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Literature Review : Medication Compliance in Tuberculosis Patients Kalsum, Umi; Amita, Tri Mayang; Lisdiawati, Lisdiawati; Sudirman, Sudirman; Yani, Ahmad
Journal of World Science Vol. 4 No. 4 (2025): Journal of World Science
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/jws.v4i4.1403

Abstract

Tuberculosis (TB) remains one of the leading global health challenges, with a high incidence of infection, widespread drug resistance, and significant morbidity, especially in low- and middle-income countries. Despite advancements in diagnostic tools, treatment regimens, and global policy support, adherence to TB medication remains a critical issue. This study aims to examine the factors influencing medication adherence among TB patients and assess the effectiveness of interventions designed to improve compliance. The research utilizes a literature review methodology, analyzing secondary data obtained from 15 journals and articles published between 2019 and 2024. The findings indicate that knowledge, family support, and healthcare access are key in improving TB treatment adherence. Integrating community-based interventions and educational programs has positively enhanced patient compliance. Additionally, addressing socio-economic factors such as poverty and inadequate healthcare access is essential in reducing TB incidence and preventing drug-resistant strains. The study emphasizes the importance of continuous monitoring, patient education, and support to ensure effective TB control and treatment. The results contribute to the development of targeted strategies for improving TB treatment adherence, particularly in regions with high TB burden.
Analysis of Determinants of Public Health Service Utilization in the Working Area of the West Ampana Health Center, Tojo Una-Una Regency Amita, Tri Mayang; Rajindra, Rajindra; Amalinda, Finta
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 8 (2026): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i8.631

Abstract

Introduction: Low utilisation of public healthcare services remains a persistent challenge influenced by multiple individual and environmental factors. The Community Health Centre (Puskesmas), as a primary healthcare facility, plays a critical role in improving community health status. Key determinants such as accessibility, culture, family support, and perceptions of illness and services are considered central to understanding patterns of healthcare utilisation. Objective: This study aims to identify and analyse the determinants of public healthcare service utilisation in the working area of the West Ampana Community Health Centre, Tojo Una-Una Regency. Method: A quantitative analytical approach was employed involving 99 respondents selected using Slovin's formula. Data were collected through structured questionnaires and analysed using univariate, bivariate, and multivariate analysis with SPSS. Results and Discussion: Significant relationships were found between accessibility, culture, family support, perceptions of illness and services, and healthcare utilisation (p < 0.005). Multivariate analysis revealed that accessibility and culture were the most dominant influencing factors, indicating that structural and sociocultural barriers substantially limit community engagement with available health services. Conclusion: Healthcare service utilisation is shaped by accessibility, culture, family support, and perceptions of illness and services. Improving culturally sensitive approaches and health education by healthcare workers are essential strategies to enhance service utilisation and optimise primary healthcare engagement at the community level