01491nas a2200217 4500000000100000008004100001260001300042653001100055653001400066653001200080100001000092700001200102700001100114245007400125856005900199300001100258490000700269050003200276520095100308022001401259 1992 d c1992 Sep10aHumans10aIndonesia10aleprosy1 aDay R1 aLever P1 aAsri M00aLeprosy control in 7 districts of south Sulawesi, Indonesia, 1986-91. uhttp://leprev.ilsl.br/pdfs/1992/v63n3/pdf/v63n3a06.pdf a247-540 v63 aInfolep Library - available3 a

This paper describes the leprosy control programme in 7 districts of the South Sulawesi Province in Indonesia. This province is reported to have the highest prevalence of leprosy in the country. The programme started in 1986 with re-registration of all patients on the cumulative registers. Strict criteria for admission of patients to MDT were initially applied. In 1990 it appeared that these criteria had been too strict, thus necessitating a second re-registration of patients still on DDS monotherapy. More flexible criteria for admission to MDT led to an increase in MDT coverage from 45% to 78% within 6 months. By April 1991, 5 years after the start of the programme, the registered prevalence had decreased from 4.4 per 1000 in 1986 to 1.6 per 1000; the coverage with MDT had increased from 6% in 1986 to 78%, and the case detection rate remained stable around 4 per 10,000 after an initial increase at the start of the programme.

 a0305-7518