This technical guide provides a reorientation and familiarisation tool for managers of leprosy projects and programmes. The analysis includes an outline of the broad objectives of CBR, the roles and tasks of programme managers, and the responsibilities of community workers. This resource would be useful for anyone with an interest in disability and development
This is a report of a study, carried out in Nepal, India and Brazil, to develop a scale to measure (social) participation for use in rehabilitation, stigma reduction and social integration programmes. The report concludes that the Participation Scale is reliable and valid to measure client-perceived participation in people affected by leprosy or disability
[Author's abstract] : This annotated bibliography, based on a review of the available literature, is divided into two parts. First, a commentary on the key issues raised in the literature reviewed, with a specific focus on the psycho-social-economic issues. The commentary begins with the general literature, before moving to a discussion of leprosy issues in Asia, and finishing with a commentary on a selection of relevant papers from other areas of the world. The contributions gathered under each heading are arranged chronologically
This report looks at neglected tropical diseases. These diseases particularly affect poor and disadvantaged people with limited access to health services and have a low profile and status in public health priorities. Despite the challenges involved, some progress has been made through interventions around particular diseases in certain countries. This report highlights some of those successes
Reported is the spatial variation of leprosy in an urban area of Brazil and its correlation with socioeconomic indicators. From November 1991 to October 1992 a total of 752 newly diagnosed leprosy patients who were attending all outpatient clinics in Golania city, central Brazil, were indentified. A database of leprosy cases was set up linking patients' addresses to 64 urban districts. Leprosy cases were detected in 86 of the districts and three risk strata were identified. The highest risk area for leprosy was in the outskirts of the city and detection rates increased on moving from more developed to poorer areas. The risk of detecting leprosy cases was 5.3-fold greater (95CL: 3.8-7.4) in the outskirst of the town than in the central zone.
Discussed are the methodological issues related to leprosy case ascertainment, completeness and reliability of information, and the interpretation of the spatial distribution of leprosy per unti area. High lighted also are the lack of deprosy control activities in primary health care units and the usefulness of geographical analysis in planning health services.
This publication presents eight case studies that demonstrate that effective and sustainable action depends on changes in people; those who make and influence decisions about development priorities and at village level those who change their everyday lives. The cases show that these changes depend on effective communication efforts. They also demonstrate that communication is more than just information, it is a two-way process involving asking and listening
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