@article{19612, keywords = {Adolescent, Adult, Age Distribution, Child, Child, Preschool, Epidemiologic Methods, Female, Humans, India, Infant, Infant, Newborn, leprosy, Male, Middle Aged, Population Surveillance, Prevalence, Rural Population, Sex Distribution}, author = {Gupte M D and Vallishayee R S and Ahmed T H and Prince J S and Britto R L and Rathinaraj B and Elango N and Balasubramanyam S and Nagaraju B and Arockiasamy J}, title = {Studies on rapid assessment methods in leprosy.}, abstract = {

A study was undertaken in Pudukottai district, Tamilnadu, India to test rapid assessment methods: viz (i) sample surveys with lower coverages for clinical examination in estimating the disease problem in the community, (ii) utility of registered case prevalence for estimating the actual prevalence in a given area, (iii) leprosy in school-going children and its utility in estimating leprosy prevalence in the community, and (iv) information on disability and smear positivity in estimating leprosy prevalence; and develop correction factors for estimating leprosy situation. A sample of 23 clusters from 582 clusters of contiguous villages and hamlets was further divided into two random sub-samples for two surveys with differing coverages. One team covered nine clusters comprising 34 villages with a population of 17,562 and examined 15,596 with a population of 26,927 and examined 16,622 (62%) persons for leprosy. The results showed that: (i) leprosy sample surveys with lowered coverages would tend to miss valuable information, in terms of quality and quantity; (ii) from 'known case' registers, to estimate the true burden of leprosy disease and to monitor its trend over time is inadequate; (iii) school surveys are of limited value for estimating the disease burden in the community or to monitor its trend over time; (iv) the number of smear-positive cases is to small to serve as an indicator for the total case load in the community; and (v) the prevalence of active disease and that of grade 2 disability in the community are poorly correlated. Reliable methods other than those used here need to be developed for evaluation and monitoring of the disease burden particularly in the post-MDT era.

}, year = {1998}, journal = {Indian journal of leprosy}, volume = {70}, pages = {165-77}, month = {1998 Apr-Jun}, issn = {0254-9395}, language = {eng}, }