Sebong Perigrinus Hermin, Ferdiana Astri, Tegu Florisma Arista Riti, Harbianto Deni, Soviandhi Ronny, Sinaga Asken, Budiawan Teky, Risnanto Arnoldus Janssen Angga Yanuar, Sidjabat Regina Tiolina, Yudopuspito Trijoko, Mawardi Ridwan, Setyawati Eny, Utarini Adi
Center for Tropical Medicine, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia.
Department of Public Health, Faculty of Medicine, Soegijapranata Catholic University, Semarang, Indonesia.
Front Public Health. 2025 Apr 10;13:1453470. doi: 10.3389/fpubh.2025.1453470. eCollection 2025.
Leprosy remains a significant public health problem in Indonesia, with 14,000-15,000 new cases reported each year, indicating ongoing transmission. In response to the challenges, the country needs a strategic approach to achieve zero leprosy by 2030 through creating a national action plan.
To describe the development of a national action plan for leprosy in Indonesia, its strategies, and key interventions.
The process of NAP-L development consisted of three phases: (1) the preparatory phase involving 78 participants in five online group discussions (OGD) and document reviews to gain an understanding of the current situation of leprosy control; (2) the implementation phase, involving eight workshops with representatives from 14 provincial health offices, six district health offices, and 78 stakeholders to discuss stakeholder mapping and key components in the national action plan; and (3) the finalization phase to produce the complete document. All workshops and OGDs were audio-recorded. Verbatim transcripts were produced from the OGDs, and a thematic qualitative analysis was carried out to identify codes and categories of barriers to leprosy control. Each workshop's summary was documented.
Barriers to leprosy control were categorized into program inputs, implementation barriers from demand and supply perspectives, and proposed improvements. Four innovative strategies were formulated. The strategies were: (i) mobilizing various community resources (community); (ii) increasing the capacity of the healthcare system in the prevention, early detection, diagnosis, and management of leprosy in a comprehensive and quality manner (acceleration); (iii) improving integration and coordination with stakeholders and public-private healthcare providers (integration); and (iv) strengthening commitment, policy, and leprosy program management (commitment, policy, and management). Twenty-one key interventions and three measurable outcomes were proposed.
The national action plan for leprosy control was developed through a participatory process involving multiple stakeholders from health and cross-sectors, public and private sectors, healthcare providers, community leaders, and persons affected by leprosy. To ensure successful implementation, a national monitoring and evaluation framework should be established to keep track of the progress and local governments should adopt the national action plan into their local health policies.
麻风病在印度尼西亚仍然是一个重大的公共卫生问题，每年报告14000 - 15000例新病例，表明传播仍在持续。为应对这些挑战，该国需要一种战略方法，通过制定国家行动计划，到2030年实现麻风病零病例。
描述印度尼西亚国家麻风病行动计划的制定过程、其战略和关键干预措施。
国家麻风病行动计划（NAP - L）的制定过程包括三个阶段：（1）筹备阶段，78名参与者参加了五次在线小组讨论（OGD）并进行了文件审查，以了解麻风病控制的现状；（2）实施阶段，与来自14个省级卫生办公室、6个地区卫生办公室的代表以及78名利益相关者举行了八次研讨会，讨论利益相关者映射和国家行动计划的关键组成部分；（3）定稿阶段，以生成完整文件。所有研讨会和OGD都进行了录音。从OGD中生成逐字记录，并进行了主题定性分析，以确定麻风病控制障碍的代码和类别。记录了每个研讨会的总结。
麻风病控制障碍分为项目投入、从需求和供应角度的实施障碍以及提议的改进措施。制定了四项创新战略。这些战略是：（i）调动各种社区资源（社区）；（ii）全面、高质量地提高医疗保健系统在麻风病预防、早期发现、诊断和管理方面的能力（加速）；（iii）改善与利益相关者以及公私医疗保健提供者的整合与协调（整合）；（iv）加强承诺、政策和麻风病项目管理（承诺、政策和管理）。提出了21项关键干预措施和三项可衡量的成果。
麻风病控制国家行动计划是通过一个参与性过程制定的，该过程涉及来自卫生和跨部门、公共和私营部门、医疗保健提供者、社区领袖以及麻风病患者的多个利益相关者。为确保成功实施，应建立一个国家监测和评估框架以跟踪进展情况，地方政府应将国家行动计划纳入其地方卫生政策。
