Penggunaan Reminder Dalam Meningkatkan Kepatuhan Konsumsi ARV Pada ODHA
Keywords:
Reminder, Kepatuhan , ARV, ODHAAbstract
Background: HIV (Human Immunodeficiency Virus) and AIDS (Acquired Immune Deficiency Syndrome) remain global health issues, including in Indonesia. One of the management strategies is antiretroviral therapy (ART), which requires a high level of adherence to be effective. Objective: This study aims to analyze the effect of reminders on adherence to ARV treatment among people living with HIV (PLHIV) at the Tembuku I Community Health Center. Methods: This study employed a quasi-experimental design using a one-group pretest-posttest approach. The sample consisted of 30 PLWHA selected using total sampling, and data were analyzed using the Wilcoxon test. Results: Univariate analysis revealed that the average age of respondents was 35 years; the majority were female, had a high school education, and worked as homemakers and farmers. Bivariate analysis revealed that prior to the intervention, the majority of PLWHA (70%) had low adherence levels, whereas after the intervention, adherence levels increased to 100%. Statistical test results showed a p-value < 0.05, indicating a significant effect of social media-based reminders on improving ARV adherence in the Tembuku I Community Health Center area. Conclusion: The use of social media-based reminders is effective in improving adherence to ARV treatment among people living with HIV. This intervention can be recommended as a simple and practical strategy to support the success of ARV therapy in primary health care settings.
References
Bärnighausen, T., et al. (2011). Interventions to Increase Antiretroviral Adherence in Sub-Saharan Africa: A Systematic Review of Evaluation Studies. The Lancet Infectious Diseases, 11(12), 942-951. https://doi.org/10.1016/S1473-3099(11)70181-5
Haberer, J. E., et al. (2016). Short Message Service (SMS) Reminders to Improve Antiretroviral Therapy Adherence in HIV-Positive Patients in Uganda: A Randomized Controlled Trial. PLOS Medicine, 13(5), e1002042. https://doi.org/10.1371/journal.pmed.1002042
Hardon, A., et al. (2007). Hunger, Waiting Time and Transport Costs: Time to Confront Challenges to ART Adherence in Africa. AIDS Care, 19(5), 658-665. https://doi.org/10.1080/09540120701244943
Ismail, R., Yona, S., Nurachmah, E., Khariroh, S., Sujianto, U., Santoso, W., Bangun, S. A., & Voss, J. G. (2023). Feasibility of Lantern using WhatsApp to improve antiretroviral therapy adherence. Computers, Informatics, Nursing, 41(11), 915–920. https://doi.org/10.1097/CIN.0000000000001054
Juwita, M. N., Hardiawan, D., Prawinegara, R., Handayani, M., Wisaksana, R., Januraga, P. P., Sulaiman, N., & Siregar, A. (2024). The cost of SMS reminder to improve ARV adherence among key populations. Indonesian Journal of Health Administration, 12(2), 238–249.
Karanja, S., et al. (2020). The Role of Digital Health Interventions in HIV Treatment Adherence: A Systematic Review. Journal of Medical Internet Research, 22(8), e18036. https://doi.org/10.2196/18036
Kusuma, R., et al. (2021). Pengaruh Media Sosial terhadap Kepatuhan Pasien HIV/AIDS dalam Mengonsumsi ARV di Indonesia. Jurnal Ilmu Kesehatan, 7(1), 55-65.
Kurnianingsih, N., & Yona, S. (2024). Efektivitas telenursing: Mobile phone reminder terhadap kepatuhan minum obat antiretroviral (ARV) pada pasien HIV/AIDS (ODHA): A systematic review. Malahayati Health Student Journal, 4(5), 2004–2035.
Mbuagbaw, L., et al. (2015). Mobile Phone Text Messages for Improving Adherence to Antiretroviral Therapy (ART): A Cochrane Review. Cochrane Database of Systematic Reviews, 3, CD009756. https://doi.org/10.1002/14651858.CD009756.pub2
National Institutes of Health. (2024). Adherence to the continuum of care. https://clinicalinfo.hiv.gov
Pellowski, J. A., & Kalichman, S. C. (2012). Recent Advances in Technology for HIV Prevention and Care. Current HIV/AIDS Reports, 9(4), 326-334. https://doi.org/10.1007/s11904-012-0133-9
Shah, R., Watson, J., & Free, C. (2019). A systematic review and meta-analysis of mobile phone interventions to improve adherence to antiretroviral therapy. BMC Public Health, 19, 915. https://doi.org/10.1186/s12889-019-6899-6
Susanto, A., et al. (2019). Pengaruh Media Sosial terhadap Kepatuhan Pasien HIV/AIDS dalam Mengonsumsi ARV di Indonesia. Jurnal Ilmu Kesehatan, 7(1), 55-65.
Tae, F., et al. (2019). Faktor yang Berhubungan dengan Kepatuhan Konsumsi ARV pada ODHA di Puskesmas Wedomu, Nusa Tenggara Timur. Jurnal Kedokteran dan Kesehatan, 16(2), 98-107.
UNAIDS. (2024). The urgency of now: AIDS at a crossroads. Geneva: UNAIDS.
WHO. (2021). Adherence to Antiretroviral Therapy and its Impact on HIV Treatment Outcomes: A Global Perspective. Geneva: World Health Organization.
World Health Organization. (2025). Guideline on HIV service delivery. Geneva: WHO.
Yayasan Spiritia. (2017). Situasi Epidemiologi HIV/AIDS di Indonesia. Jakarta: Yayasan Spiritia.
Yona, S., Edison, C., Nursasi, A. Y., & Ismail, R. (2023). Self-awareness as the key to successful adherence to antiretroviral therapy among people living with HIV in Indonesia. Belitung Nursing Journal, 9(2), 176–183.
