Determinant of incompliance medication people with tuberculosis disease

Abstract

Indonesian Tuberculosis (Tb) case is the highest third rank in the world. It is caused by disobedience in therapy. Three factors affect medication compliance include predisposing, reinforcing and enabling factors. This research aims to analyzed factors that affects medication compliance in Indonesian Tb patients. The study was analytical research. The population were 119 Tb patients in Surabaya Health care center, Indonesia. Simple random sampling technique was used to take sample, consist of 93 respondents. The variables of this study were predisposing factors, reinforcing factors and enabling factors. The data was collected with questionnaires and analyzed with chi square test. The study showed that all factors related to incompliance medication people with Tb, namely predisposing factors: knowledge, attitude, belief (p=0.000), trust (p=0.013, and values (p=0.001); reinforcing factors: family support (p=0.034) and healthcare personnel support (p=0.022); and enabling factors: healthcare facility (p=0.000) and physical environment (p=.000). The determinants of incompliance medication people with Tb include predisposing factors (knowledge, attitudes, beliefs, trust and values); reinforcing factors (family and healthcare personnel support); and enabling factors (healthcare facility and environment). Tackling incompliance medication on Tb should involve private sector, family sector, society/healthcare sector and government sector.