01985nas a2200277   4500000000100000008004100001260001300042653002100055653001100076653002300087653001200110653002900122653001000151653002400161653002700185653003100212100001300243700001800256700001800274245008600292856004100378300001000419490000700429520125700436022001401693       1995                            d  c1995 Sep10aHealth Personnel10aHumans10aLeprostatic Agents10aleprosy10aNational Health Programs10aNepal10aProgram Development10aQuality of Health Care10aSurveys and Questionnaires1 aRoos B R1 avan Brakel WH1 aChaurasia A K00aIntegration of leprosy control into basic health services; an example from Nepal.  uhttp://ila.ilsl.br/pdfs/v63n3a07.pdf  a422-90 v633 a<p>The need for integration of vertical projects into the Basic Health Services (BHS) has been felt in Nepal since 1968. In 1987 it was decided to provide integrated BHS all over the country. The Nepal Leprosy Control Project (NLCP) was one of the vertical projects which had to be integrated from that year. In order to prepare the BHS staff for this new task the NLCP developed a Comprehensive Leprosy Training course. Besides adequate training, three other prerequisites for successful integration are: a) adequate supply of drugs and equipment; b) regular supervision and specialist referral facilities; and c) a well functioning BHS system in which to integrate. This article tries to assess to what extent these prerequisites have been met for leprosy control in Nepal. To do this, some results of an evaluation of the training are used as well as existing literature on the functioning of the BHS system. The first three prerequisites are not fully met, but problems and obstacles related to these are mainly due to problems in the last prerequisite: a not so well functioning BHS system. It was, therefore, recommended to continue a (semi)vertical support system of leprosy control in those districts where the BHS is not so well developed.</p>  a0148-916X