An Analysis of Determinants Affecting Drug Supervisory Performance in Tuberculosis Patients Management in Tasikmalaya, Indonesia
Endang Puji Astuti, Mutiara Widawati, Tri Wahono, Yuneu Yuliasih, Wawan Ridwan, Lukman Hakim, Mara Ipa

1) Research Center for Public Health and Nutrition, National Research and Innovation Agency, Cibinong, West Java, Indonesia
2) Student at Faculty of Medicine, Public Health and Nursing (FK-KMK), Gadjah Mada University, Yogyakarta

Abstract

Background: Early detection and management of Tuberculosis (TB) cases by a trained and experienced Drug Supervisor are crucial in improving drug adherence, achieving TB therapy, and preventing TB transmission. A companion^s comprehension and aptitude are essential to improve the success rate of treating TB patients. However, assistants and health professionals continue to have gaps in their knowledge and comprehension.
Purpose: The purpose of this study was to identify the factors that influence the performance of DS in Tasikmalaya.
Methods: A cross-sectional survey was carried out in Tasikmalaya from June to August 2021. Individuals who have cared for or are actively caring for TB patients from 2019 to August 2021 are required to be medication supervisors. A systematic questionnaire was used to interview 121 samples from the family and health cadres. A detailed description of drug supervisors^ sociodemographic characteristics, the history of monitored TB patients, knowledge, attitude, and practice toward TB. Statistical studies were performed using logistic regression to identify the risk factors related with the drug supervisor^s drug taking control practice. The odds ratio and 95% confidence interval (CI) are reported. SPSS version 17.0 was used for statistical analysis.
Results: The study^s findings show that DS awareness remains insufficient, with only 1.1% of families having enough information. When it comes to attitudes related to managing the patient^s medication consumption, none of the cadres match the requirements for insufficient performance. While most families continue to fall short in practice, cadres have excelled in taking medication, supervising patient re-visits, communicating side effects, inspiring and motivating TB patients, and reporting to local health officials. The final multivariable logistic regression model revealed that males were less likely to practice (aOR 0.165- 95% CI 0.03-0.84, p<0.005). Patients were better accompanied by the designated DS than by those who applied themselves (aOR 0.314- 95% CI 0.13-0.76, p<0.01). None of the other qualities were associated with the practice of completing the DS function.
Conclusion: The capacity to carry out their duties effectively and improve TB patient treatment results is required of the DS. In order for DSs to accomplish their tasks, they must continually improve their capability. This includes educating the population on good TB care procedures, particularly for TB patients and their families.

Keywords: Drug Supervisor, Knowledge, Performance, Tuberculosis

Topic: Communicable and non communicable disease