Adherence to MDR-TB treatment remains a pressing public health problem to address. It requires enhanced efforts towards resolving medical problems like adverse drug effects, developing short duration treatment regimens, reducing pill burden, motivational counselling, and flexible timings for DOT services, social support, and family support for patients and improving awareness about disease. Further implementing research is needed for devising strategies to address these issues and to document practices for improvement in adherence to MDR-TB treatment. | Assessment of risk factors in MDR TB patients the reasons behind their admission to dots plus centres. will they pass through