This paper explores risk factors for participation restrictions experienced by people affected by leprosy. The objective was to develop a screening tool to identify individuals at risk. An initial round of qualitative fieldwork in eight centres in Nepal, India and Brazil identified 35 potential risk factors for participation restriction. This was further assessed through quantitative fieldwork in six centres in India and Brazil. In all, 264 individuals receiving leprosy treatment or rehabilitation services made a retrospective assessment of their status at time of diagnosis. Their level of participation restriction was assessed using the Participation Scale, and regression analysis identified risk factors for participation restriction. Four consolidated items were identified as the basis for a simple screening tool to identify individuals at risk: physical impact of leprosy, an emotional response to the diagnosis, female gender and having little or no education. Such a tool may form the basis for a screening and referral procedure to identify newly diagnosed individuals at risk of participation restrictions and the need of actions that may prevent such restrictions
Leprosy Review, Vol 76, Issue 4
"This paper presents lessons that were learnt while carrying out a CBR project for rehabilitation of physically disabled members of a village community. The outcomes of this project are narrated in a reflective manner without categorising them as either achievements or failures. The purpose of this paper, therefore, is to share our understanding of the performance of a CBR programme"
Asia Pacific Disability Rehabilitation Journal, Vol 20, No 1
This book presents the experiences of people who are worn down by persistent deprivation, and buffeted by severe shocks they feel ill-equipped to overcome. The stories reveal some of the reasons why poor people remain poor, despite working long hours day after day. They document the frequently demeaning encounters with state, market and civic institutions that distort the well-intended political, economic and social policies. This book focuses on the diversity of poverty in 14 countries and highlights the key findings
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