Challenges in leprosy rehabilitation

'Multiple drug Therapy' (MDT) has transformed the outcome of leprosy in people affected by it. Leprosy affected persons develop much less disfiguring disabilities after use of MDT. As a result leprosy services are now becoming integrated into general health services. When this integration becomes stronger, leprosy rehabilitation is also likely to adopt methods followed by general health services. Vertical, stand-alone services, based on single aetiology like leprosy, will require some adaptation to fit in with the environment of general health services. The authors speculate that changes in leprosy rehabilitation could make 'community based rehabilitation' (CBR) an important method for the vast majority of leprosy patients who need rehabilitaion. This paper discusses some of the concerns regarding the suitabilitay of CBR for leprosy rehabilitation.