Leprosy control activities in India: integration into general health system

Pandey, Anurag; Patel, R; Uddin, M J

doi:10.47276/lr.77.3.210

Cited by 8 publications

(3 citation statements)

References 5 publications

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“…Lack of dedicated healthcare services and laboratory facilities will lead to misdiagnoses and further delays. National leprosy control programs must ensure the availability of healthcare for leprosy patients, with competent staff and minimal staff turnover [46]. National leprosy control programs should also provide sufficient regulations and incentives for maintaining the readiness of health staff to provide proper diagnosis and treatment [47,48].…”

Section: Discussionmentioning

confidence: 99%

Delayed detection of leprosy cases: A systematic review of healthcare-related factors

et al. 2022

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Background In new leprosy cases, grade 2 disability (G2D) is still a public health burden worldwide. It is often associated with the delayed leprosy diagnoses that healthcare systems should play a crucial role in preventing. The aim of this systematic review was to identify healthcare factors related to delays in case detection in leprosy. Methods PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis) was used as a guideline in this research. The study protocol was registered in the PROSPERO (International Prospective Register of Systematic Reviews) with reference code CRD42020189274. Data was collected from five electronic databases: Embase.com, Medline All Ovid, Web of Science, Cochrane CENTRAL, and the WHO Global Health Library. Results After applying the selection criteria for original empirical studies, and after removing duplicates, we included 20 papers from 4313 records. They had been conducted in ten countries and published between January 1, 2000, and January 31, 2021. We identified three categories of healthcare factors related to delayed case. 1) Structural factors, such as i) financial and logistic issues, and geographical circumstances (which we classified as barriers); ii) Health service organization and management including the level of decentralization (classified as facilitators). 2) Health service factors, such as problems or shortages involving referral centers, healthcare personnel, and case-detection methods. 3) Intermediate factors, such as misdiagnosis, higher numbers of consultations before diagnosis, and inappropriate healthcare services visited by people with leprosy. Conclusions Delays in leprosy case detection are due mainly to misdiagnosis. It is crucial to improve the training and capacity of healthcare staff. To avoid misdiagnosis and reduce detection delays, national leprosy control programs should ensure the sustainability of leprosy control within integrated health services.

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Section: Discussionmentioning

confidence: 99%

Delayed detection of leprosy cases: A systematic review of healthcare-related factors

et al. 2022

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“…[ 9 ] A study conducted by the Regional Leprosy Training and Research Institute, Lalpur, Raipur, Chhattisgarh, India, revealed that 45% of medical officers, 71% of health supervisors and 75% of multipurpose workers were trained in leprosy. [ 10 ]…”

Section: Discussionmentioning

confidence: 99%

Current knowledge attitudes, and practices of healthcare providers about leprosy in Assam, India

Kar

Ahmad

Pal

2010

J Global Infect Dis

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Background:Leprosy is a chronic infectious disease that is associated with serious morbidity and is a disease of public health concern because of the case load and the social stigma attached to the disease.Aim:To understand the knowledge of, and attitudes towards, leprosy amongst healthcare providers in Assam, India.Settings and Design:This cross-sectional study was conducted during March to June 2007 in different health institutions of the Kamrup district of Assam.Results:Among the program managers interviewed, only half were organizing training sessions, and 37.5% were involved in supervision of the program activities at the periphery level. Among the program managers who were involved with leprosy elimination, only half were organizing training session and 37.5% were involved in supervision of the program activities at the periphery level. Medical officers consistently demonstrated higher knowledge about leprosy, followed by health supervisors and multipurpose workers (MPWs), including nursing staff. Regarding training status with regard to leprosy, 90% of medical officers, 80% of health supervisors and around 87% of MPWs (83% of male MPWs and 89% of female MPWs) had attended training programs on leprosy. Regarding WHO MDT, 80% of health supervisors, 84.8% of male MPWs and 86.2% of female MPWs had an idea of MDT and treatment duration of various categories of patients.Conclusions:These observations suggest that there appear to be adequate knowledge and positive behavior among healthcare providers with regard to leprosy in this part of India. However, there is still a need to organize training programs at regular intervals to train new recruits, as well as reinforce and update the knowledge of those already trained.

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“…According to research conducted by the Regional Leprosy Training and Research Institute in Lalpur, Raipur, Chhattisgarh, India, 45 of medical officers, 71% of health supervisors, and 75% of multipurpose workers have received leprosy training. 16 In China's Yangzhou and Dongtai districts, analysis of the attitudes, beliefs, and conduct of 730 primary healthcare (PHC) workers indicated that only half of the PHC workers had a basic understanding of MDT and a desire to engage in its implementation. 17 Improving the knowledge of paramedical staff is warranted for a better healthcare infrastructure.…”

Section: Discussionmentioning

confidence: 99%

A questionnaire-based study to assess the knowledge, attitude and behaviour about leprosy among paramedical staff in a tertiary care hospital in Chennai

et al. 2021

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Background: The paramedical staff has an important part in the management of leprosy patients. They have a role in counselling, wound management, performing investigations etc. This study aimed at assessing the knowledge, attitude and behaviour of paramedical workers in a tertiary care hospital in Chennai.Methods: This cross-sectional study comprised of 100 paramedical workers of which 41 were males and 59 were females. Following classes of workers were included: nursing staff, auxiliary nursing midwives, ASHA workers, laboratory technicians, pharmacists and allied medical workers. Of these, the nursing staff comprised of the highest proportion (44%). The paramedical workers were given a questionnaire consisting of their demographic profile and further 32 questions to assess knowledge, attitude and behaviour towards leprosy. The data hence obtained over a period of 1 month was later systematically analysed.Results: The knowledge of paramedical workers was considered sufficient in the nursing staff, ANM and ASHA workers. It was consistently found that those workers who had some experience in the field of leprosy (39%) showed good level of knowledge, while others had a scope for improvement. The paramedical workers’ attitudes and behaviour were deemed to be overall appropriate, while there is a clear need to improve outreach initiatives in order to properly train them.Conclusions: The training of paramedical workers in leprosy should be prioritised. They are the initial point of contact for patients. There should be a greater emphasis on raising awareness and providing accurate information about the disease.

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Leprosy control activities in India: integration into general health system

Cited by 8 publications

References 5 publications

Delayed detection of leprosy cases: A systematic review of healthcare-related factors

Delayed detection of leprosy cases: A systematic review of healthcare-related factors

Current knowledge attitudes, and practices of healthcare providers about leprosy in Assam, India

A questionnaire-based study to assess the knowledge, attitude and behaviour about leprosy among paramedical staff in a tertiary care hospital in Chennai

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