Determinants of Treatment Failure in Drug-Resistant Tuberculosis Patients in Papua Province

Authors

  • Yulpriati Kalua Master of Public Health Study Program, Faculty of Public Health, Cenderawasih University of Jayapura
  • Hasmi Department of Master of Public Health Program, Faculty of Public Health, Cenderawasih University of Jayapura
  • Sarce Makaba Department of Master of Public Health Program, Faculty of Public Health, Cenderawasih University of Jayapura
  • Arius Togodly Department of Master of Public Health Program, Faculty of Public Health, Cenderawasih University of Jayapura
  • Novita Medyati Department of Master of Public Health Program, Faculty of Public Health, Cenderawasih University of Jayapura
  • Rosmin Mariati Tingginehe Department of Master of Public Health Program, Faculty of Public Health, Cenderawasih University of Jayapura

DOI:

https://doi.org/10.55927/fjst.v5i3.34

Keywords:

Tuberculosis, Drug-Resistant, Failure, Treatment

Abstract

The purpose of the study was to analyze the determinants of treatment failure in RO tuberculosis patients in Papua Province. Types of analytical observational research with a cross-sectional approach. The population is 471 people, and the sampling is saturated. Data were obtained using secondary data using univariate analysis, bivariate analysis using the Chi-square test, and multivariate analysis using binary logistic regression. The results of the study were found to be 55.4% failed in the treatment of Drug-Resistant TB. Chi-square test results with a p-value of < 0.05 were occupation, OAT side effects, treatment combinations, and adherence to OAT intake. The insignificant variables were age, sex, ethnicity, comorbid DM, comorbid HIV/AIDS, and TB treatment history. Comorbid HIV AIDS is the most dominant factor for treatment failure in RO TB patients

References

Afriani, Dina, and Edianto Edianto. 2024. “Analysis of Adherence Treatment Factors in Drug-Resistant Tuberculosis Patient with Acid Resistant Bacillus Conversion.” Jurnal Kesehatan Pasak Bumi Kalimantan 7(2): 168. doi:10.30872/j.kes.pasmi.kal.v7i2.16481.

Aminah, Nenden Siti, and Ratna Djuwita. 2021. “Trend Dan Faktor Yang Berhubungan Dengan Keberhasilan Pengobatan Pasien TB MDR Paduan Jangka Pendek Di Indonesia 2017-2019.” Pro Health Jurnal Ilmiah Kesehatan 3(1): 109–17.

Anisah, Anisah, Dyah Wulan Sumekar, and Endang Budiarti. 2021. “Hubungan Demografi Dan Komorbid Dengan Kejadian Tuberkulosis Resisten Obat (TB RO).” Jurnal Ilmiah Kesehatan Sandi Husada 10(2): 568–74. doi:10.35816/jiskh.v10i2.655.

Dessritina, Pesona, Ravi Masitah, Irzal Fanany, Teuku Muhammad Rafsanjani, Eva Flourentina Kusumawati, and Maiza Duana. 2025. “Analisis Ketahanan Hidup Pada Pasien TB-MDR (Tuberkulosis Multi-Drug Resistant) Dengan Komorbid DM Dan/Atau HIV Di Kota Medan Sumatera Utara.” Jurnal Penelitian Inovatif 5(3): 2331–40. doi:10.54082/jupin.1702.

Dinkes Provinsi Papua. 2025. “Laporan Kinerja Dinas Kesehatan Provinsi Papua.” Lkj Provinsi Papua 7(2).

Fitriana, Grace. 2022. “Faktor-Faktor Yang Mempengaruhi Keberhasilan Pengobatan Pasien Tuberkulosis Resistan Obat Di RSUP Dr. Sardjito Yogyakarta.” Jurnal repository.

Hasmi. 2023. Metode Penelitian Epidemiologi Edisi 2.

Hasmi, and Sarce Makaba. 2024. “Risk Attribute Analysis and Risk of Adherence to Taking Medication for Pulmonary TB Patients at the Jayapura Regency Office.” 3(11): 2489–98.

Kemenkes RI. 2024a. Juknis Penatalaksanaan Tuberkulosis Resisten Obat Di Indonesia.

Kemenkes RI. 2024b. Petunjuk Teknis Penatalaksanaan TBC RO Di Indonesia.

Laili, Fitrianur, Farida Murtiani, and Sudarto Ronoatmodjo. 2024. “Ko-Infeksi TB-HIV Terhadap Kegagalan Pengobatan Pasien Tuberkulosis Resistan Obat Di Indonesia.” The Indonesian Journal Of Infection Diseases 10(2). doi:https://doi.org/10.32667/ijid.v10i2.309.

Mahartati, Ni Made Nujita, and Syahrizal Syarif. 2024. “Faktor Risiko Kegagalan Pengobatan Tuberkulosis: Systematic Review.” Media Publikasi Promosi Kesehatan Indonesia (MPPKI) 7(4): 899–906. doi:10.56338/mppki.v7i4.5157.

Mega, Shinta, Sabania Injar; Gama, and Adam Ramadhan M. 2016. “Kajian Pengobatan Dan Kepatuhan Pasien Multidrug-Resistant Tuberculosis (MDR-TB) Di RSUD A. W. Sjahranie Samarinda.” Prosiding Seminar Kefarmasian.

Nurwajdaini Nurfa. 2022. 2 tesis “Hubungan Faktor Demografis Dengan Keberhasilan Pengobatan Pasien TB -RO Di RSUD Dr.Saiful Anwae Malang.”

Priscillia Ryani Tutuhatunewa, Lukman Hardia, Irwandi. 2024. “PENGARUH SOSIODEMOGRAFI TERHADAP KEBERHASILAN PENGOBATAN PASIEN TB-RO DI RSUD DR. J. P. WANANE.” Jurnal Kesehatan Tambusai 5(September): 9280–88.

Ruru, Yacob, Nur Nasry, Alimin Maidin, and Andi Zulkifli. 2017. “Model of Risk Factors of Multidrug-Resistant Tuberculosis ( MDR-TB ) in RSUD Dok II Jayapura.” 4531(9): 237–48.

Serpa, Jose A., Larry D. Teeter, James M. Musser, and Edward A. Graviss. 2009. “Tuberculosis Disparity between US-Born Blacks and Whites, Houston, Texas, USA.” Emerging Infectious Diseases 15(6): 899–904. doi:10.3201/eid1506.081617.

Setiawan, Budi, Tri Yunis Miko Wahyono, Dwi Oktavia, Fakultas Kesehatan Masyarakat, Universitas Indonesia, and Dinas Kesehatan Provinsi DKI Jakarta. 2024. “Hubungan Kepatuhan Dan Riwayat Pengobatan Terhadap Keberhasilan Pengobatan Tuberkulosis Resistan Obat Dengan Paduan Obat Jangka Pendek 9-11 Bulan Di Provinsi DKI Jakarta.” Journal of Mandalika Literature 5(3): 210–21.

Womsiwor, P.S, Marlina Flassy, Usman Idris, Simon Abdi, and K Frank. 2024. “Science Midwifery Traditional Medicine of the Biak Tribe in Opuri Village, Biak Regency Papua.” Science Midwifery 12(2): 2721–9453.

World Health Organization. 2025. Blood Global Tuberculosis Report. doi:978 92 4 156450 2.

Wulandari, Elizabeth. 2024. “Determinan Kegagalan Pengobatan Pada Pasien Tuberkulosis Sensitif Obat Dewasa Di Provinsi Jawa Tengah Tahun 2022.” Jurnal Epidemiologi Kesehatan Indonesia 8(1). doi:10.7454/epidkes.v8i1.1100.

Published

2026-03-31

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Articles