01923nas a2200253   4500000000100000008004100001260001300042653002600055653001500081653001300096653001100109653003300120653001200153653002800165653003300193653002600226653001700252100001700269245012000286300001100406490000700417520123100424022001401655       1994                            d  c1994 Oct10aCost-Benefit Analysis10aDrug Costs10aEthiopia10aHumans10aInterinstitutional Relations10aleprosy10aPopulation Surveillance10aPublic Health Administration10aSocioeconomic Factors10aTuberculosis1 aSaunderson P00aThe 20th Kellersberger Memorial Lecture, 1994. Leprosy and tuberculosis combined programmes: an uneasy partnership?  a269-800 v323 a<p>One of the purposes of this memorial lecture is to relate progress and difficulties in the field of leprosy to work in other fields. Tuberculosis is a disease closely related to leprosy and in 1982 the Kellersberger lecture was given by Dr. Styblo, someone whose name is synonymous with the development of effective Tuberculosis Control Programme in Africa. His title was "Tuberculosis and its control: lessons to be learned from past experience, and implications for leprosy control programme" (1). Many countries in Africa, including Ethiopia, have adopted the strategy of a combined leprosy and TB control programme. In this lecture then, I will examine more closely the strategy of combining the two programmes. I want to look at some of the problems that may arise and then draw out the ways in which each side of the partnership can contribute to the other, so that the combination can be more effective than either programme could hope to be on its own. This lecture will focus mainly on management issues, which are currently the most important barriers to effective control of both diseases, but the socio-economic aspects of disease, so much a part of Dr. Kellersberger's working life, will also be prominent.</p>  a0014-1755