02482nas a2200397 4500000000100000008004100001260001300042653001000055653000900065653002500074653003200099653001100131653003400142653003700176653001900213653001100232653001200243653000900255653003100264653001600295653001200311653002000323653002000343653002100363653002600384653003100410100001400441700001100455245011600466856005900582300001200641490000700653050001600660520139400676022001402070 1999 d c1999 Sep10aAdult10aAged10aDeveloping countries10aEvaluation Studies as Topic10aFemale10aHealth Services Accessibility10aHealth Services Needs and Demand10aHealth Surveys10aHumans10aleprosy10aMale10aMedically Underserved Area10aMiddle Aged10aNigeria10aQuality of Life10aRisk Assessment10aRural Population10aSocioeconomic Factors10aSurveys and Questionnaires1 aOgbeiwi O1 aNash J00aWhat would make your life better? A needs analysis of leprosy settlements in the middle belt region of Nigeria. uhttp://leprev.ilsl.br/pdfs/1999/v70n3/pdf/v70n3a10.pdf a295-3040 v70 aOGBEIWI19993 a

A needs analysis using rural appraisal and matrix ranking techniques was done in six leprosy communities in the middle belt region of Nigeria. Asked 'what would make their life better?' whole village groups were made to list, prioritize and rank their expressed needs by voting in a matrix table drawn on the ground. Out of a total of 504 votes, 31% was for health care or drugs for their general ailments, 23.6% for money and less than 10% for other needs that ranged from water, trade and housing to love and, least, mobility aids. Health care was prioritized in all communities but got the highest votes in three communities, money got the highest in the only two communities where it was prioritized and water in one. The need ranked the highest in each settlement seemed to be a reflection of its peculiar socio-economic situation. Apart from the similar priorities of health care and money, men's differing priorities were water, housing, clothes and assistance with farming, and women's, school fees for children, family, trade and food. These reflect their different traditional roles. Considering the variety of needs we think that there is no one solution to rehabilitation in the Nigerian context, but the situation and context of individual settlements should be considered, looking at general health care, income generation or loans schemes, schooling and water supply.

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