"Gambaran Putus Obat Berdasarkan Sosial-Demografi pada Penderita Tuberkulosis di Indonesia Tahun 2023: Cross-Sectional Study" by Anindya Oktaria Yudhanti, Arina Syahida Hurva Radisan Saf et al.
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Abstract

Introduction: Tuberculosis is an infectious disease that spreads through the air. Based on data at the international and national levels, there has been an increase. Most pulmonary TB patients are cured with consecutive antibiotic treatment for 6-9 months, but there are still patients who eventually drop out of treatment. This could be a challenge in achieving the international tuberculosis elimination target of 2035 and the national target of 2030. Methods: This study analyzed the socio-demographic distribution and dropout analysis of Tuberculosis patients in Indonesia in 2023 based on SKI data with a cross-sectional study type. Results: The incidence of drug withdrawal in the age group was due to the unavailability of drugs at health care facilities. In the male group, most (33.5%) stated that they dropped out because they felt healthy while in the female group, 38.2% stated that they dropped out because the drugs were not available at the health facilities. The incidence of drug withdrawal was also more prevalent among individuals with primary school education (38.9%), whose employment status was currently not working (34.7%), and living in urban areas (38.3%). This was due to the individuals feeling healthy. Individuals with the lowest economic status also contributed the most to the incidence of drug withdrawal with the reason for drug withdrawal due to unavailability at the health facility (36.8%). Conclusion: From this study, it was found that feeling healthy and unavailability of drugs in health facilities were the most common reasons for drug withdrawal across socio-demographic groups and choosing traditional medicine was the least common reason across socio-demographic groups.

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Bahasa Abstract

Pendahuluan: Tuberkulosis merupakan penyakit menular yang menyebar melalui udara. Berdasarkan data di tingkat internasional maupun nasional telah terjadi peningkatan. Sebagian besar pasien TB paru dapat sembuh dengan pengobatan antibiotik yang dilakukan berturut-turut selama 6-9 bulan, tetapi masih terdapat penderita yang akhirnya putus berobat. Hal ini dapat menjadi tantangan dalam mencapai target eliminasi tuberkulosis internasional tahun 2035 dan target nasional tahun 2030. Metode: Penelitian ini menganalisis distribusi sosial-demografi dan analisis putus obat pada penderita Tuberkulosis di Indonesia pada tahun 2023 berdasarkan data SKI dengan jenis studi cross-sectional. Hasil: Kejadian putus obat pada kelompok umur disebabkan tidak tersedianya obat di fasilitas pelayanan kesehatan. Pada kelompok laki-laki, sebagian besar (33.5%) menyatakan putus obat karena merasa sehat sedangkangkan pada kelompok perempuan, 38.2% menyatakan putus obat karena obat tidak tersedia di fasyankes. Kejadian putus obat juga lebih banyak dialami oleh individu dengan pendidikan terakhir SD (38.9%), status pekerjaannya adalah sedang tidak bekerja (34.7%), dan tinggal di daerah kota (38.3%). Hal ini disebabkan oleh individu tersebut merasa sehat. Individu dengan status ekonomi terbawah juga paling banyak menyumbang kejadian putus obat dengan alasan putus obat karena tidak tersedia di fasyankes (36.8%). Kesimpulan: Dari penelitian ini, ditemukan bahwa merasa sudah sehat dan tidak tersedia obat di fasilitas pelayanan kesehatan menjadi alasan putus obat yang paling besar di seluruh kelompok sosial-demografi serta memilih obat tradisional sebagai alasan paling sedikit di seluruh kelompok sosial-demografi.

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