Hardyanto Soebono
Department Of Dermatology And Venereology, Faculty Of Medicine, Public Health, And Nursing Universitas Gadjah Mada/Dr. Sardjito Hospital, Yogyakarta

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Journal : Berita Kedokteran Masyarakat

Faktor-Faktor yang Mempengaruhi Ketidakteraturan Berobat Penderita Kusta di Kabupaten Blora Henny Indriyanti, Hardyanto Soebono, Suharyanto Supardi
Berita Kedokteran Masyarakat (BKM) Vol 19, No 4 (2003)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.3715

Abstract

Bakcground: Leprosy continues to remain public health problem particularly in developing countries. Treatment is the most important aspect in leprosy control, however as the long duration of treatment compliance is critical point to success of therapy.Objective: Determine how big the problem of treatment compliance og leprosy patients in Kabupaten Blora and what factors influencing the compliance of those patients. A case control study was conducted in 22 health centers involving 126 leprosy patients. Patients who took irregularly Multi Drug Therappy (MDT) and heve been Released From Treatment (RFT) were considered as the case. Whereas those who regularly took MDT were considered as the control. Various variables observed from the patients, treatment and health providers were analysed using bivariate as well as multivariate statistical methods.Results: Showed that by using bivariate analysis dominant factors of irregular treatment of the patient to MDT in Kabupaten Blora were low social economy (odds ratio/OR:2,69), low knowledge on leprosy (OR:2,89), side effect of the drugs (OR:6,22), leprosy reaction (OR:3,43), disabilies (OR:4,2), no health education (OR: 13,12) and no home visit of provider (OR: 2,79). However, by multivariate log regression only 2 variables i.e. no health education and side effect of drugs were significantly influencing the irregularity to treatment. Nosignificant correlation between sex, education, detection methods, distance of health services, leprosy type, supervison and patient perception and the irregular treatment were found.Conclusion: That no health education and side effect of drugs are significant factors of irregularity to treatment in leprosy. Keywords: Leprosy-MDT-irregular treatment-health education-side effect of drugs
Leprosy's risk factors and distribution pattern in Yogyakarta Efrizal Efrizal; Lutfan Lazuardi; Hardyanto Soebono
Berita Kedokteran Masyarakat (BKM) Vol 32, No 10 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (387.367 KB) | DOI: 10.22146/bkm.12345

Abstract

Risk factors and distribution of leprosy in YogyakartaPurposeThe purpose of this paper was to identify risk factors and distribution pattern of leprosy in Yogyakarta. MethodsA case-control study was conducted involving 112 samples which consisted of 56 cases and 56 controls. ResultsThe study found three risk factors of leprosy: BCG vaccination, humidity and lighting. BCG vaccination was the most dominant risk factor of leprosy. The study also showed that the distribution pattern of leprosy in Yogyakarta was clustered. BCG vaccination was the most dominant risk factor for leprosy occurrence. Distribution of leprosy events were wide-spread and dispersed in the city of Yogyakarta, Sleman, Bantul and Kulon Progo, and only in Gunung Kidul Regency were clustered, and overall in Yogyakarta Special Region was clustered. The existence of cases of leprosy was largely distant with primary health care, away from roads and rivers as well as more dominant in settlements in mountainous areas.ConclusionActive case finding of leprosy by health workers, especially in clustered areas to decide the transmission of leprosy either from humans or the environment, with training of leprosy and counseling officers to remove leprosy-related stigma needs to be done. These efforts need to be coordinated between the Health Office and community health centers so that the number of cases in each region can be known.
Faktor risiko kejadian kusta Aprizal Aprizal; Lutfan Lazuardi; Hardyanto Soebono
Berita Kedokteran Masyarakat (BKM) Vol 33, No 9 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (435.5 KB) | DOI: 10.22146/bkm.25569

Abstract

Risk factors of leprosy in district of LamonganPurposeThis study aimed to know the risk factors of leprosy incidence in Lamongan district including economic status or family income, BCG vaccination, residential density, floor conditions, source of water, contact history, bathing habit using soap and using footwear. MethodsThe research was a case-control study. The subjects were the people who had clinical or laboratory symptoms, leprosy diagnosed and recorded in the health center register. The samples were 170 people, consisting of 85 cases and 85 controls. The data were analysed using chi-square and logistic regression tests, and the amount of the risk was calculated using odds ratio. ResultsThe risk-factors associated with the incidence of leprosy in Lamongan were the economic status or family income (OR=4.3 and p=0.001), BCG vaccination (OR=4.3 and p=0.050), residential density (OR=3.2 and p=0.001), floor conditions (OR=2.8 and p=0.051), source of water (OR=2.1 and p=0.033), contact history (OR=7.8 and p=0.001), bathing habit using soap (OR=3.1 and p=0.022) and using footwear (OR=3.1 and p=0.004). The dominant risk factor was BCG vaccination (OR = 8.1 and p=0.025). ConclusionThere were correlations between leprosy incidence and the economic status or family income, BCG vaccination, residential density, floor conditions, source of water, contact history, bathing habit using soap and using footwear. The dominant risk factor was BCG vaccination.