Determinant and Spatial Analysis of Factor that Influencend multi Drug Resistant Tuberculosis Cases Inindramayu District, Indonesia at 2017-2018

One of the public health problems in the world today is Tuberculosis (TB). In Indonesia, there is an increase in TB casesfrom year to year and only around 77.57% had completed treatment.This study discusses the factors that caused multi drugtuberculosis(MDR TB) as well as an overview of the work area of the Puskesmas in Indramayu Regency which is a MDRTB patient. This research using applied research with case control design. The case is MDR TB patients and controls arepatients who have proven to be MDR TB negative by laboratory examination. The comparison of case controls is 45:55. Dataanalysis with chi-square and logistic regression. The results of the research obtained from the facts related to MDR TB areincome with, nutritional status, prior consultation, medication consultation, occupancy density of houses with and receivingsupervisor of TB medicine. The most dominant factor was immunization status with p: 0.030 and OR: 34.358. The workingarea of the primary health center was at risk of occurring MDR TB. The conclusion of this study unimmunized patients havestatus affect the incidence of MDR TB. Obtained from the support of health workers and the community in immunizationactivities in the community so that TB occurs.