ANALISIS DETERMINAN TERLAMBATNYA DETEKSI DINI PENDERITA
KUSTA DI KECAMATAN JENGGAWAH JEMBER 2008
(Determinan Analysis Late Early Detections Of Leprosy's Patient At Jenggawah)
Jember 2008)
ABSTRACT
Leprosy is infectious disease which causes disability that can be prevented by early
detection and also regularity treatment and care. Proportion of disability grade 2 at
Jenggawah subdistric is 38,3% at 2008. The purpose of this research is to analyze
influence factor to late of early detection. This was an analytic observational
research in case-control approach with the comparison by 1:2. Case sample was
taken from the 14 newly patients of leprosy with disability of grade 2. Control sample
was taken from the 28 newly patients of leprosy with disability of grade 0 and 1.
Dependent variable was late of early detection. Independent variables were health
services factors while role of Puskesmas, circumstance geography of Puskesmas, and
distant of Puskesmas, health worker factor, patient factors while education and
knowledge of leprosy, and stigma of leprosy at community. The sample was taken by
using a simple random sampling technique with lottery. The statistical analysis used
a simple logistic regression with =0,05. The research showed that the risk factors of
the late of early detection were role of Puskesmas (CI 95%= 2,109-39,847 and
OR=9,167), health worker factor (CI 95%=1,117-18,132 and OR=4,500), knowledge
of leprosy (CI 95%=2,003-58,224 and OR=10,800), and stigma of leprosy at
community (CI 95%=1,599-27,243 and OR=6,600). Circumstance geography of
Puskesmas, distant of Puskesmas, and education were not the influence factors.
According to the results of this research, known that require to increase health
workerâs performance by providing health workerâs motivation, incentive, and
improvement the ability with countinously training and increase counselling about
leprosy according to the socio cultural of the community with entangle religion figure
and use Madura language.
Keyword : leprosy, disability of leprosy, late early detectio