MEDICA (International Medical Scientific Journal)
Vol. 8 No. 9 (2026): MEDICA (International Medical Scientific Journal)

Demographic and Clinical Factors Associated with Unsuccessful Treatment Outcomes among Tuberculosis Patients in Mimika Regency, Central Papua

Dolfinus Yufu Bouway (Faculty of Public Health, Cendrawasih University, Jayapura, Papua, Indonesia)
Sherli Novita Mamoribo (Faculty of Public Health, Cendrawasih University, Jayapura, Papua, Indonesia)
Paula Nancy Lefaan (Faculty of Public Health, Cendrawasih University, Jayapura, Papua, Indonesia)
Erich Christian Wayangkau (Faculty of Public Health, Cendrawasih University, Jayapura, Papua, Indonesia)
Anton Wambrauw (Faculty of Public Health, Cendrawasih University, Jayapura, Papua, Indonesia)



Article Info

Publish Date
30 Sep 2026

Abstract

Tuberculosis (TB) remains a public health issue in Indonesia, which had the world’s second-highest TB burden in 2024, accounting for 10% of global cases. Mimika Regency, Central Papua, is among districts with a high TB burden in Indonesia. This study aimed to describe demographic and clinical characteristics of TB patients and identify factors associated with unsuccessful treatment outcomes in Mimika Regency in 2025. A retrospective analysis of secondary program data was conducted using the Mimika Regency SITB TB.03 patient register from January to December 2025. Of 2,407 registered patients, 857 (35.6%) had a final treatment outcome at extraction; analyses were restricted to this subset, and incomplete outcome recording may introduce selection bias. Univariate, bivariate (chi-square/Fisher’s exact test), and multivariate logistic regression analyses used Python. Most patients were male (57.5%), with median age 31 years; 88.7% had pulmonary TB and 73.7% were new cases. Among patients with outcomes, 72.7% achieved treatment success, while 27.3% had unsuccessful outcomes. Bivariate analysis showed associations with age group, TB site, previous treatment, HIV status, and occupational status. Multivariate analysis identified HIV-positive status (aOR=2.19; 95%CI: 1.24–3.87; p=0.007), extrapulmonary TB (aOR=1.78; 95%CI: 1.12–2.82; p=0.015), and unknown occupational status (aOR=1.64; 95%CI: 1.09–2.45; p=0.017) as factors associated with unsuccessful outcomes, while age <15 years was associated with lower odds (aOR=0.56; 95%CI: 0.36–0.88; p=0.012). Given limited outcome data, findings should be interpreted cautiously. Strengthening TB-HIV services, comorbidity screening, and completeness of TB recording may improve treatment outcomes and program monitoring.

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Journal Info

Abbrev

medica

Publisher

Subject

Chemistry Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Veterinary

Description

MEDICA (International Medical Scientific Journal), with registered number ISSN 2622-6596 (Print), 2622-660X (Online) is an Open Access and peer-reviewed journal presenting timely research on all aspects of health that other media have not published. Managed by the Borneo Scientific Publishing, ...