The Health Centres Service Quality Effects on Multi Drugs Resistant Tuberculosis (MDR TB) Patient's Medication Adherence in Jember

Abstract

Background: Multi Drug Resistant TB (MDR TB) issue increased over the past five years. Inversely, the medication success continuously declines. This study aims at examining impact of health service quality provided by Health Centres on MDR TB patients’ level of medication adherence in Jember. Materials and Methods: This study is analytic observational research applying cross sectional approach. Proportional cluster random sampling used to obtain 15 Health Centres with 89 MDR TB patients. Health care quality variables are tangible, responsiveness, empathy, reliability, and assurance with 36 assessment elements. The quality measurement uses scoring techniques. The logistic regression is used to examine health care quality impacts on medication adherence. The data is presented in tables, cross tabulations, and statistical analysis using SPSS 22.00. Results: Patients’ medication adherence on good service quality amounted to 63,64%, while 43,43 % toward poor service quality. Health centre service quality significant value on patients’ medication adherence is p = 0.000. Conclusion: The service quality significantly affects MDR TB Patients' medication adherence in the Health Centers of Jember.