02679nas a2200445 4500000000100000008004100001260001700042653001600059653001000075653000900085653003100094653001100125653002400136653004200160653003400202653001100236653001900247653001200266653000900278653001600287653001500303653001200318653001600330653002300346653003100369653002500400653001400425653002100439653003100460653001100491100001400502700001600516245013800532856006000670300001100730490000700741050001500748520145600763022001402219 2002 d c2002 Jul-Sep10aAbsenteeism10aAdult10aAged10aAmbulatory Care Facilities10aFemale10aHealth Care Surveys10aHealth Knowledge, Attitudes, Practice10aHealth Services Accessibility10aHumans10aLeper Colonies10aleprosy10aMale10aMiddle Aged10aMotivation10aNigeria10aOccupations10aPatient Compliance10aPatient Education as Topic10aPatient Satisfaction10aSelf care10aSex Distribution10aSurveys and Questionnaires10aTravel1 aNwosu M C1 aNwosu S N N00aLeprosy control in the post leprosaria abolition years in Nigeria: reasons for default and irregular attendance at treatment centres. uhttps://www.ajol.info/index.php/wajm/article/view/28025 a188-910 v21 aNWOSU 20023 a

A questionnaire was administered to all patients with leprosy seen at the four leprosy clinics in Anambra State in a face to face interview. The questions covered, among other items, the clinic attendance behaviour and the single most important reason, monthly, for absenteeism in the preceding year. The total and individual frequencies of the reasons for absenteeism were determined for the various behavioural subgroups. The differences in frequencies and associations were analysed. Values of P < 0.05 were considered as significant. The results showed that 27 females and 26 males were interviewed. 39.6% of the patients were irregular attenders 735% were defaulters. Attendance at meetings (P < .001); work at home (P < 0.01) fear/shame/indignation (P < 0.05); no confidence in treatment (P < 0.025) were significant reasons for absenteeism among irregular attenders inter-current illnesses as reasons for absenteeism did not differ significantly between regular and irregular attendees. The association between clinic attendance behaviour and lesion location (revealed Vs concealed) was not statistically significant (X(2)0.3). The findings in this study indicate that in the post leprosaria abolition years, default and irregular clinic attendance by patients with leprosy are numerically large and may compound the problems of control programmes, and thus negate the realization of the global goal of intercepting leprosy transmission.

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