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Prevalensi dan karakteristik penderita kusta di Kabupaten Klungkung, Bali kurun pandemi COVID-19

Abstract

Background: Leprosy as one of the neglected tropical diseases which can attack various parts of body causing disability. Indonesia ranks 3rd in the highest leprosy cases in the world, with six provinces yet to achieve leprosy elimination. Bali Province has achieved leprosy elimination but has yet to achieve free leprosy. Klungkung Regency is included in the top three regencies in Bali, with the highest prevalence of leprosy. In the Pandemic, COVID-19 has impacted efforts to control leprosy. This study aims to determine the prevalence and characteristics of leprosy patients in Klungkung Regency during the COVID-19 pandemic

Methods: A cross-sectional study was conducted using secondary data from Klungkung District Health Office for 2019-2021. The data will be obtained from July-September 2022. The research sample of 22 leprosy patients was obtained by purposive sampling technique.

Results: Leprosy prevalence of 0.95/10,000 population in 2019 (pre-pandemic), 0.1/10,000 population in 2020 (first-year pandemic), and 0.28/10,000 population in 2021 (second-year pandemic). The distribution of leprosy patients is dominant aged 15-64 years (86.4%), male (59.1%), last education SD/equivalent (68.2%), farmer occupation (40.9%), from Nusa Penida sub-district (54.5%), registered in primary health facilities (100%), multibacillary leprosy type (100%), and COVID-19 status is not infected (100%).

Conclusion: The prevalence of leprosy fluctuated in the Klungkung Regency during the COVID-19 pandemic. Has achieved the leprosy elimination target but is categorized as areas with a high burden of leprosy. Leprosy patient in this regency has variant characteristics.

 

Latar belakang: Kusta sebagai salah satu penyakit tropis terabaikan yang menyerang berbagai bagian tubuh serta dapat menimbulkan kecacatan. Indonesia menempati peringkat ketiga kasus tertinggi di dunia, dengan 6 provinsi belum mencapai eliminasi kusta. Provinsi Bali telah mencapai eleminasi kusta namun belum bebas kusta. Kabupaten Klungkung termasuk dalam 3 besar kabupaten/kota di Bali dengan prevalensi tertinggi. Pandemi COVID-19 membawa dampak pada upaya penanggulangan kusta. Penelitian ini bertujuan untuk mengetahui prevalensi dan karakteristik penderita kusta di Kabupaten Klungkung kurun pandemi COVID-19.

Metode: Penelitian ini menggunakan rancangan cross-sectional dari data sekunder Dinas Kesehatan Kabupaten Klungkung periode tahun 2019-2021. Penarikan data dilakukan selama bulan Juli-September 2022. Sampel penelitian sejumlah 22 penderita kusta didapat dengan teknik purposive sampling.

Hasil: Prevalensi kusta 0,95/10.000 penduduk tahun 2019 (pra pandemi), 0,1/10.000 penduduk tahun 2020 (pandemi tahun pertama), dan 0,28/10.000 penduduk tahun 2021 (pandemi tahun kedua). Distribusi penderita dominan berusia 15-64 tahun (86,4%), laki-laki (59,1%), pendidikan terakhir SD/sederajat (68,2%), pekerjaan petani (40,9%), asal daerah Kecamatan Nusa Penida (54,5%), terdaftar di faskes primer (100%), tipe kusta Multibasiler (100%), dan status COVID-19 tidak terinfeksi (100%).

Simpulan: Prevalensi kusta di Kabupaten Klungkung kurun pandemi COVID-19 berfluktuasi. Telah mencapai target eleminasi kusta namun termasuk daerah dengan beban kusta tinggi (high burden). Karakteristik penderita kusta pada daerah ini beragam. 

References

  1. Siswanto, Asrianti T., & Mulyana D. Neglected Tropical Disease Kusta Epidemiologi Aplikatif. 2020th ed. Khanz AH, editor. Samarinda: Mulawarman University Press; 2020.
  2. World Health Organization. Global leprosy (Hansen disease) Update, 2020: Impact of COVID-19 on Global Leprosy Control. Weekly epidemiological record; 2021.
  3. Yusuf ZK, Paramata NR, Dulahu W., et al. Kupas Tuntas Penyakit Kusta. Gorontalo: Ideas Publishing; 2018.
  4. Gnimavo RS, Sopoh GE, Djossou P, Anagonou EG, Ayélo GA, Wadagni AC, Barogui YT, Houezo JG, Johnson RC. Associated Factors Study into the Belated Screening for Leprosy in Benin. PLOS Neglected Tropical Diseases. 2022 Jun 23;16(6):e0010533.
  5. Kemenkes RI. Profil Kesehatan Indonesia Tahun 2020; 2021.
  6. Dinas Kesehatan Provinsi Bali. Profil Kesehatan Provinsi Bali Tahun 2020; 2021.
  7. Dinas Kesehatan Kabupaten Klungkung. Profil Kesehatan Kabupaten Klungkung Tahun 2020; 2021
  8. Cerqueira SR, Deps PD, Cunha DV, Bezerra NV, Barroso DH, Pinheiro AB, Pillegi GS, Repsold TA, Kurizky PS, Collin SM, Gomes CM. The influence of leprosy-related clinical and epidemiological variables in the occurrence and severity of COVID-19: A prospective real-world cohort study. PLoS neglected tropical diseases. 2021 Jul 28;15(7):e0009635.
  9. Dertlioglu SB, Karlıdağ GE, Ağlamış S. Clinical findings in patients with leprosy who are infected with COVID-19: A case series from Elazığ, Turkey. Leprosy Review. 2021 Jun 1;92(2):134-40.
  10. Kemenkes RI. Pelaksanaan Pencegahan dan Penanggulangan Penyakit Kusta dan Frambusia Dalam Situasi Pandemi Covid-19.2020
  11. Kemenkes RI. PMK RI No 11 Tahun 2019. Tersedia: http://hukor.kemkes.go.id/uploads/produk_hukum/PMK_No__11_Th_2019_ttg_Penanggulangan_Kusta.pdf
  12. Martoreli Ju´nior JF, Ramos ACV, Alves JD, Crispim JdA, Alves LS, Berra TZ, et al. (2021) Inequality of Gender, Age and Disabilities Due to Leprosy and Trends in a Hyperendemic Metropolis: Evidence from An Eleven-Year Time Series Study in Central-West Brazil. PLoS Negl Trop Dis 15(11):e0009941.
  13. Wang L, Sun PW, Yu MW, Gu H, Wang HS, Chen XS. Leprosy Update in China, 2019. International Journal of Dermatology and Venereology. 2022 Mar 30;5(01):15-9
  14. Gnimavo RS, Sopoh GE, Djossou P, Anagonou EG, Ayélo GA, Wadagni AC, Barogui YT, Houezo JG, Johnson RC. Associated Factors Study into the Belated Screening for Leprosy in Benin. PLOS Neglected Tropical Diseases. 2022 Jun 23;16(6):e0010533.
  15. Nabilla, Nurmaida, E., & Utami, S. (2020). Gambaran Perilaku Penderita Kusta di Wilayah Kerja Puskesmas Umbulsari Kabupaten Jember. Journal of Agromedicine and Medical Sciences, Vol. 6 No. 1, 6.
  16. Zahra M, Setiasih NL, Bubakar AH. The Correlation of the Level of Community Knowledge and Education with the Level of Leprosy Occurrence in Central Jakarta Area year 2017. Journal of Current Medical Research and Opinion. 2018 Sep 15;1(06):29-33.
  17. Satyarsa A, Iqra H, Pratama G, Sudarsa P, Rusyati L, Swastika I. i-LEPRA: POTENSI MIKROSFER KOMBINASI FUKOIDAN DAN MIP SPESIFIK ANTIGEN ML0405 SEBAGAI INOVASI VAKSIN Mycobacterium leprae. Essent. Essence Sci. Med. J. 2019;16(1):1-1.
  18. Makalew DA, Kapantow GM, Pandaleke HE. Profil Penderita Morbus Hansen di Rawat Inap RSUP Prof. Dr. RD Kandou Manado Periode 2016-2018. e-CliniC. 2020;8(1).

How to Cite

Putera, D. A. D. A., & Artana, I. P. . (2023). Prevalensi dan karakteristik penderita kusta di Kabupaten Klungkung, Bali kurun pandemi COVID-19. Intisari Sains Medis, 14(2), 811–817. https://doi.org/10.15562/ism.v14i2.1721

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Dewa Ayu Devi Anjaswari Putera
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