Page 57 - MJHP MALAYSIAN JOURNAL OF HEALTH PROMOTION Volume 2, 2020

MALAYSIAN JOURNAL OF HEALTH PROMOTION Volume 2, 2020

Kata Kunci: HIV, Human Immunodeficiency Virus, Invisible Pill Container,
Kepatuhan Ubat, Retro-viral Disease, RVD

ABSTRACT

Non-adherence to medication timing has been the main factor for Retro-viral
Disease (RVD) treatment failure. This affects the achievement of 90-90-90 target
because resistance to ARV (Anti-Retroviral) occurs when patients are non-
adherence to medication timing. The reasons for non-adherence include time
constraints at work, medication being left at home while patients are out and
privacy issues when taking medicine in the public. However, conventional pill
boxes have weaknesses that impede patients from bringing medicine out from
home. Invisible Pill Container is a project run by an innovation team in Klinik
Kesihatan Sungai Besi, which aims to improve adherence and quality of life of
RVD patients. It is small, light and convenient to bring with. It cost RM 2.17
per unit. Questionnaires to measure medication adherence and convenience of
Invisible Pill Container were answered by RVD patients before and after using
the product. The percentage of patients who delayed dose of ARV has decreased
from 40% to 10%, while the percentage of patients who missed dose has
decreased from 3% to nil. Percentage of RVD patients that experienced difficulty
in reaching medicine on time, tend to miss or delay medication when out from
home and not feeling comfortable bringing medicine along have reduced from
26.7% to 3.3%, 36.7% to 6.7%, 50.0% to 16.6% in one month. Invisible Pill
Container indirectly helps to reduce risk of morbidity and mortality due to RVD
treatment failure, reduce cost from treatment failure and achieve 90-90-90 target.

Keywords: HIV, Human Immunodeficiency Virus, Invisible Pill Container,
Medicine Adherence, Retro-viral Disease, RVD

1. PENGENALAN
Tema Hari AIDS Sedunia 2012 adalah Getting to Zero: zero new Human
Immunodefic iency Virus (HIV) infections, zero deaths from Acquired
Immunodefic iency Syndrome (AIDS)-related illness, zero discrimination
(World Heal th Organization, 2012). Dalam konteks ini, Malaysia telah
menerima pakai sasaran UNAIDS (Joint United Nations Programme on HIV
and AIDS) yang menuju ke arah 90-90-90 menjelang 2020, iaitu “90% of

51