A socio-ecological model of the management of leprosy reactions in Indonesia and India using the experiences of affected individuals, family members and healthcare providers
The study findings demonstrate that the factors identified at the four systemic levels are interrelated and have an impact on the access, acceptability, and management of LR services. Despite its accessibility and wider coverage of public health insurance, the integrated service model in Indonesia faces challenges associated with complex regulations and the availability of medication. India's care model offers intensive, specialised care but has difficulties in ensuring sufficient health personnel, resources, and public health insurance coverage. These findings highlight the need to address these challenges to ensure timely, effective, and comprehensive care for individuals with LR.
Authors
- Stephen L. Walker (ORCID: https://orcid.org/0000-0002-2034-8376)
- Annisa Ika Putri (ORCID: https://orcid.org/0000-0002-4398-3567)
- Kevin De Sabbata (ORCID: https://orcid.org/0000-0002-3025-2837)
- Marjolein Zweekhorst (ORCID: https://orcid.org/0000-0001-7015-4951)
- Ruth M. H. Peters (ORCID: https://orcid.org/0000-0002-7842-3121)
- Medhi Denisa Alinda (ORCID: https://orcid.org/0000-0001-7400-1629)
- Brittney S. Mengistu (ORCID: https://orcid.org/0000-0003-2240-0841)
- M. Yulianto Listiawan (ORCID: https://orcid.org/0000-0001-7810-887X)
- Joydeepa Darlong (ORCID: https://orcid.org/0000-0002-3242-8875)
- Cita Rosita Sigit Prakoeswa (ORCID: https://orcid.org/0000-0003-3232-095X)
- Regitta Indira Agusni (ORCID: https://orcid.org/0000-0001-8196-1505)
Institutions
- Universitas Airlangga (ID)
- London School of Hygiene & Tropical Medicine (GB)
- Keele University (GB)
- Amsterdam UMC Location Vrije Universiteit Amsterdam (NL)
Publication Details
- Journal
- BMC Health Services Research
- Published
- 2025-02-03
- DOI
- https://doi.org/10.1186/s12913-025-12340-5
- Citations
- 4
- Primary Topic
- Leprosy Research and Treatment
- Type
- article
- Field-Weighted Citation Impact
- 5.58
Funders
- Leprosy Research Initiative