Factors of Loss to Follow-up Antiretroviral Therapy in Islanded Area
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Abstract
ABSTRACT
Loss to follow-up of antiretroviral therapy is when PLWHA (People Living with HIV/AIDS) do not come for antiretroviral therapy for more than 3 months. This study aimed to determine the factors of loss to follow-up antiretroviral therapy for PLWHA at Prof. Dr. W. Z. Johannes Kupang Public Hospital where PLWHA with land, water and air transportation are served. This was a case control study with 66 samples of PLWHA. The samples underwent antiretroviral therapy in Prof. Dr.W.Z. Johannes Kupang Public Hospital from 2006 to 2016. Saturated sampling technique was done for cases group and simple random sampling was done for control group. Univariate and bivariate data analysis were done in this study. The result of bivariate analysis showed that there were association between intention (p = 0.004, OR = 4.667), self efficacy (p = 0.0001, OR = 7.875), action (p = 0.0001, OR = 45.000), transportation mode (p = 0.046, OR = 0.200), and transport costs (p = 0.0001, OR 19.333) and loss to follow-up antiretroviral therapy. It could be concluded that transportation and behavior were the major problems for the loss to follow up antiretroviral therapy in the islanded area.
Keywords: HIV/AIDS, antiretroviral therapy, loss to follow-up, islanded area
ABSTRAK
Gagal follow-up antiretroviral therapy adalah jika ODHA (Orang dengan HIV/AIDS) tidak menjalani terapi antireroviral lebih dari 3 bulan terakhir. Penelitian ini bertujuan untuk mengetahui faktor-faktor gagal follow-up antiretroviral therapy pada ODHA di RSUD Prof. Dr. W. Z. Johannes Kupang yang melayani para ODHA dengan moda transportasi darat, air, dan udara. Desain penelitian ini adalah case control. Sampel sebanyak 66 ODHA yang menjalani antiretroviral therapy di RSUD Prof. Dr.W.Z. Johannes Kupang sejak tahun 2006 sampai 2016. Teknik pengambilan sampel yang digunakan adalah sampel jenuh untuk kelompok kasus dan simple random sampling untuk kelompok kontrol. Analisis data menggunakan prosentase untuk univariat dan bivariat. Hasil analisis bivariat menunjukkan ada pengaruh niat (p = 0,004, OR = 4,667), self efficacy (p = 0,0001, OR = 7,875), tindakan (p = 0,0001, OR = 45,000), moda transportasi (p = 0,046, OR = 0,200), dan biaya transportasi (p = 0,0001, OR 19,333) terhadap gagal follow up terapi antiretroviral. Dapat disimpulkan bahwa masalah utama gagal follow up terapi antiretroviral di wilayah berkepulauan ini adalah transportasi dan perilaku.
Kata Kunci: HIV/AIDS, terapi antiretroviral, gagal follow up, wilayah berkepulauan.
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References
Govindasamy, D., Ford, N. & Kranzer, K., 2012. Risk factors, barriers and facilitators for linkage to antiretroviral therapy care: a systematic review. AIDS, 26(16): 2059-2067.
Kana, I.M., Nayoan, C.R. & Limbu, R., 2016. Gambaran Perilaku Pencegahan HIV dan AIDS pada Lelaki Suka Lelaki (LSL) di Kota Kupang Tahun 2014. Unnes Journal of Public Health, 5(3): 252-262.
Kristawansari, K., 2014. Hubungan antara Pengetahuan dan Sikap Sopir Truk Tentang HIV/AIDS dengan Perilaku Pencegahan HIV/AIDS (Studi Kasus di Area Pangkalan Truk Alas Roban Kabupaten Batang Tahun 2012). Unnes Journal of Public Health, 2(3).
Makunde, W.H., Francis, F., Mmbando, B.P., Kamugisha, M.L., Rutta, A.M., Mandara, C.I. & Msangeni, H.A., 2012. Lost to follow up and clinical outcomes of HIV adult patients on antiretroviral therapy in care and treatment centres in Tanga City, north-eastern Tanzania. Tanzania Journal of Health Research, 14(4).
Masyfufah, L. 2016. Upaya Social Marketing Guna Meningkatkan Adherence Minum Obat Pasien Upipi Rsud Dr. Soetomo Surabaya. Jurnal Managemen Kesehatan Stikes, 2(1): 1–16.
Mberi, M. N., Kuonza, L. R., Dube, N. M., Nattey, C., Manda, S., & Summers, R. 2015. Determinants of loss to follow-up in patients on antiretroviral treatment, South Africa, 2004-2012: A cohort study. BMC Health Services Research, 15(1): 1–11.
Meloni, S.T., Chang, C., Chaplin, B., Rawizza, H., Jolayemi, O., Banigbe, B., Okonkwo, P. & Kanki, P. 2014. Time-dependent predictors of loss to follow-up in a large HIV treatment cohort in Nigeria. Open forum infectious diseases, 1(2): ofu055.
Muktiarti, D., Akib, A. A. P., Munasir, Z., & Kurniati, N. 2012. Antiretroviral therapylini kedua pada HIV anak di RS. Cipto Mangunkusumo. Sari Pediatri, 14(2): 130–136.
Rachlis, B.S., 2013. Losses to Follow-up from an Antiretroviral Therapy (ART) Program in the Zomba District of Malawi (Doctoral Theses). Ontario: University of Toronto
Rice, B.D., Delpech, V.C., Chadborn, T.R. & Elford, J. 2011. Loss to follow-up among adults attending human immunodeficiency virus services in England, Wales, and Northern Ireland. Sexually transmitted diseases, 38(8): 685-690.
Rosiana, A.N. & Sofro, M.A.U. 2014. Faktor–Faktor yang Mempengaruhi Lost to Follow-up Pada Pasien HIV/AIDS dengan Terapi ARV di RSUP Dr Kariadi Semarang. Jurnal Kedokteran Diponegoro, 3(1).
Siregar, A.Y., Pitriyan, P. & Wisaksana, R., 2016. HIV Patients Drop Out in Indonesia: Associated Factors and Potential Productivity Loss. Acta Medica Indonesiana, 48(3): 207-216.
Sitanggang, Hendra Dhermawan., Wahyono, Tri Yunis Miko., Rusli, Adria., & Sudaryo, M. K. 2015. Gambaran Kesintasan 3T Pasien HIV/AIDS Berdasarkan Ketidakpatuhan Berobat di Rumah Sakit Penyakit Infeksi Prof. DR. Sulianti Saroso. Infection Deases, 2(2): 2–9.
Widyanthini, D.N. 2014. Faktor-Faktor Yang Berhubungan Dengan Loss To Follow Up Pada ODHA Yang Menerima Terapi ARV Di Klinik Amertha Yayasan Kerti Praja Bali Tahun 2002-2012. Undergraduate Theses. Denpasar: Universitas Udayana.
Yenyen, W. 2015. Hubungan Karakteristik Pasien dengan Tingkat Kepatuhan Terapi ARV di Rawat Jalan Upipi Rumah Sakit Dr. Soetomo. Kesmas, 9(1): 1–6.