Integrative Health Promotion Model in Leprosy Prevention and Control Programs to Improve Quality of Life for Leprosy Survivors

Abstract

Objective: Leprosy is an infectious disease that causes highly complex problems from the medical aspect to social, economic, cultural, security, and national defence issues. This research aimed to develop and analyse the effect of an integrative model on leprosy prevention and control programs to improve the life quality of leprosy survivors. Materials and Methods: This research was conducted in Madura, East Java, Indonesia. The study consists of 360 leprosy survivors. The exposed group in this study was a group of leprosy survivors living within the areas of the Ministry of Health's leprosy program, a total of 180 leprosy survivors. The unexposed groups were leprosy survivors living around the areas with the absence of Ministry of Health leprosy program, a total of 180 leprosy survivors. Results: The quality of life has a direct and positive relationship with health status (b= 0.56 ; 95% CI = 0.14 to 1.00; p=0.010), health status has a direct and positive relationship with healthy behavior (b= 0.55 ; 95% CI = 0.10 to 1.00; p=0.016), healthy behavior has a direct and positive relationship with self-efficacy (b= 0.91 ; 95% CI = 0.38 to 1.44; p=0.001), healthy behavior has a direct and positive relationship with family support (b= 0.54; 95% CI = 0.06 to 1.03; p=0.029), healthy behavior has a direct and positive relationship with attitude (b= 0.56 ; 95% CI = 0.05 to 1.09; p=0.032). Conclusion: Health status, healthy behavior, self-efficacy, family support, attitude and community support related to improving quality of life for leprosy survivors.