The study population was all patients who were started on MDR-TB treatment from January 2009 to December 2014 in KSD. All patients were admitted and initiated on MDR-TB treatment in a designated TB hospital. As it was not possible to ensure that all patients with MDR-TB in KSD were identified through a review of medical records, a sample size was calculated to ensure that the number identified was sufficient for analysis.
South Africa had a MDR-TB prevalence of 5.9% (p = the anticipated population proportion) in 2014. Using the 95% confidence interval (z = 1.96) and a precision (d) of 3%, the minimum sample size (n) was calculated using the following equation [26]: n = p(100-p)z2/d2. The minimum sample size was 237 and a further 20% (~48) was added to account for lost-to-follow up or data entry errors [27]. This yielded a sample size of 285 subjects using a purposive sampling method.
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