01999nas a2200373 4500000000100000008004100001260001700042653001000059653003000069653002800099653004300127653004000170653001100210653001100221653001000232653002400242653001200266653000900278653001600287653002400303653001500327653002400342653003300366653002100399653001400420653001600434100001300450700001400463245011700477300001000594490000700604520100000611022001401611 2011 d c2011 Apr-Jun10aAdult10aCommunity Health Services10aCommunity participation10aCommunity-Based Participatory Research10aDelivery of Health Care, Integrated10aFemale10aHumans10aIndia10aInterviews as Topic10aleprosy10aMale10aMiddle Aged10aOperations Research10aPerception10aPrimary Health Care10aPublic Health Administration10aRural Population10aWorkforce10aYoung Adult1 aRaju M S1 aRao P S S00aSustainability of integrated leprosy services in rural India: perceptions of community leaders in Uttar Pradesh. a87-930 v833 a

As part of a community-based action research to reduce leprosy stigma, village committees were formed in 3 hyper endemic states of India. From a total of 10 village committees with nearly 200 members from Uttar Pradesh, a systematic random sample of 69 men and 23 women were interviewed in-depth regarding their views on sustainability of integrated leprosy services, as currently adopted. Their recommendations were also sought for further enhancement. Percentages were computed and compared for statistical significance using the z-normal test. The findings show that less than 50% of the respondents were confident that the present trend in voluntary early reporting for MDT and management of complications was adequate to sustain the integrated leprosy services. There were no differences by men or women members and they felt that lack of proper facilities, training and orientation of staff are most influencing factors. Many suggestions were given for improving the sustainability.

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