01390nas a2200229   4500000000100000008004100001260001700042653001200059653003000071653001100101653001200112653001200124100001500136700001400151700001200165700001300177245008600190300001100276490000600287520085300293022001401146       1986                            d  c1986 Oct-Dec10aDapsone10aDrug Therapy, Combination10aHumans10aleprosy10aSenegal1 aNaudin J C1 aDetoeuf G1 aDiouf B1 aMillan J00a[Practical problems encountered in the multi-drug therapy of leprosy in Senegal].  a479-890 v43 a<p>The authors make an inventory of the difficulties they have met while realizing the different stages of MDT treatment programmes in Senegal. Main problems were: Necessity of complementary training on theoretical, but even more on practical techniques for all the staff: Ridley and Jopling classification, neurological examination, bacteriological examination, data collection. Difficulty to maintain a true supervision. Necessity to settle a quality control of slit skin smears. Necessity to settle a system to trace irregular patients. Heaviness of centralized management, but its necessity to maintain "tightness" of the drugs distribution network. Difficulty to obtain a regular follow up of patients who are released for treatment. The evolution of anti-leprosy activities makes it necessary to adapt the "Service des Grandes Endémies".</p>  a0001-5938