Educational Pocket Book on Medication Compliance and Tuberculosis Transmission Prevention in Patients at Simpang Lima Gumul Regional Hospital, Kediri

Main Article Content

Aril Mauliyana

Abstract

Tuberculosis (TB) remains a global health problem with a high number of cases and low patient adherence to treatment. Health education is needed to improve treatment adherence and prevent TB transmission. This study aims to analyze the implementation of a pocketbook education on treatment adherence and transmission prevention in TB patients at Simpang Lima Gumul Regional Hospital, Kediri. This study used a qualitative descriptive approach with a SWOT analysis method. The study population consisted of TB patients and health workers at Simpang Lima Gumul Regional Hospital, Kediri, with samples selected using a purposive sampling technique. The research instruments included interview guidelines, observation sheets, documentation, and pre- and post-tests. Data analysis was carried out through data reduction, data presentation, conclusion drawing, and SWOT analysis. The results showed that health education using a pocketbook media increased the level of patient understanding from 20%. The results showed that the level of patient knowledge and adherence was in the good category with an average of 77.5%. Approximately 75–80% of respondents showed an increase in understanding after being provided with education. The SWOT analysis showed that the SO strategy was the main approach through optimization of educational media, support for national programs, and family involvement. The conclusion of this study is that education through pocket books is effective in increasing patient knowledge regarding treatment compliance and preventing TB transmission, thus supporting the success of TB treatment and control in hospitals.

Article Details

How to Cite
Mauliyana, A. (2026). Educational Pocket Book on Medication Compliance and Tuberculosis Transmission Prevention in Patients at Simpang Lima Gumul Regional Hospital, Kediri. Journal of Community Health Provision, 6(3), 845-853. https://doi.org/10.55885/jchp.v6i3.1015
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Articles

References

Abi, D. A., Magaji, A., Al-Mansur, S., Jang, B., Ibrahim, A., Gamde, M. S., & Obeta, M. (2024). Knowledge gaps in tuberculosis among students and its implications for public health; A review. Microbes and Infectious Diseases, 5(1), 139-147.

Afifa, F., Sholihah, Q., & Kartikaningsih, H. (2025). Evaluation of the Role of Community Health Center Policies in the Handling and Prevention of Tuberculosis in Malang City. Wacana Journal of Social and Humanity Studies, 28(3), 71-82. https://doi.org/10.1080/16549716.2018.1510592

Ahmed, S. K., Mohammed, R. A., Nashwan, A. J., Ibrahim, R. H., Abdalla, A. Q., Ameen, B. M. M., & Khdhir, R. M. (2025). Using thematic analysis in qualitative research. Journal of medicine, surgery, and public health, 6, 100198. https://doi.org/10.1016/j.glmedi.2025.100198

Aisyah, D. N., Ahmad, R. A., Artama, W. T., Adisasmito, W., Diva, H., Hayward, A. C., & Kozlakidis, Z. (2020). Knowledge, attitudes, and behaviors on utilizing mobile health technology for TB in Indonesia: a qualitative pilot study. Frontiers in public health, 8, 531514. https://doi.org/10.3389/fpubh.2020.531514

Amico, K. R., Mugavero, M., Krousel-Wood, M. A., Bosworth, H. B., & Merlin, J. S. (2018). Advantages to using social-behavioral models of medication adherence in research and practice. Journal of general internal medicine, 33(2), 207-215. https://doi.org/10.1007/s11606-017-4197-5

Aung, Y.M., Saw, S., Saw, T.N., & Win, K.L. (2021). Effectiveness of health education interventions on tuberculosis treatment adherence among tuberculosis patients in Myanmar. International Journal of Community Medicine and Public Health, 8(5), 2345–2351. https://doi.org/10.18203/2394-6040.ijcmph20211742

Aziz, K., Hisam, A., Azam, N., Pervaiz, F., & Mehmood, H. (2019). Knowledge of disease and adherence to anti-tuberculosis treatment-a cross sectional study in Rawalpindi District. Pakistan Armed Forces Medical Journal, (2), S267.

Boru, C. G., Shimels, T., & Bilal, A. I. (2017). Factors contributing to non-adherence with treatment among TB patients in Sodo Woreda, Gurage Zone, Southern Ethiopia: A qualitative study. Journal of infection and public health, 10(5), 527-533. https://doi.org/10.1016/j.jiph.2016.11.018

Creswell, JW, & Creswell, JD (2021). Research design: Qualitative, quantitative, and mixed methods approaches (6th ed.). London: SAGE Publications.

Dheda, K., Perumal, T., Moultrie, H., Perumal, R., Esmail, A., Scott, A. J., ... & Pai, M. (2022). The intersecting pandemics of tuberculosis and COVID-19: population-level and patient-level impact, clinical presentation, and corrective interventions. The Lancet Respiratory Medicine, 10(6), 603-622.

Emzir. (2022). Qualitative research methodology: Data analysis. Rajawali Pers.

Etim, N. G., Mirabeau, Y., Olorode, A., & Nwodo, U. (2024). Risk factors of tuberculosis and strategies for prevention and control. Int J Innov Healthc Res, 12(1), 1-13.

Falefi, R., Almubaraq, H. Z., Lelyana, N., & Supriyatno, M. (2023). Breaking the Chains of Tuberculosis: Quantifying the Effects of Literacy, Population Density, and Access to Improve Sanitation to Support Defense Health and Security in Indonesia. Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal), 12(5), 271-282. https://doi.org/10.21776/ub.wacana.2025.028.03.01

Farnia, P., Velayati, A. A., Ghanavi, J., & Farnia, P. (2025). Tuberculosis: an ongoing global threat. In Proteins in Mycobacterium Tuberculosis: Functions and Therapeutic Advances (pp. 1-31). Cham: Springer Nature Switzerland. https://doi.org/10.1007/978-3-031-96883-9_1

Fitriani, N., & Handayani, S. (2023). The effectiveness of booklet media on tuberculosis prevention behavior in pulmonary tuberculosis patients. Indonesian Journal of Health Promotion, 18(2), 120–128. https://doi.org/10.14710/jpki.18.2.120-128

Haverfield, M. C., Tierney, A., Schwartz, R., Bass, M. B., Brown-Johnson, C., Zionts, D. L., ... & Zulman, D. M. (2020). Can patient–provider interpersonal interventions achieve the quadruple aim of healthcare? A systematic review. Journal of General Internal Medicine, 35(7), 2107-2117. https://doi.org/10.1007/s11606-019-05525-2

Islam, F., Ahmad, H., Ahmad, M., Ramadhan, K., Syukri, M., Arrazy, S., ... & Pasaribu, A. H. (2024). Factors affecting treatment adherence among patients with tuberculosis in Indonesia: Literature review. Journal of Public Health and Pharmacy, 4(1), 28-37. https://doi.org/10.56338/jphp.v4i1.5022

Iturralde, E., Hsiao, C. A., Nkemere, L., Kubo, A., Sterling, S. A., Flanagan, T., & Avalos, L. A. (2021). Engagement in perinatal depression treatment: a qualitative study of barriers across and within racial/ethnic groups. BMC Pregnancy and Childbirth, 21(1), 512. https://doi.org/10.1186/s12884-021-03969-1

Javed, A., Lee, C., Zakaria, H., Buenaventura, R. D., Cetkovich-Bakmas, M., Duailibi, K., ... & Azeem, M. W. (2021). Reducing the stigma of mental health disorders with a focus on low-and middle-income countries. Asian journal of psychiatry, 58, 102601. https://doi.org/10.1016/j.ajp.2021.102601

Jotterand, F., Amodio, A., & Elger, B. S. (2016). Patient education as empowerment and self-rebiasing. Medicine, Health Care and Philosophy, 19(4), 553-561. https://doi.org/10.1007/s11019-016-9702-9

MacNeil, A., Glaziou, P., Sismanidis, C., Date, A., Maloney, S., & Floyd, K. (2023). Global epidemiology of tuberculosis and progress towards achieving global targets. The Lancet Infectious Diseases, 23(1), e15–e27. https://doi.org/10.1016/S1473-3099(22)00475-5

Martinez, L., Lo, N. C., Cords, O., Hill, P. C., Khan, P., Hatherill, M., ... & Andrews, J. R. (2019). Paediatric tuberculosis transmission outside the household: challenging historical paradigms to inform future public health strategies. The Lancet Respiratory Medicine, 7(6), 544-552.

McCauley, L., Kirwan, M., & Matthews, A. (2021). The factors contributing to missed care and non-compliance in infection prevention and control practices of nurses: a scoping review. International Journal of Nursing Studies Advances, 3, 100039. https://doi.org/10.1016/j.ijnsa.2021.100039

Migliori, G. B., Wu, S. J., Matteelli, A., Zenner, D., Goletti, D., Ahmedov, S., ... & Ong, C. W. M. (2022). Clinical standards for the diagnosis, treatment and prevention of TB infection. The International Journal of Tuberculosis and Lung Disease, 26(3), 190. https://doi.org/10.5588/ijtld.21.0753

Miles, MB, Huberman, AM, & Saldaña, J. (2021). Qualitative data analysis: A methods sourcebook (4th ed.). SAGE Publications.

Miller, E., Reddy, M., Banerjee, P., Brahmbhatt, H., Majumdar, P., Mangal, D. K., ... & Schleiff, M. (2022). Strengthening institutions for public health education: results of an SWOT analysis from India to inform global best practices. Human resources for health, 20(1), 19. https://doi.org/10.1186/s12960-022-00714-3

Mogre, V., Johnson, N. A., Tzelepis, F., & Paul, C. (2019). Barriers to diabetic self‐care: A qualitative study of patients’ and healthcare providers’ perspectives. Journal of clinical nursing, 28(11-12), 2296-2308. https://doi.org/10.1111/jocn.14835

Nugroho, A., Setiawan, D., & Pratiwi, R. (2022). Health education and medication adherence in tuberculosis patients in Indonesia. Soedirman Nursing Journal, 17(3), 145–152. https://doi.org/10.20884/1.jks.2022.17.3.6589

Nurafni, N., Deniati, E. N., Nurrochman, S., & Supriyadi, S. (2026). Socio-Economic and Demographic Determinants of Pulmonary Tuberculosis among Adults in Indonesia. Jurnal Penelitian Kesehatan" SUARA FORIKES"(Journal of Health Research" Forikes Voice"), 17(3), 293-298. http://dx.doi.org/10.33846/sf170320

Putra, RM, Yanti, N., & Lestari, D. (2023). Evaluation of tuberculosis health promotion programs in hospital environments. Indonesian Public Health Media, 22(1), 44–52. https://doi.org/10.30597/mkmi.v22i1.25211

Rahmawati, D., Suryani, S., & Widodo, A. (2022). Factors influencing medication adherence in tuberculosis patients in Indonesia. Aisyah Journal: Journal of Health Sciences, 7(2), 567–574. https://doi.org/10.30604/jika.v7i2.1187

Rich, A., Brandes, K., Mullan, B., & Hagger, M. S. (2015). Theory of planned behavior and adherence in chronic illness: a meta-analysis. Journal of behavioral medicine, 38(4), 673-688. https://doi.org/10.1007/s10865-015-9644-3

Ruru, Y., Matasik, M., Oktavian, A., Senyorita, R., Mirino, Y., Tarigan, L. H., ... & Alisjahbana, B. (2018). Factors associated with non-adherence during tuberculosis treatment among patients treated with DOTS strategy in Jayapura, Papua Province, Indonesia. Global health action, 11(1), 1510592.

Santosa, A., Juniarti, N., Pahria, T., & Susanti, R. D. (2025). Integrating narrative and bibliometric approaches to examine factors and impacts of tuberculosis treatment non-compliance. Multidisciplinary Respiratory Medicine, 20(1), 1016. https://doi.org/10.5826/mrm.2025.1016

Sari, N., Hidayat, T., & Kurniawan, R. (2022). Determinants of tuberculosis prevention behavior in pulmonary tuberculosis patients. National Public Health Journal, 17(3), 201–208. https://doi.org/10.21109/kesmas.v17i3.5732

Sudaryono. (2021). Quantitative, qualitative, and mixed methods research methodology (2nd edition). Rajawali Pers.

Sugiyono. (2022). Qualitative research methods. Alphabet.

Sulistyono, R. E., Tantut, S., & Rr Dian, T. (2020). Patients experience and perception in preventing tuberculosis transmission in rural areas: A qualitative research. Jurnal Keperawatan Padjadjaran, 8(1).

Syahadat, D. S., Buchair, N. H., Sari, N. F., & Azzahra, N. A. (2025). Correlation between Health Service Quality, TB Patient Behavior, and Treatment Compliance. International Journal of Integrated Health Sciences, 13(2), 138-144. https://doi.org/10.15850/ijihs.v13n2.4265

Taylor, B. S., Fornos, L., Tarbutton, J., Muñoz, J., Saber, J. A., Bullock, D., ... & Nijhawan, A. E. (2018). Improving HIV care engagement in the south from the patient and provider perspective: The role of stigma, social support, and shared decision-making. AIDS patient care and STDs, 32(9), 368-378. https://doi.org/10.1089/apc.2018.0039

Tola, H.H., Holakouie-Naieni, K., Tesfaye, E., Mansournia, M.A., & Yaseri, M. (2021). Prevalence of tuberculosis treatment non-adherence in Ethiopia: A systematic review and meta-analysis. International Journal of Tuberculosis and Lung Diseases, 25(3), 198–206. https://doi.org/10.5588/ijtld.20.0541