01896nas a2200181   4500000000100000008004100001653001200042653001000054653001900064100001300083700001300096245017100109856005100280300001200331490000700343050001600350520134800366       2010                            d10aleprosy10aIndia10aHealth systems1 aPandey A1 aRathod H00aIntegration of leprosy in general health system vis-a -vis leprosy endemicity, health situation and socioeconomic development: observations from Chhattisgarh & Kerala  uhttps://leprosyreview.org/article/81/2/12-1128  a121-1280 v81  aPANDEY 20103 a<p>This study looked at the integration of leprosy services in the GHS in context of health and socioeconomic situations using predefined indicators. It also looked at clients’ perception of MDT services. The Indian states of Chhattisgarh and Kerala, which are at two extremes in leprosy endemicity, health situation and socioeconomic development, have been compared using predefined integration indicators related to the training of health workers, availability of MDT services, maintenance of MDT stock and involvement of Sub-centres in leprosy care. Data was collected by surveys of health facilities, sub-centres and communities in the two states, during 2006 – 2007. Information was collected by interviewing health personnel and clients, checking of records and on the spot observations using specifically designed formats. Results showed that integration is more inclusive in Chhattisgarh and has reached up to Sub-centre level. Both the community and health systems are sensitive and responsive to leprosy as it is perceived to be a major public health threat. But in Kerala, despite integration, it continues as a vertical programme with dependence on specialists and districts hospitals for diagnosis and treatment. MDT stock management is even poorer. Clients’ perception towards MDT services are similar in both states.</p>