The complexity of treatment discontinuation behavior in Drug-Resistant Tuberculosis (DR-TB) patients during Covid-19 pandemic era : A qualitative study in special region of Yogyakarta

In 2017, there were 82 instances of drug-resistant tuberculosis in the Special Region of Yogyakarta, which is one of the regions with the highest incidence of tuberculosis (3,770 cases). Increases in mortality and Lost to Follow Up (LTFU) are affected by age, knowledge, psychological, and economic factors. TB and COVID-19 symptoms are nearly same, however there have not been as much research on COVID-19 infection in TB patients as during the COVID-19 epidemic. The purpose of this study is to determine the reasons why TB drug-resistant patients who are currently undergoing treatment abandon their regimens. A qualitative design with 5 respondents of TB drug-resistance discontinuation in the Special Region of Yogyakarta over the treatment period of 2022. Interviews, observations, and documentation were used to collect the data. Guidelines for interviews and observations, as well as documentation, are employed as instruments in this research. The data was examined using the seven coalition steps: transcripts, repeated readings, quotation, marking lines, codes, categories, and themes. There are 77 codes, 16 categories, and 4 themes as a consequence of the study. The psychological, spiritual, and economic element that is affected by psychological, spiritual, and economic management. Acceptant stage, function of roles, rewards, and assessment-based diagnosis influence the support system factor. The side effect of part is influenced by alternative treatments, biopsychology post-treatment, safety predominance, and the decision-making premise. The adaptability element is determined by the ability to decide one's own beliefs, the capacity for prevention, one's level of comfort, and the objectives of government programs. The termination of treatment in tuberculosis drug-resistant patients in the Special Region of Yogyakarta is influenced by psychosocial and economic factors, support networks, treatment side effects, and adaptation