TY - JOUR KW - Adolescent KW - Adult KW - Age Distribution KW - Child KW - Child, Preschool KW - Developing countries KW - Disease Outbreaks KW - Female KW - Health Surveys KW - Humans KW - Incidence KW - Infant KW - leprosy KW - Male KW - Middle Aged KW - National Health Programs KW - Nigeria KW - Program evaluation KW - Risk Factors KW - Sex Distribution KW - Survival Rate AU - Ebenso B E AB -

This article reports the outcome of a Special Action Project for the Elimination of Leprosy (SAPEL), including the implementation of multidrug therapy (MDT) in difficult situations in Akwa Ibom State in Nigeria. Twenty-two fishing villages and five communities in areas of gully erosion participated in the project from August 1996 to September 1997. Seven new cases were detected and treated with MDT. Twenty-one out of 22 defaulters examined resided in the mainland part of the project area and not in the fishing villages. Considerable difficulties were encountered with regard to the exorbitant cost of transport, physical attacks on the teams and the lack of reliable information on population figures for the project area. The discussion includes attention to the cost-effectiveness of the SAPEL approach under the conditions described and the need to develop better monitoring of treatment and community participation in poorly accessible areas.

BT - Leprosy review C1 - http://www.ncbi.nlm.nih.gov/pubmed/10405545?dopt=Abstract CN - Infolep Library - available DA - 1999 Mar DO - 10.5935/0305-7518.19990012 IS - 1 J2 - Lepr Rev LA - eng N2 -

This article reports the outcome of a Special Action Project for the Elimination of Leprosy (SAPEL), including the implementation of multidrug therapy (MDT) in difficult situations in Akwa Ibom State in Nigeria. Twenty-two fishing villages and five communities in areas of gully erosion participated in the project from August 1996 to September 1997. Seven new cases were detected and treated with MDT. Twenty-one out of 22 defaulters examined resided in the mainland part of the project area and not in the fishing villages. Considerable difficulties were encountered with regard to the exorbitant cost of transport, physical attacks on the teams and the lack of reliable information on population figures for the project area. The discussion includes attention to the cost-effectiveness of the SAPEL approach under the conditions described and the need to develop better monitoring of treatment and community participation in poorly accessible areas.

PY - 1999 SP - 56 EP - 62 T2 - Leprosy review TI - Results of a 1 year Special Action Project for the Elimination of Leprosy (SAPEL) in poorly accessible areas of Akwa Ibom State, Nigeria. UR - http://leprev.ilsl.br/pdfs/1999/v70n1/pdf/v70n1a12.pdf VL - 70 SN - 0305-7518 ER -