Time from a first care-seeking visit to diagnosis was defined as the total date taken from the patient visit the health facility for care to the time of their TB diagnosis; time from diagnosis to treatment initiation was the date difference from the DR-TB diagnosis to initiation of anti-TB treatment; and time from first care-seeking visit to treatment initiation was labeled as the date from the patient comes to the health facility for seeking health care to the date the patient start anti-TB treatment. Treatment outcome of patients was dichotomized into two and defined as successful when the patient becomes a cure and completed the recommended treatments without showing signs and symptoms of TB. While, those patients who have died, lost to follow-up, and have a failure treatment outcome were recorded as an unsuccessful treatment outcome [27].

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