Assessment of physical impairments in leprosy patients: a comparison between the world health organization (who) disability grade and the Eye-Hand-Foot Score

Raposo, Marcos Túlio; Caminha, Ana Virgínia de Queiroz; Heukelbach, Jörg; Sánchez-González, Miguel Ángel; Medeiros, Jovany Luis Alves de; Nemes, Maria Inês Battistella

doi:10.1590/s0036-46652011000200004

Cited by 12 publications

(12 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…About 20 million children die every year, often from preventable causes such as acute respiratory tract infections, diarrhoea, measles, malaria and malnutrition [1,2]. Despite decades of impressive gains in the reduction of childhood mortality, many African nations have started to experience a reversal of these gains [1], sending fears among health experts that the fourth Millennium Development Goal (MDG) which aims to reduce childhood mortality by two-thirds by the year 2015 [3], may not be realized.…”

Section: Introductionmentioning

confidence: 99%

“…Despite decades of impressive gains in the reduction of childhood mortality, many African nations have started to experience a reversal of these gains [1], sending fears among health experts that the fourth Millennium Development Goal (MDG) which aims to reduce childhood mortality by two-thirds by the year 2015 [3], may not be realized. Kenya has actually seen a reduction in the under five child mortality from 115 per 1000 live births in 2003 [4], to 74 per 1000 in 2008/9 [5].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Who is to blame? Perspectives of caregivers on barriers to accessing healthcare for the under-fives in Butere District, Western Kenya

et al. 2011

View full text Add to dashboard Cite

BackgroundKenya, like many developing nations, continues to experience high childhood mortality in spite of the many efforts put in place by governments and international bodies to curb it. This study sought to investigate the barriers to accessing healthcare services for children aged less than five years in Butere District, a rural district experiencing high rates of mortality and morbidity despite having relatively better conditions for child survival.MethodsExit interviews were conducted among caregivers seeking healthcare for their children in mid 2007 in all the 6 public health facilities. Additionally, views from caregivers in the community, health workers and district health managers were sought through focus group discussions (FGDs) and key informant interviews (KIs).ResultsThree hundred and ninety-seven respondents were surveyed in exit interviews while 45 respondents participated in FGDs and KIs. Some practices by caregivers including early onset of child bearing, early supplementation, and utilization of traditional healers were thought to increase the risk of mortality and morbidity, although reported rates of mosquito net utilization and immunization coverage were high. The healthcare system posed barriers to access of healthcare for the under fives, through long waiting time, lack of drugs and poor services, incompetence and perceived poor attitudes of the health workers. FGDs also revealed wide-spread concerns and misconceptions about health care among the caregivers.ConclusionCaregivers' actions were thought to influence children's progression to illness or health while the healthcare delivery system posed recurrent barriers to the accessing of healthcare for the under-fives. Actions on both fronts are necessary to reduce childhood mortality.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Who is to blame? Perspectives of caregivers on barriers to accessing healthcare for the under-fives in Butere District, Western Kenya

et al. 2011

View full text Add to dashboard Cite

show abstract

“…The mean age of the children was 10.7 (± 3.2) years, with only 13 (4.9%) cases being <5 years old and a peak at [10][11][12][13][14] Table 1. The mean age of the children was 10.7 (± 3.2) years, with only 13 (4.9%) cases being <5 years old and a peak at [10][11][12][13][14] Table 1.…”

Section: Resultsmentioning

confidence: 99%

“…10 Clinical forms included tuberculoid, bordeline or lepromatous and indeterminate. 1,13 Data Analysis Categorical variables were described using frequencies and percentages. 12 Nerves are considered to be affected in the presence pain or nerve thickening on palpation, loss of sensitivity with the monofilament test or motor impairment.…”

Section: Methodsmentioning

confidence: 99%

Leprosy and Disability in Children Younger Than 15 Years in an Endemic Area of Northeast Brazil

Santos

Lôbo³

et al. 2015

Pediatric Infectious Disease Journal

View full text Add to dashboard Cite

show abstract

“…Assessment of physical impairment in leprosy is employed as an epidemiological indicator to evaluate leprosy programs, determine early or late diagnosis, and monitor patient followup in health care center over the course of treatment 5 …”

mentioning

confidence: 99%

Clinical variables associated with leprosy reactions and persistence of physical impairment

Oliveira

Sherlock

Melo

et al. 2013

Rev. Soc. Bras. Med. Trop.

View full text Add to dashboard Cite

Introduction: Leprosy is a chronic disease that affects skin and peripheral nerves. Disease complications include reactional episodes and physical impairment. One World Health Organization (WHO) goal of leprosy programs is to decrease the number of grade 2 impairment diagnoses by 2015. This study aims to evaluate clinical factors associated with the occurrence of leprosy reactions and physical impairment in leprosy patients. Methods: We conducted a retrospective study of data from medical records of patients followed in two important centers for the treatment of leprosy in Aracaju, Sergipe, Brazil, from 2005 to 2011. We used the chi-square test to analyze associations between the following categorical variables: gender, age, operational classifi cation, clinical forms, leprosy reactions, corticosteroid treatment, and physical impairment at the diagnosis and after cure. Clinical variables associated with multibacillary leprosy and/or reactional episodes and the presence of any grade of physical impairment after cure were evaluated using the logistic regression model. Results: We found that men were more affected by multibacillary forms, reactional episodes, and grade 2 physical impairment at diagnosis. Leprosy reactions were detected in a total of 40% of patients and all were treated with corticosteroids. However, physical impairment was observed in 29.8% of the patients analyzed at the end of the treatment and our multivariate analysis associated a low dose and short period of corticosteroid treatment with persistence of physical impairments. Conclusions: Physical impairment should receive an increased attention before and after treatment, and adequate treatment should be emphasized.

show abstract

Assessment of physical impairments in leprosy patients: a comparison between the world health organization (who) disability grade and the Eye-Hand-Foot Score

Cited by 12 publications

References 13 publications

Who is to blame? Perspectives of caregivers on barriers to accessing healthcare for the under-fives in Butere District, Western Kenya

Who is to blame? Perspectives of caregivers on barriers to accessing healthcare for the under-fives in Butere District, Western Kenya

Leprosy and Disability in Children Younger Than 15 Years in an Endemic Area of Northeast Brazil

Clinical variables associated with leprosy reactions and persistence of physical impairment

Contact Info

Product

Resources

About