Search Repository Universitas Fort De Kock

Kusta dapat menyebabkan kecacatan permanen dan mempengaruhi aspek sosial
serta ekonomi penderita. Di Kota Pariaman, persentase penderita kusta yang
menyelesaikan pengobatan menurun dalam beberapa tahun terakhir. Penelitian ini
bertujuan untuk mengevaluasi penatalaksanaan pasien kusta di Kota Pariaman
berdasarkan Social Support Theory for Health dan Teori Input-Proses-Output
(IPO), menggunakan metode kualitatif dengan desain studi kasus. Informan
penelitian terdiri dari tujuh penderita kusta, tujuh petugas Puskesmas, dan tujuh
anggota keluarga penderita. Data dikumpulkan melalui wawancara mendalam dan
Focus Group Discussion pada bulan Januari-Februari 2025 dan dianalisis secara
tematik. Hasil penelitian menunjukkan semua penderita kusta menjalani
pengobatan selama 12 bulan. Mayoritas penderita konsisten dalam pengobatan
meskipun menghadapi efek samping dan motivasi yang rendah. Petugas kesehatan
di setiap Puskesmas memadai untuk memberikan layanan kusta, sementara gudang
farmasi Kota Pariaman memastikan ketersediaan obat MDT tanpa kekosongan stok.
Pengobatan kusta di Puskesmas tersedia secara gratis dengan pendanaan dari APBD
dan APBN. Dukungan sosial dari keluarga dan petugas kesehatan juga berperan
penting. Semua penderita menerima dukungan sosial dari keluarga dan petugas
kesehatan. Namun, pemeriksaan pasien tidak dilakukan setiap kali pengambilan
obat, melainkan pada awal, pertengahan, dan akhir pengobatan. Keberhasilan
pengobatan kusta di Kota Pariaman didukung oleh tenaga kesehatan terlatih,
distribusi obat yang memadai, serta dukungan keluarga, meskipun masih terdapat
tantangan seperti efek samping MDT, stigma sosial, dan keterbatasan fasilitas.
Untuk meningkatkan penatalaksanaan kusta, diperlukan evaluasi tatalaksana,
pelatihan petugas, dan pemantauan rutin di seluruh fasilitas kesehatan.

Leprosy can cause permanent disability and affect the social and economic aspects
of sufferers. In Pariaman City, the percentage of leprosy sufferers who complete
treatment has decreased in recent years. This study aims to evaluate the
management of leprosy patients in Pariaman City based on the Social Support
Theory for Health and the Input-Process-Output (IPO) Theory, using a qualitative
method with a case study design. The research informants consisted of seven
leprosy sufferers, seven Puskesmas officers, and seven family members of
sufferers. Data were collected through in-depth interviews and Focus Group
Discussions in January-February 2025 and analyzed thematically. The results
showed that all leprosy sufferers underwent treatment for 12 months. The majority
of sufferers were consistent in their treatment despite facing side effects and low
motivation. Health workers in each Puskesmas are adequate to provide leprosy
services, while the Pariaman City pharmacy warehouse ensures the availability of
MDT drugs without stock shortages. Leprosy treatment at Puskesmas is available
free of charge with funding from the APBD and APBN. Social support from family
and health workers also plays an important role. All sufferers receive social support
from family and health workers. However, patient examinations are not carried out
every time medication is taken, but rather at the beginning, middle, and end of
treatment. The success of leprosy treatment in Pariaman City is supported by trained
healthcare workers, adequate drug distribution, and family support. However,
challenges such as MDT side effects, social stigma, and facility limitations persist.
To improve leprosy management, it is necessary to evaluate treatment procedures,
provide staff training, and conduct routine monitoring across all healthcare
facilities.