02561nas a2200277   4500000000100000008004100001260001300042653002300055653002100078653004200099653001100141653001000152653001200162653001200174100001200186700001700198700001100215700001200226245014000238856005900378300001200437490000700449050001400456520179900470022001402269       1991                            d  c1991 Dec10aEducational Status10aHealth Education10aHealth Knowledge, Attitudes, Practice10aHumans10aIndia10aleprosy10aPoverty1 aCrook N1 aRamasubban R1 aSamy A1 aSingh B00aAn educational approach to leprosy control: an evaluation of knowledge, attitudes and practice in two poor localities in Bombay, India.  uhttp://leprev.ilsl.br/pdfs/1991/v62n4/pdf/v62n4a06.pdf  a395-4010 v62  aCROOK19913 a<p>Based on the hypothesis that a systematic, carefully planned educational approach to leprosy would yield results in terms of knowledge, attitudes and case presentation superior to those of the established and traditional mass survey method, ALERT-India launched a programme in S ward of Bombay in February 1985, to compare the two. An intensive programme of health education, using trained teams, was carried out in one zone of this ward over a period of 12 months. Eight months later, mass survey work (as used routinely in previous years and on a country-wide basis) was carried out in an adjacent zone. In 1987, the Centre for Social and Technological Change in Bombay, in association with the School of Oriental and African Studies, University of London, was requested to evaluate the effect of the above educational approach in terms of knowledge, attitudes and practice in both the trial and control zones. Other aspects of this experimental approach, including its cost and effectiveness in identifying cases of leprosy, will be published separately. The design of the 'KAP' evaluation and the social and environmental controls introduced in the statistical analysis are described. The results pointed to a considerable degree of ignorance about leprosy as a disease (and its treatment) in both the study and the control zones. Knowledge about early symptoms was particularly weak and on all aspects scores for women were invariably lower than men. General education enhanced the absorption of specific knowledge, and the education of children compensated adequately for lack of parental education in this respect. Overall the evaluation indicated that the intensive educational approach was superior to the survey approach in terms of improving knowledge, attitudes and practice.</p>  a0305-7518