BERBAGAI FAKTOR RISIKO KEJADIAN TB PARU DROP OUT (Studi Kasus di Kabupaten Jepara dan Pati)

Abstract

Background : Tuberculosis is still a high burden for health problems in Indonesia, which was ranked 4th in the worl . Drop out TB treatment was noted as one of the causes that related to treatment failure, which is more risk to be MDR. MDR TB treatment will take more cost and time to cure it . The purpose of study was to investigate the risk factors, individual characteristics and environment, for incidence of TB DO. Method : The study using analytic observational case-control design and enhanced by qualitative analysis. There are 70 subjects consists of 35 cases of TB defaulter and 35 controls (complete treatment ) that reported between 2012 and 2013, consecutive sampling was used to selected respondent. Bivariate analysis using chi Square test and logistic regression for multivariate analysis . Results : Multivariate analysis show that risk factors for TB DO include lack of knowledge about TB ( OR = 78.6 , 95 % CI = 11.697 to 528.218 , p = 0.000 ) , the experience drug side effect ( OR = 6.338 , 95 % CI = 1.279 to 31.420 , p = 0.024 ) , and using traditional medicine (OR = 7.451 , 95 % CI = 1.315 to 42.209 , p = 0.023 ) . Elder age , sex male , occupation , lower income , level of education and access were not associated for TB DO. Conclusions : Risk factors for TB DO is a lack of knowledge about TB , the experience side effect medicine and using traditional medicine . Keywords : TB DO , side effect of drug , traditional medicine