THE RELATIONSHIP BETWEEN THE ROLE OF MEDICINE SWALLOWING SUPERVISORS (PMO) AND COMPLIANCE WITH OAT DRINKING IN TUBERCULOSIS PATIENTS: A CROSS-SECTIONAL STUDY IN RATATOTOK DISTRICT

Abstract

Tuberculosis (TB) is an infectious disease that remains a public health problem in Indonesia. Successful tuberculosis treatment depends heavily on patient compliance in regularly taking anti-tuberculosis drugs (OAT) until the end of the course. One strategy implemented in the TB control program is the involvement of Drug Supervisors (PMOs), whose role is to monitor, remind, motivate, and accompany patients throughout their treatment. Optimal PMO roles are expected to improve patient compliance, thus achieving treatment success. To analyze the relationship between the role of Drug Swallowing Supervisors (PMO) and compliance in taking Anti-Tuberculosis Drugs (OAT) in tuberculosis patients in Ratatotok District. This study used a quantitative approach with a cross-sectional design . The study population was all tuberculosis patients undergoing treatment in Ratatotok District. The sampling technique used total sampling to obtain 28 respondents. Data collection was carried out using a structured questionnaire regarding the role of PMO and adherence to taking OAT. Data analysis was carried out univariately and bivariately using the Chi-Square test with a significance level of 95% (α = 0.05). The study involved 28 respondents. Fifty-seven percent of respondents had adherence to OAT consumption in the adherent category, while 57.1% of respondents had PMO in the good category. Chi-square test results showed a significant relationship between the role of PMO and adherence to OAT consumption (p = 0.027). Patients with PMO in the good category tended to be more adherent than patients with PMO in the poor category. There is a significant relationship between the role of the Medication Supervisor (PMO) and adherence to taking Anti-Tuberculosis Medication (OAT) in tuberculosis patients in Ratatotok District. The better the PMO's role in supervising, motivating, educating, and accompanying patients, the higher the level of patient adherence in undergoing treatment. Strengthening the PMO's capacity and family support are needed to improve the success of tuberculosis treatment