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Stigma and health-related quality of life (HRQoL) among people with multidrug-resistant tuberculosis (MDR-TB): A cross-sectional study in Indonesia Arifin, Bustanul; Sarwadan, Muhamad G.; Wahyudin, Elly; Sarifah, Latifah M.; Fuady, Ahmad; Purba, Fredrick D.; Alkaff, Sylmina D.; Ardiansyah, Akhmad; Madolangan, Jamaluddin
Narra J Vol. 5 No. 2 (2025): August 2025
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v5i2.1317

Abstract

Stigma often accompanies people with multidrug-resistant tuberculosis (MDR-TB) and potentially affects their health-related quality of life (HRQoL). The aim of this study was to investigate the stigma faced by patients with MDR-TB, both from the patients' and community's perspective, and its relationship with HRQoL. Data was gathered at the provincial hospital in Makassar, South Sulawesi, Indonesia. The instrument employed in this research was the Indonesian version of the tuberculosis (TB) stigma instrument to assess MDR-TB stigma from the patient and community perspectives. The patient perspective represents how individuals with TB perceive and experience stigma, including the fear of disclosure, isolation, and guilt (feeling responsible for the burden on their family or their own risky behaviors). Meanwhile, the community perspective reflects how individuals with TB perceive societal attitudes towards them, such as social distancing, avoidance, and reluctance to interact. HRQoL was measured using the European quality of life-5 dimensions-5 level version (EQ-5D-5L) instrument. Notably, the evaluation of anxiety and depression is centered on the fifth dimension of the EQ-5D-5L instrument. A total of 210 patients with MDR-TB were included in the study, all of whom reported experiencing stigma. Most participants perceived stigma at a moderate level, with 76% from the patient perspective and 71% from the community perspective. The average EQ-5D-5L index score was 0.72 (95% confidence interval (95%CI): 0.68–0.76). Measurements from both perspectives show similar scores. There is a substantial negative association between the level of stigma and HRQoL, both from the patient's perspective (R2=-0.33; F=102.52; p<0.001) and the community's (R2=-0.32; F=96.76; p<0.001). The study highlights that the stigma of MDR-TB significantly affects the HRQoL from the patient and community perspective.
Budidaya dan Pemanfaatan Tanaman Herbal Ezra Pasaribu; Sakinah S I Lihawa; Hadija Marasabessy; Miranda Taborat; Exaudian F Lerebulan; Yulinda M Bambungan; Sahrul Gunawan; Mariyo J Sanggel; Muhamad Guntur Sarwadan
Abdinesia: Jurnal Pengabdian Kepada Masyarakat Vol. 6 No. 2 (2026): Jurnal Pengabdian Kepada Masyarakat
Publisher : LPPM Universitas Nahdlatul Ulama Nusa Tenggara Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69503/abdinesia.v6i2.1669

Abstract

Penggunaan tanaman herbal sebagai alternatif pengobatan alami semakin populer, namun pengetahuan mengenai budidaya dan pemanfaatannya masih terbatas di kalangan siswa sekolah. Kondisi tersebut menunjukkan perlunya upaya edukasi yang tidak hanya bersifat teoritis, tetapi juga melibatkan siswa berpartisipasi secara aktif dalam praktik nyata. Kegiatan pengabdian masyarakat ini bertujuan untuk memaparkan pelaksanaan edukasi mengenai budidaya serta pemanfaatan tanaman herbal guna meningkatkan pengetahuan dan keterampilan siswa di SMP Nusantara Kota Sorong. Metode pelaksanaan kegiatan menerapkan pendekatan partisipatif berbasis learning by doing yang dilaksanakan pada 26 Juli 2024 dengan sasaran siswa kelas VIII. Rangkaian kegiatan meliputi penyampaian materi teori, diskusi interaktif, praktik langsung penanaman tanaman obat, serta demonstrasi pembuatan hand sanitizer berbasis daun sirih (Piper betle Linn) dan jeruk nipis. Hasil kegiatan menunjukkan adanya peningkatan pemahaman, partisipasi aktif, serta keterampilan siswa mengenai budidaya dan khasiat tanaman herbal. Evaluasi program mencatat bahwa lebih dari 80% siswa berhasil memahami dan menjelaskan kembali teknik budidaya serta pemanfaatan tanaman obat dengan benar. Dengan demikian, metode edukasi yang dikombinasikan dengan praktik langsung dinilai efektif dan relevan dalam meningkatkan literasi serta kepedulian siswa terhadap kesehatan alami berbasis potensi lokal.