Epidemiology and Society Health Review (ESHR)
Vol. 4 No. 2 (2022)

Factors Associated with Successful Tuberculosis Treatment in the Primary Health Care of Bekasi

Kartika Putri Amalia (Faculty of Medicine, UPN Veteran Jakarta, Jakarta, Indonesia)
Sri Rahayu (Department of Pharmacy, UPN Veteran Jakarta, Jakarta, Indonesia)
Erna Harfiani (Department of Pharmacy, UPN Veteran Jakarta, Jakarta, Indonesia)



Article Info

Publish Date
06 Aug 2022

Abstract

Background: Tuberculosis is still a significant disease problem globally as it is one of ten causes of death worldwide and in Indonesia. Bekasi is the second-largest city with tuberculosis patients after Bandung, with 3,355 patients in 2015. The success rate of treatment that has not reached the standard in the primary health care of Bekasi, West Java, can be related to medication adherence, age, and nutritional status. Inadequate nutritional intake in tuberculosis patients will increase the recovery time. The more days of irregularity in taking the drug increases the likelihood of the patient having a default that can lead to drug-resistant tuberculosis. This study aimed to determine the correlation between anti-tuberculosis drug adherence, age, and nutritional status with tuberculosis treatment in new tuberculosis cases in the primary health care of Bekasi. Method: This was analytic observational research with a cross-sectional design study in 311 new tuberculosis cases at 30 primary health care in Bekasi city period 2015. Data were analyzed using univariate data and then continued with the chi-square test and logistic regression test. Results: The results of the univariate analysis were found to obtain patients' compliance by 84.9% adherent, productive age (91%), and nutritional status with IMT under 18.5 kg/m2 (68.8%). Chi-square test shown there was a significant relationship between medication adherence (p-value = 0.000; OR = 5917.5; 95%CI = 525.57 – 66626.6), age (p-value = 0.003; OR = 3.81; 95%CI = 1.63 – 8.90), and nutritional status (p-value = 0.000; OR = 7.88; 95%CI = 2.38 – 26.08) with therapeutic outcome. Logistic regression analysis showed that anti-tuberculosis drug adherence (p-value = 0.000; OR = 5917.5) was the most dominant variable related to tuberculosis treatment success. Conclusion: We conclude that the success of tuberculosis treatment in the primary health care of the Bekasi period 2015 relates to anti-tuberculosis drug (medication) adherence, age, and nutritional status, while medication adherence has the most significant influence on the success of tuberculosis treatment.

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Journal Info

Abbrev

eshr

Publisher

Subject

Public Health

Description

Epidemiology and Society Health Review (ESHR) is aims to communicate research in the field of epidemiology and community health by publishing papers in high-quality science. This journal publishes an article in the field of epidemiology of the communicable disease, epidemiology of non-communicable ...