The Influence of Distance from Health Facility, Family Number at Home and TB History in Starting Treatment of MDR-TB in Medan

Abstract

The national TB Program according to the long-term plan is to prevent and control of drug resistance

through Management Program of MDR-TB. The objective of the program are reducing morbidity, mortality

and transmission of MDR-TB. Medan is an area with the highest case of MDR-TB in Sumatera Utara

Province. Until November 2018 MDR-TB case has been confirmed in the city of Medan as many as 324,

which has not started the treatment are 61 patients (19%). This research using case-control design and

population is all people with MDR-TB in Medan city that recorded in E-TB Manager data. Sample case is

the confirmed MDR-TB person who has not started the treatment as many as 13 people while the control is

a confirmed person MDR-TB and willing to start the treatment as many as 31 people. The data is collected

through interview using questionnaires and has received approval from the Ethics committee of the Faculty

of Nursing University of Sumatera Utara. The data analysis is conducted with the chi-square test and the

OR calculation to assess which variables affect the action of beginning MDR-TB treatment. Results showed

that there was no influence of the distance of health facilities (p = 0.188) and family number at home (p =

0.507) with the status of starting treatment MDR-TB. There was influence of historical of TB with the status

of starting treatment respondent MDR-TB (p = 0.021)