1Senior Lecturer, Department of Health Promotion and Behavioral Science, Faculty of Public Health, Universitas Sumatera Utara
2Department of Population and Biostatistics, Faculty of Public Health, Universitas Sumatera Utara
3Department of Epidemiology, Faculty of Public Health, Universitas Sumatera Utara
Nowdays, Multi-drug Resistant Tuberculosis (MDR-TB) is increasing both at the global level and Indonesia. Indonesia is ranked the most eight of MDR-TB cases in the world, Medan City is the highest of MDR-TB patients region in North Sumatra. This study aimed to understand the characteristics of MDR-TB patients based on age, sex and residence in Medan City.
The study is a descriptive study using secondary data through the data of E-TB manager, and mapping the patient's residence. The population in this study were all MDR-TB patients in Medan City in 2015–2016 recorded in E-TB Manager as many as 133. Samples were all MDR-TB patients who underwent treatment in 2015–2016 in Medan City. Characteristic data collection based on age, sex and residence was collected through secondary data obtained from E-TB Manager data. Characteristics based on where they lived conducted by mapping with GPS on 21 subdistricts in Medan City. Data were analyzed descriptively.
The result of research that age patients generally productive category and the most aged 45–54 years as many as 30, 90%, second largest aged 35–44 years counted of 19, 90%. The sex of most patients were male 65, 4%. Male were more disobedient to treatment (80%). Age group at most treatment defaulter was group of 45–54 years (33, 4%), and the most default of treatment was in the initial phase namely the first 6 months (80%).
Based on the result of mapping of respondent's residence that could be mapped only (78, 95%), this was because among other things incomplete address, address which was listed at the time of treatment at Adam Malik Hospital not according to identity card (KTP), temporary address because they lived in their children's or relatives’ houses, moved without notifying at the nearest health service. It is suggested generally to the people to prevent transmission of MDR-TB, by taking treatment sensitive TB (category 1) diligently so it is not going to get worse MDR-TB. If they already have MDR-TB they have to be persistent in taking treatment for longer treatment periods, severer of side effects with greater costs, but up to now free MDR-TB financing at the hospital which has determined and for the poor people were also provided with transport funds with certain conditions. To MDR-TB patients it was sugested to provide complete address data and notify if they moved in order to facilitate monitoring them.
Characteristics, multi-drug resistant tuberculosis, MDR-TB, patients, mapping
