Mixed Methods Analysis: Traditional Medication,Stigma, and Leper’s Family Support Roles in Level II Leprosy Disability

Authors

  • Irwan Saputra
  • T.M. Rafsanjani
  • Said Usman

DOI:

https://doi.org/10.37506/ijfmt.v15i3.15806

Keywords:

disability, family’s support, leprosy, level II, mix methode, stigma, traditional medication.

Abstract

People with a level II leprosy disability have limited functions in society. In Nagan Raya District, there is
a 41% leprosy endemic area with a 5% level II disability rate. The goal of this research was to prove the
relationships of traditional medication, stigma, and leper’s family support to level II leprosy disability. This
research used mixedmethodsand a case-control design with 84 respondents42 case respondents (level II
leprosy disability) and 42 control respondents (level 0 leprosy disability)chosen by consecutive sampling
under some inclusion and exclusion criteria. Data collection used the in-depth interview method. This study
used bivariate data analysis with the chi-square test and multivariate data analysis with the logistic regression
test and the Miles and Huberman’s model. The results of the chi-square analysis indicated that traditional
medication had p value=0.014 (OR: 2.3; 95% CI: 0.2–7.7), stigma p=0.04 (OR:3.6;95% CI: 1.5–8.9), and
family’s support p=0.192 (OR:2.0; 95% CI: 0.7–5.8). The results of the logistic regression analysis showed
that stigma was a risk factor for leprosy level II disability with p value=0.006, (OR=4.9; 95% CI: 1.6–
15.1) and probability of 99.96%. Based on the interview results, lepers were feeling uncomfortable with the
society’s not acceptingthem in a good way. This was especially the case with khanduri(feast) when it came
down to food in that the society assumed lepers would transmit the infectious, disgusting disease. The Nagan
Raya District Health Office is expected to encourage the societyto accept lepers and provide information
regarding the process of leprosy transmission so as to appease the community’s fearand to prevent further
disability.

Author Biographies

Irwan Saputra

Assistant Professor, Universityof Syiah Kuala, Magister Program ofPublicHealth, MedicalFaculty, Banda Aceh,
Aceh, Indonesia, 23111

T.M. Rafsanjani

Instructor,University of Serambi Mekkah, Public Health Faculty, Banda Aceh, Aceh,
Indonesia 23245

Said Usman

Assistant Professor, Universityof Syiah Kuala, Magister Program ofPublicHealth, MedicalFaculty, Banda Aceh,
Aceh, Indonesia, 23111, 2

Published

2021-05-17

How to Cite

Irwan Saputra, T.M. Rafsanjani, & Said Usman. (2021). Mixed Methods Analysis: Traditional Medication,Stigma, and Leper’s Family Support Roles in Level II Leprosy Disability. Indian Journal of Forensic Medicine & Toxicology, 15(3), 3266-3272. https://doi.org/10.37506/ijfmt.v15i3.15806