| Summary: | Background: Tuberculosis (TB) is an infectious disease caused by
Mycobacterium Tuberculosis, which has been a global emergency. Tuberculosis
with multiple drug resistance (MDR) is a complication that appears as a risk for
irregular medication. Continuity of care plays a important role in the treatment of
patients with TB.
Objective: To analyze the management related factors related to the level of
regularity in the treatment of TB patients in the hospital.
Methods: The research applied a mixed methods concurrent triangulation design.
This method combined quantitative data and qualitative data, which were
comprehensively analyzed to answer the research problem. Subjects were patients
with TB who were treated in the Muntilan hospital in the period between January
1 to December 31, 201 by total sampling of 30 cases and a simple random
sampling of 30 controls.
Results: The results show that (1) there are no statistical relationships between the
use of TB form monitoring (TB01/TB02) as well as the offer of using nearest
health facility and regularity of treatment, (2) there are statistical significant
relationships between the effort to contact the TB patient, available drug
observers, education to patient/drug observer and treatment regularity. In addition,
the hospital policy and available specific room and communication devices,
human resource allocation to TB are important factors to the success of TB
treatment.
Conclusions: The research shows the importance of micro level management
factors such as education to TB patients/drug observers, with supports by macro
level factors such hospital policy to the implementation of DOTS strategy. Further
research is needed to explore the managerial factors to regular TB treatment
among pediatrics.
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