using a chi-square test via SPSS version 26. Results: Among 69 respondents, 10 (14.5%) reported adverse effects, while 59 (85.5%) did not. The most common symptoms included reddish urine (97.1%), loss of appetite (91.3%), and joint pain (34.8%). A significant correlation was found between active PMO presence and absence of reported adverse effects (p < 0.001). Conclusion: The presence of active PMO significantly influences the perception and reporting of OAT adverse effects among TB patients. Strengthening the training and involvement of PMO in TB programs can enhance patient adherence and improve treatment outcomes.
Mental Health Literacy Interventions for Preventing Bullying among High School Students Nita Yunianti Ratnasari; Weni Hastuti; Munaaya Fitria; Suyanto
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 14 No. SI2 (2026): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

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Abstract

Background: Health, which refers to a complete physical, mental, and social well-being, enables individuals to live productively in their social and economic contexts. Recently, Indonesian society has been alarmed by the increasing number of cases related to children's health, both physically, such as the rising number of children experiencing obesity and stunting, and psychologically. Another urgent issue requiring special attention is the prevalence of school-aged children experiencing depression due to bullying. The incidence of bullying among students continues to rise across various educational levels, necessitating preventive measures and effective interventions. Objective: To analyze the level of students’ knowledge regarding bullying and to evaluate the effectiveness of a mental health literacy intervention. Methods:  Employing a one-group pre-test–post-test quantitative descriptive design, this study involved 49 respondents selected through purposive sampling from a total population of 132 students at SMA Muhammadiyah 6 Surakarta, consisting of 19 regular students and 30 inclusive students with various conditions (slow learners, autism, dwarfism, physical disabilities, low vision, speech impairments, and hearing disorders). The intervention consisted of a 45-minute interactive mental health literacy session covering the definition, forms, impacts, and prevention of bullying. Knowledge was assessed using a structured questionnaire (Cronbach’s Alpha = 0.87) administered immediately before and after the session. Data were analyzed descriptively using IBM SPSS Statistics version 26. Results: The findings indicate that students' knowledge levels fall within a high category, with the proportion of correct answers per item reaching 85–93.9%. Students understand the definition, forms, impacts, as well as prevention and reporting steps related to bullying. Conclusion: The mental health literacy program has proven effective in enhancing collective awareness, empathy, and the courage to report incidents within the school environment. It can be concluded that the mental health literacy intervention plays a crucial role in fostering a safe and inclusive school culture.