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Risk factors for participation restriction in leprosy and development of a screening tool to identify individuals at risk

NICHOLLS, PG
et al
December 2005

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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

Prevention of mother-to-child transmission of HIV in Asia : a practical guidance for programs

PREBLE, Elizabeth A
PIWOZ, Ellen G
June 2002

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This paper focuses on mother to child transmission of HIV in the five most affected countries in Asia -- Cambodia, China, India, Myanmar, and Thailand. The technical background and lessons learned, however, are relevant for the rest of the region. It discusses risk factors, issues of diagnosis and treatment of pediatric AIDS and experiences of prevention in Asia and elsewhere. In particular it looks at issues of: comprehensive maternal and child health (MCH) services; voluntary counselling and testing (VCT); antiretroviral (ARV) prophylaxis; counselling and support for safe infant feeding; optimal obstetric practices. This document is intended as a technical resource and a basis for discussion and it is aimed at governments, NGOs and other stakeholders working in HIV prevention in Asia

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