ANALISIS DENGAN METODE ETHNONURSING LEININGER PREVALENSI KUSTA: SOSIAL, BUDAYA DAN PERAN TENAGA KESEHATAN
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Abstrak
Leprosy has not been eliminated in six provinces in Indonesia, one of which is Papua. Mappi Regency, Papua, contributed one thousand cases of leprosy in the last five years and 100 active cases in 2020. The high leprosy prevalence in Mappi Regency is still a mystery of the main cause. It is necessary to explore the causes of the high prevalence of leprosy in the region. The study aimed to explore socio-cultural factors and the role of health workers on the prevalence of leprosy in Mappi Regency, Papua, Indonesia. The study method was Qualitative ethnonursing by purposive sampling. This research was conducted in Mappi Regency. Data saturation was obtained from fourteen informants: four leprosy patients, four leprosy patients' families, three health workers, and three stakeholders in Primary Health Center Kepi, Kota 2, Senggo, and Health Office Mappi. Data retrieval and processing with Leininger's Ethnonursing analysis was assisted by Atlas.ti application. The study result showed there were seven emerging themes, including social and cultural: leprosy is considered like a common disease, changes in economic situation, affordability and geographical conditions, leprosy care by patients, families, and communities, suboptimal practices of health workers, limited role of government, budget, and logistics, and expectations for handling leprosy cases. The study concluded that social and cultural factors and the role of health workers contribute to the prevalence of leprosy in Mappi District, Papua, Indonesia. Strengthening the role of families, communities, health workers, and government policies is needed to support the recovery of leprosy patients and reduce the prevalence of leprosy.
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Referensi
Y. W. Siswanti, “Faktor Risiko Lingkungan Kejadian Kusta,” Higeia J. Public Heal. Res. Dev., vol. 2, no. 3, pp. 352–362, 2018.
World Health Organization, "Leprosy-Key facts." 2022. [Online]. Available: https://www.who.int/news-room/fact-sheets/detail/leprosy
Kementerian Kesehatan RI, Profil kesehatan Indonesia 2020. Jakarta, 2021.
Kementerian Kesehatan RI, “Pedoman Nasional Pengendalian Penyakit Kusta.” Direktorat jenderal Pengendalian Penyakit dan Penyehatan Lingkungan, Jakarta, 2018.
Dinas Kesehatan Provinsi Papua, “Profil Kesehatan Provinsi Papua Tahun 2021,” 2022. https://dinkes.papua.go.id/informasi-publik/informasi- berkala/
E. Rahayuningsih, “Analisis kualitas hidup penderita kusta di Puskesmas Kedaung Wetan kota Tangerang tahun 2012,” Thesis. Magister Kesehatan Masyarakat Universitas Indonesia., 2012.
B. Sekarningrum and D. Yunita, "Social Exclusion and Impoverishment of Lepers," Rev. Integr. Bus. Econ. Res., vol. 6, no. 1, pp. 387–394, 2017, [Online]. Available: http://buscompress.com/uploads/3/4/9/8/34980536/riber_6-s1_sp_s17-177_387-394.pdf
B. B. H. Yudanagara, “Dampak Psikososial Diskriminasi pada Mantan Penderita Kusta,” J. Psikol. Media Ilm. Psikol., vol. 18, no. 1, pp. 1–8, 2020, [Online]. Available: https://jpsikologi.esaunggul.ac.id/index.php/JPSI/article/viewFile/68/53
S. Manyullei, D. A. Utama, and A. B. Birawida, “Gambaran Faktor Yang Berhubungan Dengan Penderita Kusta Di Kecamatan Tamalate Kota Makassar,” J. Kesehat. Masy., vol. 1, no. 1, 2012, doi: https://doi.org/10.24843/ACH.2012.v01.i01.p03.
N. Yunita, T. A. Rahim, and I. Saputra, “Analisis kerugian ekonomi dan karakteristik penderita kusta di Kabupaten Pidie,” J. Kesehat. Masy. Aceh, vol. 4, no. 2, pp. 11–19, 2018.
N. A. Fajar, “Analisis Faktor Sosial Budaya Dalam Keluarga Yang Mempengaruh Pengobatan Dini Dan Keteraturan Berobat Pada Penderita Kusta : Studi terhadap kelaurga penderita kusta pada beberapa wilayah keja Puskesmas di Kabupaten Gresik.,” Universitas Airlangga, 2020. [Online]. Available: http://repository.unair.ac.id/id/eprint/35170
U. B. Engelbrektsson, U. N. Yogi, P. Nicholls, and M. Subedi, "Delays in passive and active leprosy detection in post-elimination Nepal," Lepr. Rev., vol. 92, no. 1, pp. 11–28, 2021, doi: 10.47276/lr.92.1.11.
A. Yulita, E. Gustina, and Y. Yusnilasari, “Penyakit Kusta dan Peran Serta Masyarakat di Wilayah Kerja Puskesmas Batumarta II Kabupaten OKU Tahun 2021,” J. Kesehat. Saelmakers PERDANA, vol. 5, no. 2, pp. 288–301, 2022, doi: 10.32524/jksp.v5i2.668.
E. Zuhdan, K. Kabulrachman, and S. Hadisaputro, “Faktor-Faktor yang Mempengaruhi Kejadian Kusta Pasca Kemoprofilaksis (Studi pada Kontak Penderita Kusta di Kabupaten Sampang),” J. Epidemiol. Kesehat. Komunitas, vol. 2, no. 2, p. 89, 2017, doi: 10.14710/jekk.v2i2.4001.
Y. Maryen and J. Parlaungan, “Faktor Resiko Kejadian Kusta Pada Anak Usia 5 – 14 Tahun Di Kota Sorong Papua Barat,” Nurs. Arts, vol. 11, no. 1, pp. 23–42, 2018, doi: http://dx.doi.org/10.36741/jna.v11i1.19.
Titik Nur Idayani, R. Windraswara, and G. N. Prameswari, “Analisis Spasial Faktor Risiko Lingkungan Dengan Kejadian Kusta Di Wilayah Pesisir,” Higeia J. Public Heal. Res. Dev., vol. 1, no. 3, pp. 84–94, 2018, [Online]. Available: https://journal.unnes.ac.id/sju/index.php/higeia/article/view/15231
D. J. Kalengkongan and Y. L. Tinungki, “Evaluasi Pelaksanaan Program Pencegahan Penanggulangan Dan Penatalaksanaan Penyakit Kusta Di Pesisir Pulau Mahangetang Kabupaten Sangihe Tahun 2019,” J. Ilm. Sesebanua, vol. 5, no. 1, pp. 1–8, 2021, doi: 10.54484/jis.v5i1.371.
E. Asampong, M. Dako–Gyeke, and R. Oduro, "Caregivers’ views on stigmatization and discrimination of people affected by leprosy in Ghana,” PLoS Negl. Trop. Dis., vol. 12, no. 1, pp. 1–12, 2018, doi: 10.1371/journal.pntd.0006219.
M. Dako-Gyeke, “Courtesy stigma: A concealed consternation among caregivers of people affected by leprosy,” Soc. Sci. Med., vol. 196, no. April 2017, pp. 190–196, 2018, doi: 10.1016/j.socscimed.2017.11.030.
J. A. Allender and B. Spradley, Community Health Nursing: Concept and Practice (6th ed.). Philadepia: Lippincot William & Walkins., 2018.
M. Hannan, S. Hidayat, and M. N. Sandi, “Peran Petugas Kesehatan dan Keluarga terhadap Self Care Penderita Kusta,” J. Heal. Sci. (Jurnal Ilmu Kesehatan), vol. 5, no. 2, pp. 55–60, 2020, doi: 10.24929/jik.v5i2.1100.
B. Ebenso, J. Newell, N. Emmel, G. Adeyemi, and B. Ola, “Changing stigmatisation of leprosy: An exploratory, qualitative life course study in Western Nigeria,” BMJ Glob. Heal., vol. 4, no. 2, pp. 1–12, 2019, doi: 10.1136/bmjgh-2018-001250.
Kuswadi, “Kegiatan Inovasi Sebagai Upaya Mnurunkan Angka Putus Obat Paswian Kusta di Puskesmas Hamadi Kota Jayapura,” Heal. Papua, vol. 4, no. 2, pp. 249–258, 2021.
M. R. McFarland and H. B. Wehbe-Alamah, “Leininger’s Theory of Culture Care Diversity and Universality: An Overview With a Historical Retrospective and a View Toward the Future,” J. Transcult. Nurs., vol. 30, no. 6, pp. 540–557, 2019, doi: 10.1177/1043659619867134.
F. Diah, “Hubungan antara host dan environment dengan kejadian penyakit kusta di wilayah kerja UPT Puskesmas Bringin Kabupaten Ngawi,” Stikes Bhakti Husada Mulia, 2018.
A. Rahman, Hasanah, and N. S. D. Wulan, “Evaluasi Program Pengendalian Penyakit Kusta Di Wilayah Kerja Puskesmas Lompentodea Kecamatan Parigi Barat Kabupaten Parigi Moutong,” J. Prev., vol. 7, pp. 47–58, 2016.
R. Dianita, “Perbandingan Determinan Kejadian Kusta pada Masyarakat Daerah Perkotaan dan Pedesaan,” HIGEIA J. PUBLIC Heal. Res. Dev., vol. 4, no. Special 3, pp. 692–704, 2020, doi: https://doi.org/10.15294/higeia.v4iSpecial%203/39719.
F. Rhomdani, “Hubungan lingkungan fisik rumah, personal hygiene, Riwayat ontak, dan penyediaan air minum dengan kejadian kusta (Studi di wilayah kerja Puskesmas Talango, Kabupaten Sumenep),” 2019. [Online]. Available: http://repository.unair.ac.id/id/eprint/90007
R. G. Pramesti, M. Ratna, and I. N. Budiantara, “Pemodelan Faktor-Faktor yang Mempengaruhi Angka Prevalensi Kusta di Jawa Timur dengan Menggunakan Regresi Nonparametrik Spline Truncated,” J. Sains dan Seni ITS, vol. 8, no. 2, 2020, doi: 10.12962/j23373520.v8i2.44876.
Pemerintah Daerah Kabupaten Mappi, “Selayang pandang Mappi.” 2022. [Online]. Available: https://mappikab.go.id/portal/tmp/default/page.php?id=182be0c5cdcd5072bb1864cdee4d3d6e
Z. Prasmadi, J., A.Mulyadi, “Faktor Risiko Lingkungan Fisik Rumah Dan Karakteristik Masyarakat Terhadap Kejadian Penyakit Kusta Di Kecamatan Keritang Kabupaten Indragrirhilir,” J. Ilmu Lingkung., vol. 12, no. 2, p. 19, 2018, [Online]. Available: https://jil.ejournal.unri.ac.id/index.php/JIL/article/download/7898/6204
S. Nurcahyati, H. B. N, A. Wibowo, and et al, “Sebaran Kasus Kusta Baru Berdasarkan Faktor Lingkungan dan Sosial Ekonomi Di Kecamatan Konang dan Geger Kabupaten Bangkalan,” J. Wiyata, vol. 3, no. 1, pp. 92–99, 2016, doi: http://dx.doi.org/10.56710/wiyata.v3i1.76.
A. Ahsan Taqwim and Pujiyanto, “Akses Pelayanan Pasien Kusta: Literatur Review,” J. Heal. Sci. (Jurnal Ilmu Kesehat., vol. VI, no. 11, pp. 51–58, 2021, [Online]. Available: https://www.ejournalwiraraja.com/index.php/JIK2356-5284
R. Ameliani and E. Andayanie, “Analisis hubungan perilaku penderita kusta dalam pencarian pengobatan di wilayah kerja Puskesmas Tamalanrea kota Makassar,” in Prosiding Seminar Nasional 2019 Sinergisitas Multidisiplin Ilmu Pengetahuan dan Teknologi, 2019, p. 2.
M. Z. A. Rustam, “Determinan Keberhasilan Pengobatan Multi Drug Therapy Pada Penderita Kusta Tipe Multibaciler,” J. Manaj. Kesehat. Yayasan RS.Dr. Soetomo, vol. 4, no. 1, p. 61, 2018, doi: 10.29241/jmk.v4i1.102.
K. A. Fatmala, “Analisis Faktor yang Berhubungan dengan Kepatuhan Minum Obat Kusta di Kecamatan Pragaan,” J. Berk. Epidemiol., vol. 4, no. 1, pp. 13–24, 2016, doi: 10.20473/jbe.v4i1.13-24.
Peraturan Menteri Kesehatan RI, “Peraturan Menteri Kesehatan RI Nomor 11 Tahun 2019 Tentang Pedoman Penanggulamgan kusta.” 2019.
M. Tami, “The Relationship Between Paucibacillary Type Leprosy and The Success of Leprosy Treatment in East Java,” J. Berk. Epidemiol., vol. 7, no. 1, pp. 17–24, 2019, doi: https://doi.org/10.20473/jbe.V7I12019.17-24.
M. Kamal and S. Martini, “Kurangnya konseling dan penenemuan kasus secara pasif mempengaruhi kejadian kecacatan kusta tingkat II di Kabupaten Sampang,” J. Berk. Epidemiol., vol. 3, no. 3, pp. 290–303, 2015.
B. E. Susilo, R. Avenzora, and R. Hermawan, “Potensi Foklor Untuk Pengembangan Ekowisata di Kabupaten Mappi Provinsi Papua,” Media Konserv., vol. 23, no. 1, pp. 18–27, 2018.