Enhancing Tuberculosis Care: The Case for Clinical Pharmacy Services in Indonesia

Deni Iskandar

    Research output: ThesisThesis fully internal (DIV)

    398 Downloads (Pure)


    The research in this thesis revealed that, based on big data analysis, there is still much room for improvement in tuberculosis (TB) treatment. It emphasized the need to consider comorbidity and highlighted the potential for pharmacists to play a more significant role in multidisciplinary TB treatment teams. However, more evidence for the effectiveness of pharmacy interventions is required. Current Pharmacists' tasks performed within TB treatment have also been evaluated in studies, primarily focusing on medication monitoring and adherence support. These interventions have not been studied in randomized trials, and pharmacists are advised to gather this evidence systematically. Strong evidence for effectiveness can expedite the integration of pharmacists into multidisciplinary teams. In Indonesia, it was found that 35% of pharmacists were part of multidisciplinary TB treatment teams, but compensation was often lacking. In the Netherlands, pharmacists are also often involved in therapeutic drug monitoring (TDM) of TB medication, and this thesis demonstrated that digital technology, such as a smart pill bottle, can support TDM.
    Original languageEnglish
    QualificationDoctor of Philosophy
    Awarding Institution
    • University of Groningen
    • van Boven, Job, Supervisor
    • Postma, Maarten, Supervisor
    Award date6-Dec-2023
    Place of Publication[Groningen]
    Publication statusPublished - 2023

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