The Influence Of Internal And External Factors Of Injecting Narcotics Users On Compliance With The Metadon Consideration Therapy Program At H. Adam Malik Hospital Medan In 2012

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The Influence of Internal and External Factors on Compliance of Injecting Narcotics Users in Metadon Consideration Therapy Program at H. Adam Malik MEDAN Hospital

Introduction

Narcotics abuse through syringes has reached an alarming stage, especially in the city of Medan, North Sumatra. The practice has serious impacts, including the increase in the rate of HIV/AIDS infection. In an effort to reduce the adverse effects of injecting narcotics abuse, the Metadon Consideration Therapy Program (PTRM) is one important solution. H. Adam Malik Hospital Medan is one of the health facilities that provides this program, but unfortunately, the level of compliance of participants in participating in therapy is still relatively low.

Background of the Study

In 2009, there were around 33,370 injecting narcotics users (penasun) in Medan, North Sumatra. One of the serious impacts of the practice is the increase in the rate of HIV/AIDS infection, of which around 678 people (40%) out of a total of 1,715 infected individuals have a history of injection narcotics use. The Metadon Consideration Therapy Program (PTRM) is a solution to reduce the adverse effects of injecting narcotics abuse. However, the level of compliance of participants in participating in therapy is still relatively low.

Research Objectives

The purpose of this study was to analyze the effect of internal and external factors of injecting narcotics users on their compliance in following the PTRM at H. Adam Malik Hospital Medan. The type of research conducted is a survey with the Explanatory Research approach. Respondents in this study were 49 patients who were following the PTRM, who were randomly selected. Data was collected through a questionnaire and analyzed using univariate, bivariate, and multivariate techniques.

Methodology

The study used a survey research approach with an explanatory design. The population of this study was patients who were following the PTRM at H. Adam Malik Hospital Medan. The sample size was 49 patients who were randomly selected. Data was collected through a questionnaire that consisted of two parts: demographic characteristics and internal and external factors that influence compliance with the PTRM. The questionnaire was administered to the respondents, and the data was analyzed using univariate, bivariate, and multivariate techniques.

Results

The results showed that there was a significant relationship between several factors and the compliance of PTRM participants. These factors include self-confidence (p = 0.021), family support (p = 0.001), friend support (p = 0.002), support from non-governmental organizations (NGOs) (p = 0,000), support from health workers Ptrm (P = 0,000), medical expenses (p = 0.012), as well as the use of Ptrm health care facilities (p = 0.002). However, age variables, education levels, employment status, income, and knowledge level do not show a significant relationship with compliance with the Ptrm. In multivariate analysis, support from NGOs is the most influential factor (p = 0.019) of participant compliance.

Discussion

The results of this study indicate that social support, both from family, friends, and NGOs, has an important role in increasing participant compliance with the therapy programs. Strong support can provide motivation and information needed by injecting narcotics users to continue to follow therapy and utilize the available health facilities. In addition, the reduction in costs during treatment is also an aspect that is no less important to support the participant's compliance.

Conclusion

The implementation of these suggestions can be a strategic step in overcoming the problem of injecting narcotics abuse in the city of Medan, especially in reducing the number of HIV/AIDS infections and supporting narcotics users in living a healthier and more productive life. The results of this study can be used as a reference for health workers, NGOs, and policymakers to develop strategies to increase the effectiveness of the PTRM program at H. Adam Malik Hospital Medan.

Recommendations

To increase the effectiveness of the PTRM program at H. Adam Malik Hospital, it is recommended that NGOs, health workers, family, and patients friends are more active in providing support. This can be in the form of counseling about the benefits of PTRM, motivation to attend regular therapy, and supervision of patients' compliance in consuming metadone. Thus, it is expected that the participation and compliance of injecting narcotics users in this program can be increased, so that it can have a positive impact on overall public health.

Limitations of the Study

This study has several limitations. The sample size was relatively small, and the study was conducted in one hospital only. Therefore, the results of this study may not be generalizable to other hospitals or populations. Additionally, the study only examined the effect of internal and external factors on compliance with the PTRM, and did not examine other factors that may influence compliance.

Future Research Directions

Future research should examine the effect of other factors on compliance with the PTRM, such as the role of healthcare providers, the availability of resources, and the impact of policy changes. Additionally, research should be conducted to examine the effectiveness of the PTRM program in reducing the rate of HIV/AIDS infection and improving the health and well-being of injecting narcotics users.

References

  • World Health Organization. (2019). HIV/AIDS.
  • Ministry of Health. (2019). National HIV/AIDS Prevention and Control Program.
  • H. Adam Malik Hospital. (2019). Metadon Consideration Therapy Program (PTRM).
  • [Insert other relevant references]
    Frequently Asked Questions (FAQs) about the Influence of Internal and External Factors on Compliance of Injecting Narcotics Users in Metadon Consideration Therapy Program at H. Adam Malik MEDAN Hospital

Q: What is the Metadon Consideration Therapy Program (PTRM)?

A: The Metadon Consideration Therapy Program (PTRM) is a solution to reduce the adverse effects of injecting narcotics abuse. It is a therapy program that provides support and treatment to injecting narcotics users to help them overcome their addiction.

Q: What are the internal and external factors that influence compliance with the PTRM?

A: The internal and external factors that influence compliance with the PTRM include self-confidence, family support, friend support, support from non-governmental organizations (NGOs), support from health workers Ptrm, medical expenses, and the use of Ptrm health care facilities.

Q: What is the role of social support in increasing participant compliance with the therapy programs?

A: Social support, both from family, friends, and NGOs, has an important role in increasing participant compliance with the therapy programs. Strong support can provide motivation and information needed by injecting narcotics users to continue to follow therapy and utilize the available health facilities.

Q: What is the significance of support from NGOs in increasing participant compliance?

A: Support from NGOs is the most influential factor (p = 0.019) of participant compliance. NGOs can provide counseling, motivation, and supervision to patients, which can help them to continue to follow therapy and utilize the available health facilities.

Q: What are the limitations of this study?

A: This study has several limitations. The sample size was relatively small, and the study was conducted in one hospital only. Therefore, the results of this study may not be generalizable to other hospitals or populations. Additionally, the study only examined the effect of internal and external factors on compliance with the PTRM, and did not examine other factors that may influence compliance.

Q: What are the recommendations for increasing the effectiveness of the PTRM program at H. Adam Malik Hospital?

A: To increase the effectiveness of the PTRM program at H. Adam Malik Hospital, it is recommended that NGOs, health workers, family, and patients friends are more active in providing support. This can be in the form of counseling about the benefits of PTRM, motivation to attend regular therapy, and supervision of patients' compliance in consuming metadone.

Q: What are the future research directions?

A: Future research should examine the effect of other factors on compliance with the PTRM, such as the role of healthcare providers, the availability of resources, and the impact of policy changes. Additionally, research should be conducted to examine the effectiveness of the PTRM program in reducing the rate of HIV/AIDS infection and improving the health and well-being of injecting narcotics users.

Q: What are the implications of this study for policymakers and healthcare providers?

A: The results of this study can be used as a reference for policymakers and healthcare providers to develop strategies to increase the effectiveness of the PTRM program at H. Adam Malik Hospital. It highlights the importance of social support and the role of NGOs in increasing participant compliance with the therapy programs.

Q: What are the potential applications of this study?

A: The results of this study can be applied to other hospitals and healthcare settings to improve the effectiveness of the PTRM program. It can also be used to inform policy decisions and program development to address the issue of injecting narcotics abuse and HIV/AIDS infection.

Q: What are the potential limitations of applying the results of this study to other settings?

A: The results of this study may not be generalizable to other settings due to the small sample size and the specific context of the study. Therefore, it is essential to conduct further research to validate the findings and ensure that they can be applied to other settings.