Wira Winardi1, Widhy Yudistira Nalapraya2, Sarifuddin Sarifuddin3, Samsul Anwar4, Amanda Yufika5, Adityo Wibowo6, Iziddin Fadhil7, Hendra Wahyuni Ms8, Yunita Arliny1, Dewi Behtri Yanifitri1, Teuku Zulfikar1, Harapan Harapan9,10,11. 1. Department of Pulmonology and Respiratory Medicine, School of Medicine, Universitas Syiah Kuala, Banda Aceh, Indonesia. 2. Faculty of Medicine, Universitas Islam Bandung, Bandung, Indonesia. 3. Department of Pulmonology and Respiratory Medicine, Faculty of Medicine, Tadulako University, Palu, Indonesia. 4. Department of Statistics, Faculty of Mathematics and Natural Sciences, Universitas Syiah Kuala, Banda Aceh, Indonesia. 5. Department of Family Medicine, School of Medicine, Universitas Syiah Kuala, Banda Aceh, Indonesia. 6. Department of Pulmonology and Respiratory Medicine, School of Medicine, Universitas Lampung, Bandar Lampung, Indonesia. 7. Faculty of Medicine, Universitas Abulyatama, Aceh Besar, Indonesia. 8. Faculty of Medicine, Universitas Malikussaleh, Lhokseumawe, Indonesia. 9. Medical Research Unit, School of Medicine, Universitas Syiah Kuala, Banda Aceh, Indonesia. 10. Tropical Disease Centre, School of Medicine, Universitas Syiah Kuala, Banda Aceh, Indonesia. 11. Department of Microbiology, School of Medicine, Universitas Syiah Kuala, Banda Aceh, Indonesia.
Abstract
OBJECTIVES: The Indonesian Ministry of Health launched isoniazid preventive therapy (IPT) in 2016, with general practitioners (GPs) at the frontline of this program. However, the extent to which GPs have internalized this program remains uncertain. The aim of this study was to identify the knowledge and attitudes of GPs towards the IPT program in Indonesia. METHODS: This study used an online, self-administered questionnaire distributed via e-mail and social messaging services. A logistic regression model was employed to identify the explanatory variables influencing the level of knowledge and attitudes toward IPT among GPs in Indonesia. An empirical analysis was conducted separately for each response variable (knowledge and attitudes). RESULTS: Of the 418 respondents, 128 (30.6%) had a good knowledge of IPT. Working at a public hospital was the only variable associated with good knowledge, with an adjusted odds ratio (aOR) of 1.69 (95% confidence interval [CI], 1.02 to 2.81). Furthermore, 279 respondents (66.7%) had favorable attitudes toward IPT. In the adjusted logistic regression analysis, good knowledge (aOR, 0.55; 95% CI, 0.34 to 0.89), 1-5 years of work experience (aOR, 2.09; 95% CI, 1.21 to 3.60), and having experienced IPT training (aOR, 0.48; 95% CI, 0.25 to 0.93), were significantly associated with favorable attitudes. CONCLUSIONS: In general, GPs in Indonesia had favorable attitudes toward IPT. However, their knowledge of IPT was limited. GPs are an essential element of the IPT program in the country, and therefore, adequate information dissemination to improve their understanding is critical for the long-term viability and quality of the IPT program in Indonesia.
OBJECTIVES: The Indonesian Ministry of Health launched isoniazid preventive therapy (IPT) in 2016, with general practitioners (GPs) at the frontline of this program. However, the extent to which GPs have internalized this program remains uncertain. The aim of this study was to identify the knowledge and attitudes of GPs towards the IPT program in Indonesia. METHODS: This study used an online, self-administered questionnaire distributed via e-mail and social messaging services. A logistic regression model was employed to identify the explanatory variables influencing the level of knowledge and attitudes toward IPT among GPs in Indonesia. An empirical analysis was conducted separately for each response variable (knowledge and attitudes). RESULTS: Of the 418 respondents, 128 (30.6%) had a good knowledge of IPT. Working at a public hospital was the only variable associated with good knowledge, with an adjusted odds ratio (aOR) of 1.69 (95% confidence interval [CI], 1.02 to 2.81). Furthermore, 279 respondents (66.7%) had favorable attitudes toward IPT. In the adjusted logistic regression analysis, good knowledge (aOR, 0.55; 95% CI, 0.34 to 0.89), 1-5 years of work experience (aOR, 2.09; 95% CI, 1.21 to 3.60), and having experienced IPT training (aOR, 0.48; 95% CI, 0.25 to 0.93), were significantly associated with favorable attitudes. CONCLUSIONS: In general, GPs in Indonesia had favorable attitudes toward IPT. However, their knowledge of IPT was limited. GPs are an essential element of the IPT program in the country, and therefore, adequate information dissemination to improve their understanding is critical for the long-term viability and quality of the IPT program in Indonesia.
Entities:
Keywords:
General practitioner; Isoniazid; Latent tuberculosis; Tuberculosis
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