A total of 369 tuberculosis patients were enrolled in the study. The mean age was 46.17 years (±14.44, and males were 223 (60.4%). Tuberculosis patients on DOTs were 328(88.9%). Seeking treatment from government facilities (Adjusted Odds Ration, aOR=1.21, 95% C.I:  0.17-8.22), absence of side effects from taking TB drugs (aOR=7.3, 95% C.I 2.02-26.29), receiving counseling on tuberculosis treatment and drugs side effects from DOTs providers (aOR=11.71, 95% C.I, 1.49- 92.12) were associated with the use of DOTs.