Table 5 Qualitative results of reasons for non-SRA behaviours

Health literacy of patients

Patients with low health literacy, lack of adequate knowledge about TB treatment had higher risk of non-adherence behaviors

"There is one patient had few knowledge about TB and he stopped take drugs after took 2 times drug for he feels better…" (Leader from CDC)

"Patients didn't believe standard regimens and the prefer to choose folk remedies to therapy TB…" (HCWs from CHCs)

Financial burden

Heavy financial burden was one of the reasons for poor adherence behaviors

"Patients from rural region were difficulty in take drugs regularly, and most of the patients had financial difficulty and they can't afford the charge of examination" (Leader from CDC)

"Patients who didn't adherence to treatment for following reasons: their family was difficulty; they are afraid of troublesome and too many examination" (Leaders from CHCs)

Health system management

Most patients were satisfied with the management of HCWs but few patients had less willingness for drug intake

"The doctor from our village hospital, he always come to our home and we live close to each other…" (Male patient)

"I am satisfied with the management from HCWs in CHCs during the treatment period….." (Female patient)

"Most patients satisfied with our management, especially the patients from countryside, they are happy for receiving our management…." (Leaders from CDC)

"…Every time we came to the house of patients they will say lot of words to appreciate our work " (Leaders from CHCs)

"One aged patient always say thanks to us for our management, but he didn’t want take drug for some inconvenient reasons" (HCWs from CHCs)