DEVELOPMENT OF GUIDELINES FOR OBSERVER TUBERCULOSIS PATIENTS IN TASIKMALAYA CITY, INDONESIA

Authors

  • Nina Pamela Sari Faculty of Health Science, University of Muhammadiyah Tasikmalaya, Indonesia
  • Neti Juniarti Faculty of Nursing Padjadjaran University, Bandung, Indonesia
  • Desy Indra Yani Faculty of Nursing Padjadjaran University, Bandung, Indonesia

DOI:

https://doi.org/10.31674/mjmr.2020.v04i03.004

Abstract

Tuberculosis (TB) now still become the world's health problems. The incidence of TB was also increasing in Indonesia, resulting in Indonesia currently ranks third in the world number of TB patients so that efforts from the government and various parties was very important to tackle TB in Indonesia. The high prevalence of TB in Indonesia was a challenge for health workers to cope with TB. Observer TB was the forefront of TB treatment settlement, so a guide for the observer was required to complete its tasks thoroughly. However, there are no comprehensive TB guidelines yet in Tasikmalaya City so qualitative research to explore how the development of observer guidelines was needed. The design of this study is descriptive explorative qualitative research with indeepth interview to participants who understand the development of observers guidelines for TB patients. Selection of participants using purposive sampling technique, based on inclusion criteria found as many as twelve participants. The research instrument used semi-structured interview guide which was done with in-depth interview technique, one month research time, data analysis using (Braun and Clarke Theory 2006). The research results obtained three themes, namely: increasing the problem of TB prevention in Tasikmalaya City, optimizing the task of observers, and comprehensive guidance for optimizing the role of observers. The conclusions of this study were the findings based on the participants' opinions on the guidelines of comprehensive drug swallowing supervisors including explanation of observers tasks, TB information for observers, ways of preventing and handling TB, handling side effects, as a remedy for taking medicine with check list and when to take medication. The guidelines according to the participants was packaged in a simple, not complicated but cover all what is in the observers guidelines.

Keywords:

Guidelines, Observers, Tuberculosis

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References

Adatu, F., Odeke, R., Mugenyi, M., et al. (2003). Implementation of the DOTS strategy for tuberculosis control in rural Kigoba District, Uganda, offering patients the option of treatment supervision in the community, 1998-1999, International Journal Tuberculosis Lung Disease, 7(9 suppl 1):S63-S71

Amelia, F., Nahrin, S. N., Permatasari, D. A., & Suryani, F. (2016, September). Aplikasi Kalender Minum Obat TBC Berbasis Adroid. In Seminar Nasional Informatika Medis (SNIMed) (No. 5).

Anuwatnonthakate, A., Limsomboon, P., Nateniyom, S., Wattanaamornkiat, W., Komsakorn, S., Moolphate, S., Varma, J. K. (2008). Directly observed therapy and improved tuberculosis treatment outcomes in thailand. PLoS One, 3(8) doi:http://dx.doi.org/10.1371/journal.pone.0003089

Arthur. (2013). Pengukuran Acuan Terpadu (PAT) dalam Mengukur Kompetensi pada Ilmu-Ilmu Terapan (Kejuruan), http://educ.utm.my/wp-content/uploads/2013/11/53.pdf mengukur PAT kompetensi terapan

Bele, S., Jiang, W., Lu, H., You, H., Fan, H., Huang, L., . . . Wang, J. (2014). Population aging and migrant workers: Bottlenecks in tuberculosis control in rural china. PLoS One, 9(2), e88290. doi:http://dx.doi.org/10.1371/journal.pone.0088290

Belknap R, Weis S, Brookens A, Au-Yeung KY, Moon G, et al. (2013) Feasibility of an Ingestible Sensor-Based System for Monitoring Adherence to Tuberculosis Therapy. PLOS ONE 8(1): e53373. https://doi.org/10.1371/journal.pone.0053373

Benbaba, S., Isaakidis, P., Das, M., Jadhav, S., Reid, T., & Furin, J. (2015). Direct observation (DO) for drug-resistant tuberculosis: Do we really DO? PLoS One, 10(12) doi:http://dx.doi.org/10.1371/journal.pone.0144936

Bhawnani, D., Verma, N., Tiwari, A., & Bandhi, G. (2014). Assessment of knowledge and practice of tuberculosis health visitors and health workers under revised national tuberculosis control programme in raipur district of chhattisgarh state.National Journal of Medical and Dental Research, 2(3), 18-24. Retrieved from https://search.proquest.com/docview/1556081460?accountid=62690

Bungin, B. (2008). Sosiologi Komunikasi (Teori, Paradigma, dan Discourse Teknologi Komunikasi di Masyarakat). Jakarta: Kencana Prenada Media Group.

Cahyani, M., A., (2015). Kalender Pintar : Solusi Inovatif Pengingat Kepatuhan Minum Obat pada Penderita TB, UNIVERSITAS JEMBER, https://docslide.net/documents/kalender-minum-obat-penderita-tbc.html

Comolet, T. M., Rakotomalala, R., & Rajaonarioa, H. (1998). Factors determining compliance with tuberculosis treatment in an urban environment, Tamatave, Madagascar. The International Journal of Tuberculosis and Lung Disease, 2(11), 891-897.

Dave, P. V., Shah, A. N., Nimavat, P. B., Modi, B. B., Pujara, K. R., Patel, P., . . . Kumar, A. M. V. (2016). Direct observation of treatment provided by a family member as compared to non-family member among children with new tuberculosis: A pragmatic, non-inferiority, cluster-randomized trial in gujarat, india. PLoS One, 11(2) doi:http://dx.doi.org/10.1371/journal.pone.0148488

Departemen Kesehatan Republik Indonesia, (2009). Buku Saku Kader Program Penanggulangan TB, Direktorat Jenderal Pengendalian Penyakit dan Penyehatan Lingkungan, Departemen Kesehatan Republik Indonesia.

El Arifeen, S., Christou, A., Reichenbach, L., Osman, F. A., Azad, K., Islam, K. S., . . . Peters, D. H. (2013). Community-based approaches and partnerships: Innovations in health-service delivery in bangladesh. The Lancet, 382(9909), 2012-26. doi:http://dx.doi.org/10.1016/S0140-6736(13)62149-2

Fox, G. J., Nhung, N. V., Sy, D. N., Lien, L. T., Cuong, N. K., Britton, W. J., & Marks, G. B. (2012). Contact investigation in households of patients with tuberculosis in hanoi, vietnam: A prospective cohort study. PLoS One, 7(11) doi:http://dx.doi.org/10.1371/journal.pone.0049880

Getahun, B., & Nkosi, Z. Z. (2017). Satisfaction of patients with directly observed treatment strategy in addis ababa, ethiopia: A mixed-methods study. PLoS One, 12(2) doi:http://dx.doi.org/10.1371/journal.pone.0171209

Hadifah, Z. (2015). Pemenuhan Tugas Pengawas Menelan Obat (observer) Bagi Penderita Tuberkulosis (TB) sebagai Indikator Penyakit Menular di Puskesmas Kota Sigli Kabupaten Pidie. Jurnal Sel, 1(1), 17-23.

Jaiswal, A., Singh, V., Ogden, J. A., Porter, J. D. H., Sharma, P. P., Sarin, R., & Jain, R. C. (2003). Adherence to tuberculosis treatment: lessons from the urban setting of Delhi, India. Tropical Medicine & International Health, 8(7), 625-633.

Kangovi, S., Mukherjee, J., Bohmer, R., & Fitzmaurice, G. (2009). A classification and meta-analysis of community-based directly observed therapy programs for tuberculosis treatment in developing countries. Journal of Community Health, 34(6), 506-13. doi:http://dx.doi.org/10.1007/s10900-009-9174-4

Kementrian Kesehatan Republik Indonesia, (2011). Strategi Nasional Pengendalian TB DI Indonesia 2010-2014. Direktorat Jenderal Pengendalian Penyakit dan Penyehatan Lingkungan, Kementrian Kesehatan Republik Indonesia.

Kementrian Kesehatan Republik Indonesia, (2013). Riset Kesehatan Dasar 2013, Badan Penelitian dan Pengembangan Kesehatan, Kementrian Kesehatan Republik Indonesia.

Kementrian Kesehatan Republik Indonesia, (2014). Pedoman Nasional Pengendalian Tuberkulosis. Direktorat Jenderal Pengendalian Penyakit dan Penyehatan Lingkungan, Kementrian Kesehatan Republik Indonesia.

Kementrian Kesehatan Republik Indonesia, (2016). Peraturan Menteri Kesehatan Republik Indonesia nomor 67 tahun 2016 tentang Penanggulangan Tuberkulosis.

Kementrian Kesehatan Republik Indonesia, (2016). Infodatin Tuberkulosis Temukan Obati Sampai Sembuh. Pusat Data dan Informasi Kemetrian Kesehatan repoublik Indonesia.

Lei, X., Huang, K., Liu, Q., Yong-Feng, J., & Sheng-Lan, T. (2016). Are tuberculosis patients adherent to prescribed treatments in china? results of a prospective cohort study. Infectious Diseases of Poverty, 5doi:http://dx.doi.org/10.1186/s40249-016-0134-9

Lismayanti, L. (2011). Pengalaman Hidup Penderita Filariasis di Kota Tasikmalaya, Universitas Padjajaran Fakultas Ilmu Keperawatan Program Magister Ilmu Keperawatan, Bandung

Maciel, et al., (2008). “Directly Observed Therapy Using Home-Based Supervisors for Treating Tuberculosis in Vitória, Brazil”

Mahendra, (2006) Faktor - faktor yang Berhubungan dengan Penemuan Kasus TB di Bali, http://download.portalgaruda.org/article.php?article=17939&val=1114 [6/3/2017]

Mahendradhata, Y., Lestari, T., Probandari, A., Lucia, E. I., Burhan, E., Mustikawati, D., & Utarini, A. (2015). How do private general practitioners manage tuberculosis cases? A survey in eight cities in indonesia. BMC Research Notes, 8 Retrieved from https://search.proquest.com/docview/1779874613?accountid=62690

Ministry of Health & Family Welfare, (2010). Revised National Tuberculosis Control Programme, Central TB Division, Directorate General of Health Services.

Moleong, L.J. 2007.Metodologi Penelitian Kualitatif. Edisi Revisi. Bandung. Rosda.

Moosazade, M., Jamshidi, M., Amiresmaili, M., & Nezammahalleh, A. (2012). A comparison of directly observed therapy and self-administered therapy strategies in treatment of pulmonary tuberculosis: A cohort study in north of Iran. Middle-East J Sci Res, 11(7), 873-880.

Muture, B. N., Keraka, M. N., Kimuu, P. K., Kabiru, E. W., Ombeka, V. O., & Oguya, F. (2011). Factors associated with default from treatment among tuberculosis patients in nairobi province, kenya: A case control study. BMC Public Health, 11, 696. doi:http://dx.doi.org/10.1186/1471-2458-11-696

Newell, J., N., Baral, S., C., Pande, S., B., Bam, D., S., Malla, P., (2006). Family member DOTS and community DOTS for tuberculosis control in Nepal: cluster-randomised controlled trial, Lancet, 2006;367(9514):903-9. DOI:10.1016/S0140-6736(06)68380-3

Newell, J. N., Pande, S. B., Baral, S. C., Bam, D. S., & Malla, P. (2004). Control of tuberculosis in an urban setting in nepal: Public-private partnership. World Health Organization.Bulletin of the World Health Organization, 82(2), 92-8. Retrieved from http://search.proquest.com/docview/229544131?accountid=48290

New Jersey Medical School, National Tuberculosis Center, (2003). Guidelines for Collaborating with Community Physicians, New Jersey Medical School.

Nyirenda, T., E., Harries, A., D., Gausi, F., et al. Decentralisation of tuberculosis services in a urban setting, Lilongwe, Malawi, International Journal Tuberculosis Lung Disease, 2003; 7(suppl):S21-S29

Obermeyer, Z., Abbott-Klafter, J., & Murray, C. J. L. (2008). Has the DOTS strategy improved case finding or treatment success? an empirical assessment. PLoS One, 3(3) doi:http://dx.doi.org/10.1371/journal.pone.0001721

Otu, A. A. (2013). Is the directly observed therapy short course (DOTS) an effective strategy for tuberculosis control in a developing country?. Asian Pacific Journal of Tropical Disease, 3(3), 227-231.

Philip, S., Isaakidis, P., Sagili, K. D., Meharunnisa, A., Mrithyunjayan, S., & Kumar, A. M. V. (2015). "They know, they agree, but they don't do"- the paradox of tuberculosis case notification by private practitioners in alappuzha district, kerala, india. PLoS One, 10(4) doi:http://dx.doi.org/10.1371/journal.pone.0123286

Prado, T. N. D., Wada, N., Guidoni, L. M., Golub, J. E., Dietze, R., & Maciel, E. L. N. (2011). Cost-effectiveness of community health worker versus home-based guardians for directly observed treatment of tuberculosis in Vitoria, Espirito Santo State, Brazil. Cadernos de saude publica, 27(5), 944-952.

Resmyta, Kingkin. (2013). Kalender Minum Obat (KMO) SebagaiSarana Pendukung Strategi DirectlyTreatment Shortcourse (DOTS) Dalam UsahaPenanggulangan Penyakit Tuberculosis(TBC) di Indonesia UNIVERSITAS LAMBUNG MANGKURATFAKULTAS KEDOKTERANPROGRAM STUDI PENDIDIKAN DOKTER BANJARMASIN, https://id.scribd.com/document/172094127/Kalender-Minum-Obat-penderita-tbc

Sidy, N., Y., (2012). Analisis Pengaruh Peran Pengawas Menelan Obat dari Anggota Keluarga terhadap Kepatuhan Pengobatan Penderita Tuberkulosis di Kota Pariaman Tahun 2010-2011, Universitas Indonesia Fakultas Kesehatan Masyarakat Program Studi Pasca Sarjana Ilmu Kesehatan Masyarakat, Depok

Sis, H. Y., Jannati, A., AsghariJafarabadi, M., Ebra-himi-kalan, M., Taheri, A., & Koosha, A. (2014). The effectiveness of family-based DOTS versus professional-family mix DOTS in treating smears positive tuberculosis. Health Promotion Perspectives,4(1), 98-106. Retrieved from, http://search.proquest.com/docview/1617792422?accountid=48290

Steffen, R., Menzies, D., Oxlade, O., Pinto, M., Castro, A. Z., Monteiro, P., & Trajman, A. (2010). Patients' costs and cost-effectiveness of tuberculosis treatment in DOTS and non-DOTS facilities in rio de janeiro, brazil. PLoS One, 5(11) doi:http://dx.doi.org/10.1371/journal.pone.0014014 , http://search.proquest.com/docview/1292207792/555E0D5015164E12PQ/4?accountid=62690

Suyasa, I., G., D., (2013). Develompent of a Self-care Guideline of Faecal Incontinence for Community-dwelling Older People in Indonesia, Disertasi, School of Nursing and Midwifery, Faculty of Health Sciences Flinders University, Adelaide, Australia

Thiam, S., LeFevre, A., M., Hane, F., Ndiaye, A., Ba, F., Fielding, K.,L., et al. (2007). Effectiveness of a strategy to improve adherence to tuberculosis treatment in a resource poor setting: a cluster randomized controlled trial. JAMA, 2007;297(4):380-6. DOI:10.1001/jama.297.4.380

Turner, T., Misso, M., Harris, C., and Green, S. (2008). Development of evidence-based clinical practice guidelines (CPGs) : comparing approaches, BioMed Central, [online]. Available at http://www.implementationscience.com/content/3/I/45

Walley, J. D., M, A. K., Newell, J. N., & M, H. K. (2001). Effectiveness of the direct observation component of DOTS for tuberculosis: A randomised controlled trial in pakistan. The Lancet, 357(9257), 664-9. Retrieved from http://search.proquest.com/docview/199025721?accountid=48290

Wade, V. A., Karnon, J., Eliott, J. A., & Hiller, J. E. (2012). Home videophones improve direct observation in tuberculosis treatment: A mixed methods evaluation. PLoS One, 7(11) doi:http://dx.doi.org/10.1371/journal.pone.0050155 http://search.proquest.com/docview/1351067644/F14CD0009BD246CAPQ/17?accountid=62690

World Health Organization, (2002). A Guide for Tuberculosis Treatment Supporters

World Health Organization, (2003). Guidelines for WHO Guidelines. In Global Program on Evidence for Health Policy World Health Organization

World Health Organization. (2010). The global planning to stop TB 2011-2015. Geneva, Switzerland: World Health Organization.

World Health Organization. (2011). Ending TB in the South-East Asi Region:Regional Strategic Plan 2016-2020.

World Health Organization. (2010). Treatment of Tuberculosis Guidelines. Fourth Edition. Geneva, Switzerland: World Health Organization.

World Health Organization. (2014). International Standars For Tuberculosis Care, Diagnosis Treatment Public Health, Third Edition.

World Health Organization. (2016). Global Tuberculosis Report 2016. Geneva, Switzerland: World Health Organization.

Wysocki, A. D., Villa, T. C., Arakawa, T., Brunello, M. E., Vendramini, S. H., Monroe, A. A., & Kritski, A. L. (2016). Latent tuberculosis infection diagnostic and treatment cascade among contacts in primary health care in a city of sao paulo state, brazil: Cross-sectional study. PLoS One, 11(6) doi:http://dx.doi.org/10.1371/journal.pone.0155348

Yani, D. I. , Isaramalai, S. , Kritpracha, C. (2014). 'Effect of Family-Based DOTS Support Program on Adherence to Health Behaviors among Patients with Pulmonary Tuberculosis in Bandung, Indonesia'. World Academy of Science, Engineering and Technology, International Science Index, Medical and Health Sciences, 1(9), 146.

Zhang, H., Ehiri, J., Yang, H., Tang, S., & Li, Y. (2016). Impact of community-based DOT on tuberculosis treatment outcomes: A systematic review and meta-analysis. PLoS One, 11(2) doi:http://dx.doi.org/10.1371/journal.pone.0147744

Zwarenstein, M., Schloeman, J. H., Vundule, C., Lombard, C. J., & Tatley, M. (1998). Randomised controlled trial of self-supervised and directly observed treatment of tuberculosis. The Lancet, 352(9137), 1340-3. Retrieved from http://search.proquest.com/docview/198990637?accountid=48290

Published

01-07-2020

How to Cite

Nina Pamela Sari, Neti Juniarti, & Desy Indra Yani. (2020). DEVELOPMENT OF GUIDELINES FOR OBSERVER TUBERCULOSIS PATIENTS IN TASIKMALAYA CITY, INDONESIA. Malaysian Journal of Medical Research (MJMR), 4(3), 15-25. https://doi.org/10.31674/mjmr.2020.v04i03.004

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