Factors that influence treatment adherence of tuberculosis patients living in Java, Indonesia.
OBJECTIVE
Due to nonadherence of tuberculosis (TB) patients to treatment, complications may arise and if remaining infectious, these patients may infect other people with TB. To obtain information about factors associated with nonadherence, we performed a study comparing adherent and nonadherent TB patients.


METHODS
Adherent and nonadherent patients randomly selected from hospital records in one urban and two rural districts were interviewed using semi-structured questionnaires. Key informant interviews were done with TB nurses and doctors.


RESULTS
The most frequently mentioned reason for nonadherence to treatment was feeling better. Although the drugs were given free of charge, many patients were nonadherent because of lack of money. Social support was considered very important for adherence. The study indicated that some patients had a negative image about the health care staff, treatment, and quality of medication.


CONCLUSIONS
Treatment adherence of TB patients receiving treatment in hospitals in Central Java might be improved by providing health education about treatment duration and side effects, facilitating procedures for receiving treatment free of charge and reducing costs of transportation and consultation. Qualified friendly health care staff able to motivate patients might further improve adherence.
Widjanarko
Bagoes
B
Magister Program of Health Promotion, Graduate Study of Diponegoro University, Indonesia;
Gompelman
Michelle
M
Dijkers
Maartje
M
van der Werf
Marieke J
MJ