Assessing the impact of the twin track socio-economic intervention on reducing leprosy-related stigma in Cirebon District, Indonesia.

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TitleAssessing the impact of the twin track socio-economic intervention on reducing leprosy-related stigma in Cirebon District, Indonesia.
Publication TypeJournal Article
AuthorsDadun D, Peters RMH, van Brakel WH, Bunders JGF, Irwanto I, Regeer BJ
Abbrev. JournalInt J Environ Res Public Health
JournalInternational journal of environmental research and public health
Year of Publication2019
Volume16
Issue3
Publication Languageeng
KeywordsDisability, Indonesia, Leprosy, Socio-economic development (SED), Stigma, Twin track approach
Abstract

The consequences of leprosy go beyond the physical, social and psychological, as leprosy can drive persons affected and their families into poverty, stigmatization and disability. This paper describes the impact of a socio-economic development (SED) intervention that uses a twin-track approach (two micro-credit models) to reduce leprosy-related stigma in Cirebon District, Indonesia. A randomized-controlled mixed-methods study design was used to test the effectiveness of the SED intervention. Three scales were used to measure stigma and participation restrictions among 30 SED clients and 57 controls, 20 in-depth interviews with SED clients and seven Focus Group Discussions (FGDs) with key persons were held and 65 profiles of the clients were written up and analysed. The qualitative data shows the socio-economic status of 44 out of 65 SED clients (67%) improved. The median family income increased by 25%, more clients reported higher self-esteem, better interaction with neighbours and less stigma than before, although disclosure concerns remained an issue. The scales indicate a positive effect of the intervention on reducing stigma (e.g., Stigma Assessment and Reduction of Impact (SARI) stigma scale mean difference total score of pre and post assessment for SED clients versus the control group was 8.5 versus 5.6). A twin track socio-economic intervention, if embedded and integrated, can increase participation, and be constructive in reducing leprosy-related stigma.

PubMed URL

http://www.ncbi.nlm.nih.gov/pubmed/30691157?dopt=Abstract

DOI10.3390/ijerph16030349
Link to full texthttps://www.mdpi.com/1660-4601/16/3/349/htm
Grant List709.00.22 / / ILEP /