Perspective Model Secondary Prevention of Leprosy in Mojokerto, East Java, Indonesia

Leprosy is a public health problem in Indonesia. East Java is first ranked as the largest contributor of leprosy cases in Indonesia. Leprosy is still high disability figures, therefore secondary prevention of leprosy need to be researched further in order to decrease morbidity and disability. This study aims to design a model of secondary prevention of leprosy. Methods This study was an observational study with cross sectional. The sample of 50 families who live with lepers in Mojokerto is taken by simple random sampling. Data retrieved by interviews using questionnaires, and observation sheet further processed by descriptive and gradual regression with an alpha of 0.05. Result Research results indicate that there is an influence of knowledge on family attitudes (=0.237, p=0.040), family stigma against family attitudes (= -0.406, p=0.001) and social support towards family attitude (=0.401, p=0.001), knowledge influence towards subjective norm (=0.331, p=0.019), there is an influence of social support on collective efficacy (=0.388, p=0.005), there is an influence of family attitudes toward discrimination (=0.592, p=0.000), there is effect of subjective norm on secondary prevention ( = -0.277, p=0.045) and discrimination against secondary prevention (=-0.317, p=0.022). Analysis It is concluded that the secondary prevention of leprosy is a new finding, in which the secondary prevention of leprosy influenced by subjective norms and discrimination. Discussion Subjective norm is reduced or eliminated, family discrimination eliminated by increasing the positive attitude of families through increased knowledge about leprosy, eliminated stigma and increased social support through advocacy and group counseling leprosy.