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Determinants of Treatment Success Among Drug Resistant Tuberculosis Patients in West Sumatra, Indonesia: a Retrospective Cohort Study (2017–2021)

Jurnal Kesmas Jambi · Vol. 10 No. 2 (2026) · hlm. 170–181

DOI
10.22437/jkmj.v10i2.55473
ISSN
2580-5894, 2549-8053
Terbit
2026-07-18
Penerbit
Program Studi Ilmu Kesehatan Masyarakat, Universitas Jambi
Bahasa
en
Lisensi
creativecommons.org/licenses/by/4.0

Abstrak

Treatment success rates remain below the national target in Indonesia. This study aims to identify individual characteristics and health facility-level factors associated with treatment success among Drug-resistant tuberculosis (DR-TB) patients in West Sumatra. A retrospective cohort study encompassing DR-TB patients treated in West Sumatra between 2017 and 2021 was undertaken. Univariate, bivariate, and multivariate analyses are used to evaluate the association between facility-level factors, individual characteristics, and treatment outcomes. The analysis indicated a heightened propensity for successful treatment among male patients and those within younger age cohorts. Patients treated in district-level hospitals were more likely to achieve successful treatment outcomes than those treated in city-based hospitals. Furthermore, patients referred from other facilities to a different district hospital had significantly higher odds of success than those who received care at a single facility throughout their treatment. Younger Age, male gender, district hospital, and patients referred for DR-TB are likely to achieve treatment success. Besides individual characteristics, decentralized care and structured referral systems need improvement. Consequently, the prioritization of inter-facility coordination reinforcement and the augmentation of district hospital capacities are imperative within provincial tuberculosis control strategies.

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Dien Gusta Anggraini NursalAfiliasi tidak diketahui3
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Aulia PutriAfiliasi tidak diketahui2
Yudi PradiptaAfiliasi tidak diketahui2
Mery RamadaniAfiliasi tidak diketahui1
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Masrizal MasrizalAndalas University1
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Pujatul HasanahAfiliasi tidak diketahui1
Fajriani Dwi WahyuniAfiliasi tidak diketahui1
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Sumber metadata: OAI-PMH (metadata jurnal) https://online-journal.unja.ac.id/index.php/jkmj/oai, pertama di-harvest 6 Nov 2026, terakhir terlihat 8 Nov 2026.
Metadata asli (oai_dc) 
<oai_dc:dc xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/  http://www.openarchives.org/OAI/2.0/oai_dc.xsd">
	<dc:title xml:lang="en">Determinants of Treatment Success Among Drug Resistant Tuberculosis Patients in West Sumatra, Indonesia: a Retrospective Cohort Study (2017–2021)</dc:title>
	<dc:creator xml:lang="en">Widoyo, Ratno</dc:creator>
	<dc:creator xml:lang="en">Djafri, Defriman</dc:creator>
	<dc:creator xml:lang="en">Triana, Vivi</dc:creator>
	<dc:creator xml:lang="en">Salsabila, Anisa</dc:creator>
	<dc:subject xml:lang="en">District Hospitals</dc:subject>
	<dc:subject xml:lang="en">Drug-resistant tuberculosis</dc:subject>
	<dc:subject xml:lang="en">Referral Systems</dc:subject>
	<dc:subject xml:lang="en">Treatment Success</dc:subject>
	<dc:subject xml:lang="en">West Sumatra</dc:subject>
	<dc:description xml:lang="en">Treatment success rates remain below the national target in Indonesia. This study aims to identify individual characteristics and health facility-level factors associated with treatment success among Drug-resistant tuberculosis (DR-TB) patients in West Sumatra. A retrospective cohort study encompassing DR-TB patients treated in West Sumatra between 2017 and 2021 was undertaken. Univariate, bivariate, and multivariate analyses are used to evaluate the association between facility-level factors, individual characteristics, and treatment outcomes. The analysis indicated a heightened propensity for successful treatment among male patients and those within younger age cohorts. Patients treated in district-level hospitals were more likely to achieve successful treatment outcomes than those treated in city-based hospitals. Furthermore, patients referred from other facilities to a different district hospital had significantly higher odds of success than those who received care at a single facility throughout their treatment. Younger Age, male gender, district hospital, and patients referred for DR-TB are likely to achieve treatment success. Besides individual characteristics, decentralized care and structured referral systems need improvement. Consequently, the prioritization of inter-facility coordination reinforcement and the augmentation of district hospital capacities are imperative within provincial tuberculosis control strategies.</dc:description>
	<dc:publisher xml:lang="en">Program Studi Ilmu Kesehatan Masyarakat, Universitas Jambi</dc:publisher>
	<dc:date>2026-07-18</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:type xml:lang="en">Peer-reviewed Article</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>https://online-journal.unja.ac.id/jkmj/article/view/55473</dc:identifier>
	<dc:identifier>10.22437/jkmj.v10i2.55473</dc:identifier>
	<dc:source xml:lang="en">Jurnal Kesmas Jambi; Vol. 10 No. 2 (2026): VOLUME 10 - NUMBER  2 - (APRIL - JULY 2026); 170-181</dc:source>
	<dc:source>2580-5894</dc:source>
	<dc:source>2549-8053</dc:source>
	<dc:language>en</dc:language>
	<dc:relation>https://online-journal.unja.ac.id/jkmj/article/view/55473/24967</dc:relation>
	<dc:rights xml:lang="en">Copyright (c) 2026 Ratno Widoyo, Defriman DJafri, vivi triana, Anisa Salsabila</dc:rights>
	<dc:rights xml:lang="en">http://creativecommons.org/licenses/by/4.0</dc:rights>
</oai_dc:dc>