Does Medication Belief Influence Medication Adherence? A Study of Malaria Patients in Serui Kota Public Health Center
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Abstract
Malaria is a serious infection and always requires treatment with medicine. Medication adherence is needed in this disease therapy to prevent recurrence and resistance. Medication adherence is influenced by many factors, such as medication beliefs. This study aimed to analyse the influence of medication beliefs on medication adherence of malaria patients in public primary health care in Serui City, Papua, as one of the districts with high malaria endemicity. This study was a cross-sectional study conducted using Belief about Medication questionnaire and the MMAS-8 questionnaire. This study found out that necessity and concern about medication influenced medication adherence of malaria patients in Serui Kota primary public healthcare (P-value < 0.05). The intervention to increase medication adherence of malaria patients can be performed through good communication among doctors, pharmacists and patients.
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References
I. Al-Ruthia, Y. S., Hong, S. H., Graff, C., Kocak, M., Solomon, D., & Nolly, R. (2017). Examining the relationship between antihypertensive medication satisfaction and adherence in older patients. Research in Social and Administrative Pharmacy, 13(3), 602–613.
II. Bae, S. G., Kam, S., Park, K. S., Kim, K.-Y., Hong, N.-S., Kim, K.-S., Lee, Y., Lee, W. K., & Choe, M. S. P. (2016). Factors related to intentional and unintentional medication nonadherence in elderly patients with hypertension in rural community. Patient Preference and Adherence, 1979–1989.
III. Bussell, J. K., Cha, E., Grant, Y. E., Schwartz, D. D., & Young, L. A. (2017). Ways health care providers can promote better medication adherence. Clinical Diabetes, 35(3), 171–177.
IV. Ciliberti, R., & Bonsignore, A. (2025). New integrations in patient care: the role of the pharmacist between couselling and medication adherence. Journal of Preventive Medicine and Hygiene, 66(1), E38.
V. Cipta, D. A., Andoko, D., Theja, A., Utama, A. V. E., Hendrik, H., William, D. G., Reina, N., Handoko, M. T., & Lumbuun, N. (2024). Culturally sensitive patient-centered healthcare: a focus on health behavior modification in low and middle-income nations—insights from Indonesia. Frontiers in Medicine, 11, 1353037.
VI. Fitri, L. E., Pawestri, A. R., Winaris, N., Endharti, A. T., Khotimah, A. R. H., Abidah, H. Y., & Huwae, J. T. R. (2023). Antimalarial drug resistance: a brief history of its spread in Indonesia. Drug Design, Development and Therapy, 1995–2010.
VII. Gow, K., Rashidi, A., & Whithead, L. (2024). Factors influencing medication adherence among adults living with diabetes and comorbidities: a qualitative systematic review. Current Diabetes Reports, 24(2), 19–25.
VIII. Gube, A. A., Debalkie, M., Seid, K., Bisete, K., Mengesha, A., Zeynu, A., Shimelis, F., & Gebremeskel, F. (2018). Assessment of Anti‐TB Drug Nonadherence and Associated Factors among TB Patients Attending TB Clinics in Arba Minch Governmental Health Institutions, Southern Ethiopia. Tuberculosis Research and Treatment, 2018(1), 3705812.
IX. Hidayat, A. (2014). Mann-Whitney U Test. Https://Www.Statistikian.Com/2014/04/Mann-Whitney-u-Test.Html.
X. Hong, S. H. (2019). Potential for physician communication to build favorable medication beliefs among older adults with hypertension: A cross-sectional survey. PLoS One, 14(1), e0210169.
XI. Horne, R. (1999). Patients’ beliefs about treatment: the hidden determinant of treatment outcome?
XII. Horne, R., Chapman, S. C. E., Parham, R., Freemantle, N., Forbes, A., & Cooper, V. (2013). Understanding patients’ adherence-related beliefs about medicines prescribed for long-term conditions: a meta-analytic review of the Necessity-Concerns Framework. PloS One, 8(12), e80633.
XIII. Horne, R., Weinman, J., & Hankins, M. (1999). The beliefs about medicines questionnaire: the development and evaluation of a new method for assessing the cognitive representation of medication. Psychology and Health, 14(1), 1–24.
XIV. Jiang, S., Luo, T., Zhu, Z., Huang, Y., Liu, H., Li, B., Feng, S., & Zeng, K. (2024). Latent Profile Analysis of Medication Beliefs in Patients with Type 2 Diabetes in the Hospital-Home Transition and Comparison with Medication Adherence. Patient Preference and Adherence, 839–853.
XV. Khosla, N., Hahn, L., & Tran, C. (2024). US South Asian youths’ perspectives on the use of Complementary and Alternative Medicine (CAM). Journal of Racial and Ethnic Health Disparities, 11(4), 2044–2054.
XVI. Kishor, R., Kumari, S., Prakash, R., Chaudhary, N., Shyama, S., Ahmad, S., & Kumar, P. (2024). An assessment of treatment compliance using the Morisky scale-8 tool in adult hypertensive patients of Eastern India. Journal of Family Medicine and Primary Care, 13(3), 924–931.
XVII. Obeagu, E. I., & Obeagu, G. U. (2024). Emerging public health strategies in malaria control: innovations and implications. Annals of Medicine and Surgery, 86(11), 6576–6584.
XVIII. PETA JALAN ELIMINASI MALARIA DAN PENCEGAHAN PENULARAN KEMBALI DI INDONESIA TAHUN 2025-2045, Pub. L. No. HK.01.07/MENKES/1988/2024, Kementerian Kesehatan Republik Indonesia (2024).
XIX. Pratiwi, M. E., Limbong, E. I. A., Tobi, C. H. B., & Rusnaeni. (2025). Relational Analysis Between Pharmaceutical Service Quality and Medications Adherence: A Cross-Sectional Study of Malaria Patients in Papua. International Journal of Pharmaceutical and Bio-Medical Science, 05, 366–370. https://doi.org/10.47191/ijpbms/v5-i6-01
XX. Putsch III, R. W., & Joyce, M. (1990). Dealing with patients from other cultures. Clinical Methods: The History, Physical, and Laboratory Examinations. 3rd Edition.
XXI. Shahin, W., Kennedy, G. A., & Stupans, I. (2019). The impact of personal and cultural beliefs on medication adherence of patients with chronic illnesses: a systematic review. Patient Preference and Adherence, 1019–1035.
XXII. Sianturi, E. I., Gunawan, E., & Perwitasari, D. A. (n.d.). Adaptation and validation of the Beliefs about Medicines Questionnaire (BMQ) in HIV out-patients in Indonesia. JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice), 11(3), 173–184.
XXIII. Sundell, A. K., & Jonsson, A. K. (2016). Beliefs about medicines are strongly associated with medicine‐use patterns among the general population. International Journal of Clinical Practice, 70(3), 277–285.
XXIV. Vika, V., Siagian, M., & Wangge, G. (2016). Validity and reliability of Morisky Medication Adherence Scale 8 Bahasa version to measure statin adherence among military pilots. Health Science Journal of Indonesia, 7(2).
XXV. Welz, A. N., Emberger-Klein, A., & Menrad, K. (2019). The importance of herbal medicine use in the German health-care system: prevalence, usage pattern, and influencing factors. BMC Health Services Research, 19(1), 952.
XXVI. World Health Organization. (2024, December 11). Malaria. Https://Www.Who.Int/News-Room/Fact-Sheets/Detail/Malaria.
XXVII. World Health Organization. (2020). Adherence to Long-Term Therapies:Evidence for Action. Https://Apps.Who.Int/Medicinedocs/Pdf/S4883e/S4883e.Pdf.
XXVIII. Yousefi, M., Reihani, H., Heydari, M., Azgomi, R. N. D., & Hashempur, M. H. (2024). Complementary and alternative medicine use among cancer patients in Iran: A systematic review. Preventive Medicine Reports, 39, 102644.