Prevalence rate of MDR-TB for combined, new and retreated TB cases of all form from public health facilities, were found to be 2.1/100, 0.3/100 and 21.6/100 respectively. Adherence of TB patients to TB treatment (COR=9.0, 95% CI [1.03-78.57]) and previous history of TB treatment (AOR=66.87, 95% CI [6.94-644.10]) were found to be a risk factors for MDR-TB. And related to TB type all MDR-TB cases were dominantly pulmonary TB.