A Juridical Analysis of Legal Sanctions for Non-Adherent Tuberculosis Patients: Balancing Public Interest and the Right to Health
DOI:
https://doi.org/10.33751/palar.v12i2.97Abstrak
Tuberculosis remains a major public health challenge in Indonesia due to its long and complex treatment regimen requiring high adherence. Non adherence raises juridical and ethical dilemmas between the obligation of the state to protect public health and the obligation to guarantee the right to health and human dignity. This study analyzes the juridical feasibility of imposing legal sanctions on tuberculosis patients who fail to adhere to treatment. The research uses a normative juridical approach with statute, conceptual, and human rights approaches. The results indicate that Indonesian positive law does not explicitly criminalize non adherence to tuberculosis treatment. Current policy prioritizes administrative and public health approaches such as patient education, treatment supervision, and strengthening healthcare services. Criminal sanctions therefore should not be the primary instrument in addressing treatment non adherence, and should only be considered as ultimum remedium in exceptional circumstances.
Keywords: Tuberculosis, treatment adherence, legal sanctions, public health law, human
Referensi
Ariyanti, Fajar, Mochamad Iqbal Nurmansyah, Riastuti Kusuma Wardani, and Bulent Kilic. “The Impact of Health System Responsiveness on Tuberculosis Treatment Adherence in Public Primary Healthcare Facilities in Indonesia.” Clinical Epidemiology and Global Health 34 (2025): 102107.
Barreto-Duarte, Beatriz, Klauss Villalva-Serra, João P Miguez-Pinto, Mariana Araújo-Pereira, Vanessa M S Campos, Isabella B B Ferreira, Betânia M F Nogueira, Artur T L Queiroz, Valeria C Rolla, and Marcelo Cordeiro-Santos. “Interplay between Biological & Social Vulnerability and Poor Tuberculosis Treatment Outcome in Brazil: A Nationwide Study Using Multivariate Modelling with Excess Risk.” The Lancet Regional Health–Americas 53 (2026).
Daftary, Amrita. “HIV and Tuberculosis: The Construction and Management of Double Stigma.” Social Science & Medicine 74, no. 10 (2012): 1512–19.
Dingake, O B K. “Human Rights, TB, Legislation, and Jurisprudence.” Health and Human Rights 19, no. 1 (2017): 305.
Efendi, Jonaedi, Jhonny Ibrahim, and Prasetijo Rijadi. “Metode Penelitian Hukum: Normatif Dan Empiris,” 2016.
Fuady, Ahmad, Thea Hutanamon, Olivia Herlinda, Nurul Luntungan, and Tom Wingfield. “Achieving Universal Social Protection for People with Tuberculosis.” The Lancet Public Health 9, no. 5 (2024): e339–44.
Gostin, Lawrence O. Public Health Law and Ethics: A Reader. Vol. 4. Univ of California Press, 2010.
Gould, Trish. “Ethics and Public Health’.” Introduction to Public Health, 2008, 143.
Hutchinson, Terry, and Nigel Duncan. “Defining and Describing What We Do: Doctrinal Legal Research.” Deakin Law Review 17, no. 1 (2012): 83–119.
Jackson, Vicki C. “Law: Methodologies.” The Oxford Handbook of Comparative Constitutional Law, 2012, 54.
Jonaedi Efendi, S H I. Rekonstruksi Dasar Pertimbangan Hukum Hakim. Prenada Media, 2018.
Juliana, Risna, Tri Umiana Soleha, Andi Eka Yunianto, and Helmi Ismunandar Ismunandar. “Pendekatan Diagnostik Berbasis Manifestasi, Pemeriksaan Klinis Dan Tatalaksana Pada Tuberkulosis Paru.” Medical Profession Journal of Lampung 14, no. 9 (2024): 1851–57.
Lolong, Dina Bisara, Ni Ketut Aryastami, Ina Kusrini, Kristina L Tobing, Ingan Tarigan, Siti Isfandari, Felly Philipus Senewe, Raflizar, Noer Endah, and Nikson Sitorus. “Nonadherence to Anti-Tuberculosis Treatment, Reasons and Associated Factors among Pulmonary Tuberculosis Patients in the Communities in Indonesia.” PLoS One 18, no. 8 (2023): e0287628.
McConville, Mike. Research Methods for Law. Edinburgh University Press, 2017.
MuIksan, Muchamad. “Asas Legalitas Dalam Hukum Pidana: Studi Komparatif Asas Legalitas Hukum Pidana Indonesia Dan Hukum Pidana Islam (Jinayah).” Serambi Hukum 11, no. 01 (2017): 1–26.
Rubin, Edward L. “Law and and the Methodology of Law.” Wis. L. Rev., 1997, 521.
Saktiawati, Antonia Morita Iswari, and Ari Probandari. “Tuberculosis in Indonesia: Challenges and Future Directions.” The Lancet Respiratory Medicine 13, no. 8 (2025): 669–71.
Todrys, Katherine W, Erin Howe, and Joseph J Amon. “Failing Siracusa: Governments’ Obligations to Find the Least Restrictive Options for Tuberculosis Control.” Public Health Action 3, no. 1 (2013): 7–10.
Yani, Desy Indra, Neti Juniarti, and Mamat Lukman. “Factors Related to Complying with Anti-TB Medications among Drug-Resistant Tuberculosis Patients in Indonesia.” Patient Preference and Adherence, 2022, 3319–27.
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