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Spatial Pattern and Social Evironmental Risk Factors of Leprosy Occurrence in Barru, Indonesia
10 Pages Posted: 10 Apr 2019
More...Abstract
At this time 13 provinces and 147 districts/cities with a prevalence rate of more than 1/10,000 population, one of which is Barru South Sulawesi province where the discovery of a case in 2015 year as many 25 people (prevalence of 1.5/10,000 population). This research aimed (1) to investigate the spatial spread pattern of leprosy patients using Geographic System Information (GIS) and (2) to describe the risking factors correlated with the leprosy incidences in Barru Regency in 2013-2015. A descriptive analytical survey was applied in this research with the design of cross-sectional study. The study was commenced in Barru Regency. It is to investigate the cases of leprosy patients which was 1/100,000 people. All leprocy patients were became respondents of this research who are living in Barru Regency in the period from 2013 to 2015. The data collection was carried out using observation and interviews methods. The data were analyzed using statistically SPSS program and the spatial analysis applied ArcView GIS version 10.1. The research results indicated of the leprosy disease in Barru Regency in 2013 was random in the entire sub-districts area, while in 2014 and 2015 was clustered, the map buffer distance between the residences of the lepers were approximately still within the radius of 2-6 km and the health centers. The individual characteristics of the leprosy were about >29 years old: 79.3% in 2013, 64% in 2014 and 73.1% in 2015, male gender: 69% in 2013 and 52% in 2014: race/ethnicity: 100% Bugis in 2013-2015, poor knowledge: 100% in 2013, 88% in 2014 and 92.3% in 2015, bad personal hygiene: 82.8% in 2013, 68% in 2014, BCG vaccine reception 72% in 2013 & 2014 and 53.8% in 2015, and ≤2 years of contact time: 19% in 2013, 72% in 2014 and 69.2% in 2015. Socio- economic characteristics of patients who had in average low education: 100% in 2013, 96% in 2014 and 96.2% in 2015, job with risks: 100% in 2013, 96% in 2014 and 96.2% in 2015, income less than UMR: 100% in 2013 & 2015 and 92% in 2014. The conditions of the patients homes being in average fairly damp, fairly lighted, and having ventilations still met the requirement as prescribed by Kepmenkes, RI No. 29/Menkes/SK/VII/1999.
Funding Statement: This research and publication were supported by Hasanuddin Universitas.
Declaration of Interests: Authors declare that there is no conflict of interest within this research and publication paper.
Ethics Approval Statement: All procedures performed in this research study that relate to Environment and involving human participants were in accordance with the ethical standards of the Hasanuddin University institutional ethical research committee.
The research permit is obtained from Ethics Commission Hasanuddin University, Makassar base on (PP36-KOMETIK/2018). Before involving selected communities, the researcher explained about the objectives, procedures, benefits of the research, and collecting data. Researchers asked respondents to sign an informed consent voluntarily as a form of consent to be involved in the research and become respondents.
Keywords: leprosy, spatial analysis, risk factors
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