Measuring leprosy case detection delay and associated factors in Indonesia: a community-based study

BMC Infectious Diseases

Research

Jan Hendrik Richardus¹  Ida J. Korfage¹  Yudhy Dharmawan²  Ulfah Abqari³  Bagoes Widjanarko⁴ 

[1]Department of Public Health, Erasmus MC, University Medical Center Rotterdam, Rotterdam, the Netherlands

[2]Department of Public Health, Erasmus MC, University Medical Center Rotterdam, Rotterdam, the Netherlands

[3]Faculty of Public Health, Universitas Diponegoro, Semarang, Indonesia

[4]Department of Public Health, Erasmus MC, University Medical Center Rotterdam, Rotterdam, the Netherlands

[5]NLR Indonesia, Jakarta, Indonesia

[6]Faculty of Public Health, Universitas Diponegoro, Semarang, Indonesia

关键词: Leprosy;    Disability;    Case detection delay;    Indonesia;   

DOI  :  10.1186/s12879-023-08552-x

 received in 2023-05-20, accepted in 2023-08-21,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundLeprosy is a public health burden in Indonesia with a high number of new cases every year and a high proportion of disability among new cases. Case detection delay (CDD) can contribute to ongoing transmission and increased disability chances among leprosy patients. This study aimed to establish the CDD of leprosy and the factors associated with detection delay in Indonesia.MethodCommunity-based study with a cross-sectional design. Data were collected through interviews about sociodemographic and behavioral factors, anticipated stigma, and duration of CDD. Leprosy classification and case detection methods were obtained from health service records. A random sample was taken of 126 leprosy patients registered between 1st October 2020 and 31st March 2022 in the Tegal regency in the Central Java Province. Data were analysed by descriptive and analytical statistics using multiple linear regression.ResultsThe mean CDD, patient delay, and health system delay were 13.0 months, 9.7 months, and 3.2 months, respectively. Factors associated with longer CDD are younger age (below 35 years), male, found through passive case detection, and not having a family member with leprosy. Factors associated with longer patient delay were being younger (below 35 years), being male, not having a family member with leprosy, and anticipated stigma of leprosy. It was not possible to reliably identify factors associated with health system delay.ConclusionCDD in leprosy should be reduced in Indonesia. The Indonesian National Leprosy Control Program (NLCP) is advised to adopt an integrated intervention programme combining active case detection with targeted health education to reduce CDD and thereby preventing disabilities in people affected by leprosy.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023

【 图 表 】

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Fig. 3