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

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 worker’s performance by providing health worker’s 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 detection