Succesfulness of Controlling and Prevention of Leprosy in Aceh Tenggara Regency, Indonesia

Syafriadi, Khairunnisa, Azizah nasution
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Abstract

Leprosy remains as a health problem in Indonesia. This retrospective descriptive study analyzed the succesfulness of controlling and prevention of leprosy by Deparment of Health Aceh Tenggara Regency (DHATR), Indonesia period 2010 to 2019. The required data (n=125) were extracted from the DHATR databases using a self-designed questionnaire. The new cases, grade 2 disability  rate, recovery rate with  multi-drug therapy (MDT), isolation measures for leprosy patients, bacille calmette-guerin (BCG)  vaccination for the patients’ families, and tertiary prevention were analyzed using a cohort analysis. Succesfulness of the program was analyzed by referring the study results  with the National Guidelines for Eradicating Leprosy (NGEL). Of the 125 patients, 62.4% were male. The new cases found for period: 2010 to 2016, > 5/100,000 population; 2017 to 2019, < 5/100,000 population. The incidence of level 2 disability period 2010 to 2019 was less than 25 cases/10 years and recovery in paucibacillary leprosy (PBL) and multibacillary leprosy (MBL) from 2010 to 2019 reached 100%. The incidence of MBL was higher than that of PBL at the age range of 1 to 70 years.There was no patients isolated and vaccinated during that period. The controlling and prevention  of leprosy in DHATR was in accordance with the NGEL.
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印度尼西亚亚齐登加拉县成功控制和预防麻风病
麻风病在印度尼西亚仍然是一个健康问题。本回顾性描述性研究分析了2010年至2019年印度尼西亚亚齐登加拉省卫生部控制和预防麻风病的成功情况。使用自行设计的问卷从DHATR数据库中提取所需数据(n=125)。采用队列分析方法,分析新发病例、2级致残率、多药治疗(MDT)治愈率、麻风患者隔离措施、患者家属接种卡介苗、三级预防等情况。将研究结果与《国家根除麻风病指南》(NGEL)相结合,对项目的成功进行了分析。125例患者中,男性占62.4%。2010 - 2016年新增病例数> 5/10万人;2017 - 2019年,< 5/10万人口。2010 - 2019年2级残疾发生率低于25例/10年,2010 - 2019年少菌性麻风(PBL)和多菌性麻风(MBL)的康复率达到100%。1 ~ 70岁年龄组MBL的发病率高于PBL。在此期间,没有病人被隔离和接种疫苗。DHATR的麻风病控制和预防工作符合《国家规划》。
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