An educational approach to leprosy control: an evaluation of knowledge, attitudes and practice in two poor localities in Bombay, India

Crook, Nigel; Ramasubban, Radhika; Samy, A. Antony; Singh, Bikramjot

doi:10.5935/0305-7518.19910046

Cited by 8 publications

(9 citation statements)

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“…Due to the concept of the extended families in the Sudan, the mycetoma patients are looked after by their families and that may contribute to the positive attitude to the patients seen in this study. This is quite different from the negative attitude of various populations to other chronic inflammatory disease with deformity and disability such as leprosy and tuberculosis [24] , [25] , [26] . This can be explained by the fact that these diseases are contagious and the deformities are more general whereas mycetoma is not infectious and more localized.…”

Section: Discussionmentioning

confidence: 94%

A New Model for Management of Mycetoma in the Sudan

et al. 2014

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Patients with mycetoma usually present late with advanced disease, which is attributed to lack of medical and health facilities in endemic areas, poor health education and low socio-economic status. With this background, an integrated patient management model at the village level was designed to address the various problems associated with mycetoma. The model was launched in an endemic village in the Sudan, between 2010 and 2013. This model is described in a prospective, descriptive, community-based study, aimed to collect epidemiological, ecological, and clinical data and to assess knowledge, attitude and practice (KAP) in order to design effective and efficient management measures. In this study, the prevalence of mycetoma was 14.5 per 1,000 inhabitants. The patients were farmers, housewives and children of low socio-economic status, and no obvious risk group was detected. All had surgery performed in a mobile surgical unit in the village which encouraged patients to present early with small early lesion leading to a good clinical outcome. The close contact with the Acacia tree thorns, animals and animal dung, walking bare footed and practising poor hygiene may all have contributed to the development of mycetoma in the village. Knowledge of mycetoma was poor in 96.3% of the study population, 70% had appropriate attitudes and beliefs towards interaction with mycetoma patients and treatment methods, and 49% used satisfactory or good practices in the management of mycetoma. Knowledge and practices on mycetoma were found to be significantly associated with age. Based on the KAP and epidemiological data, several health education sessions were conducted in the village for different target groups. The integrated management approach adopted in this study is unique and appeared successful and seems suitable as an immediate intervention. While for the longer term, establishment of local health facilities with trained health staff remains a priority.

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Section: Discussionmentioning

confidence: 94%

A New Model for Management of Mycetoma in the Sudan

et al. 2014

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Section: Resultsmentioning

confidence: 99%

“…Table describes the principal characteristics of the 30 studies included . They came from seven countries belonging to two WHO regions, Southwest Asia (20 programmes) and Africa (10 programmes) . The countries where most programmes were implemented were India (eight interventions) and Indonesia (seven interventions) .…”

Section: Resultsmentioning

confidence: 99%

“…The community intervention programmes ( n = 10) related to health are primarily aimed at self‐care groups for the management and prevention of ulcers and disabilities of both those with leprosy and their families (Table ). The programmes ( n = 3) related to education are mainly focused on raising awareness of the disease in schools and in communities. (Table ).…”

Section: Resultsmentioning

confidence: 99%

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Scoping review: Community‐based programmes with people affected by leprosy

Martos-Casado

Vives‐Cases

Gil-González

2019

Tropical Med Int Health

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objective To analyse community intervention programmes for people affected by leprosy in 'global priority countries'.methods Scoping review of articles in the databases PubMed, Scopus, SciELO, Lilacs and Web of Knowledge that made reference to community intervention programmes aimed at people affected by leprosy in global priority countries and which presented an evaluation of results. Analytical variables analysed were methodological characteristics of the study, type of intervention classified according to the Community-Based Rehabilitation Matrix, indicators and results of the evaluation, and the degree of participation of the community, which was graphically represented as a spidergram.results Thirty articles met the inclusion criteria. They were mostly related to the health component of the RBC matrix and aimed at the adult population. All evaluated the indicators used positively. The degree of participation generally ranged between mobilisation and collaboration.conclusion Community intervention programmes for people affected by leprosy have a positive effect on health. There are attempts to include affected people and the community in implementing these programmes, but it is not possible to establish a direct relationship with effects of their participation on health due to the study designs used. Future research using more robust methods that include leprosy patients are necessary to evaluate the effectiveness of community participation.keywords leprosy, community programmes, RBC matrix, health indicators, community participation Sustainable Development Goals (SDGs): SDG 1 (no poverty), SDG 3 (good health and well-being), SDG 5 (gender equity)

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“…Cross-sectional assessment of leprosy patients with limited items on assessment questionnaires is a prominent reason for inadequacy in exploring the multifaceted nature of leprosy and the associated multiple physical, psychological, social, and economical challenges faced by leprosy patients. [11–13]…”

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confidence: 99%

State of the globe: Many challenges of the multifaceted leprosy

Khubchandani

2011

J Global Infect Dis

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An educational approach to leprosy control: an evaluation of knowledge, attitudes and practice in two poor localities in Bombay, India

Cited by 8 publications

References 1 publication

A New Model for Management of Mycetoma in the Sudan

A New Model for Management of Mycetoma in the Sudan

Scoping review: Community‐based programmes with people affected by leprosy

State of the globe: Many challenges of the multifaceted leprosy

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