BUILDING A SUSTAINABLE DRUGS REHABILITATION MODEL: LESSONS FROM A COMPREHENSIVE BLOOD PROFILE STUDY IN REHABILITATION CENTER NATIONAL NARCOTIC BOARD OF INDONESIA Fitri Isnaini1 and Mondastri Krib Sudaryo2
Faculty of Public Health, University of Indonesia, 1st Floor, Building A, UI Depok 16424, Indonesia
Abstract
Rehabilitation of drug abusers, especially those who also suffer from Human Immunodeficiency Virus (HIV), requires a holistic and sustainable approach. Blood tests (hematology) can provide important information about physical health conditions and help in designing an effective rehabilitation program. Objective: To analyze hematology, blood chemistry and immunoserology profiles in drug abusers with HIV to inform the development of sustainable rehabilitation models. Method: Observational study using secondary data from clients with HIV undergoing rehabilitation at the BNN Rehabilitation Center in 2013-2018. The hematology data then analyzed unilaterally using Excel. Results: 177 respondents (159 men, 12 women) had several hematology, blood chemistry and immunoserology values outside normal limits. The proportion of values outside normal limits is greater in the results of hemoglobin, 1 hour ESR, and Hematocrit, also The Anti-HCV test has a greater percentage of reactivity. Its suggests a potential inflammatory process or infection. The average value in men was Hemoglobin 14.34, Leukocytes 5116.3/m3, Erythrocytes 4.37/mm3, 1 hour 31.55mm/hour, hematocrit 40.92%, segments 61.35%, lymphocytes 30.37%, monocytes 5.07%, eosinophils 2.18%, basiphils 0%, SGOT/AST 39.91 U/L, SGPT/ALT 44.92 U/L, urea 26.57 mh /dl, cretinin 0.8 mg/dl, HBSAG 96.22% reactive and Anti-HCV 71.06% reactive. Average values in women hemoglobin 11.11, leukocytes 6350 /m3, erythrocytes 4.08/mm3, 1hour ESR 72.83mm/hour, hematocrit 33%, segments 62.25%, lymphocytes 29.25%, monocytes 5.83%, eosinophils 2.66%, basiphils 0% , SGOT/AST 33.41 U/L, SGPT/ALT 30.75%, urea 26.41 mg/dl, cretinin 0.85%, HBSAG 100%, and Anti-HCV 75% reactive. Conclusion: Hematology, blood chemistry and immunoserology profiles in drug abusers with HIV indicate the need for more intensive medical intervention. The results of this research can be used to develop a more comprehensive and sustainable rehabilitation model, with a focus on detoxification treatment, rehabilitation treatment plans combining medical treatment and assistance after rehabilitation. By understanding the unique health profile of this population, we can design rehabilitation programs that not only address the problem of addiction, but also improve long-term quality of life.
Keywords: Keywords: drug abuse, HIV, hematology, sustainability, rehabilitation
