Psychosocial Problems In Multidrug Resistance Tuberculosis (Mdr-Tb) Patients: A Qualitative Study

Abstract

Multi-Drug Resistant Tuberculosis (MDR-TB) is a condition of resistance to isoniazid and rifampicin simultaneously with or without other first-line drugs. TB is still a serious public health problemin Indonesia. Treatment for MDR-TB is generally carried out with strict treatment regimens for long periods, a higher incidence of adverse side effects, lower cure rates, and high treatment costs. It can lead to psychosocial problems that affect medication adherence. This study aims to explore the psychosocial impact of MDR-TB patients in Indonesia. Data collection was carried out by interviewing 10 MDR-TB patients and a doctor who has expertise in the treatment of MDR-TB. Then conclude from the results of the interviews obtained. The psychosocial condition of MDR-TB patients greatly influences their treatment adherence. Support from family, health workers, and the community can motivate patients to remain enthusiastic and obedient in undergoing treatment. There is a need for psychosocial support for MDR-TB patients and their caregivers to reduce the negative effects of stigma, and to manage the patient's psychological stress.