@article{article,
  keywords = {Health systems, Case detection, Leprosy, Indonesia, Diagnosis},
  author = {Dharmawan Y and Mawarni A and Dharminto },
  editor = {Kartasurya M and Han J and Tsai K and Nursheena S and Changrob S and Lisnawati N and Asna A and Handayani N and Nuridzin D},
  title = {Measuring and Comparing Health System Delays in Leprosy Detection Based on the First Healthcare Service Visit in Tegal Regency, Indonesia},
  abstract = {<jats:p>The prevalence of leprosy patients with disabilities among new cases in Tegal Regency was high in 2021, reaching 10\%. This problem is due to the delays in the diagnosis and treatment of leprosy, including health system delays associated with patients{\textquoteright} visits to healthcare services. This study aims to measure and compare health system delays based on the types of healthcare service first visited by leprosy patients. This study employed a cross-sectional design involving a sample of 125 leprosy patients recruited in 2022. Data were collected through interviews with leprosy patients using a validated case detection delay questionnaire. Descriptive and inferential statistics were performed using Kruskal-Wallis test. Among the respondents, 67\% were male. Patients sought initial care at various types of healthcare services, with community health centers being the most frequently visited (53\%). The average health system delay was 3.3 months, with the longest delay observed when the first visit was to a medical doctor (5.4 months). A significant difference in health system delays was found across the types of healthcare services first visited by leprosy patients (p = 0.001). Further research is recommended to enhance the leprosy detection capacity of healthcare staff in Tegal Regency.</jats:p>},
  year = {2024},
  journal = {BIO Web of Conferences},
  volume = {133},
  pages = {1-6},
  publisher = {EDP Sciences},
  issn = {2117-4458},
  url = {https://www.bio-conferences.org/articles/bioconf/pdf/2024/52/bioconf_icophtcd2024_00046.pdf},
  doi = {10.1051/bioconf/202413300046},
  language = {ENG},
}