Utilizing primary health care workers for case detection.
Under the National Leprosy Elimination Programme it takes at least one year for the paramedical worker to survey the allotted population for case detection.
An alternative strategy is warranted for States like Bihar still having a high case load and poorly functioning leprosy programme.
An intensive case finding programme using Primary Health Care (PHC) workers was organized in Bhojpur district, Bihar State, India.
The whole population (3 173 701 in 1996) of the district was screened within a period of four days and confirmation of suspected cases was carried out in four days.
During this screening procedure, 1586 new leprosy cases were detected (NCDR=5 cases per 10 000) and all were started on MDT.
The new cases constituted 26.4% of active cases existing on record before the screening.
After this experience, the prevalence rate of active cases increased from 19 to 24 per 10 000.
If such rapid screening programmes are done at least twice a year, it will greatly hasten the process of elimination of leprosy.
Mots-clés Pascal : Lèpre, Mycobactériose, Bactériose, Infection, Personnel sanitaire, Soin, Primaire, Dépistage, Programme sanitaire, Homme, Inde, Asie, Peau pathologie
Mots-clés Pascal anglais : Leprosy, Mycobacterial infection, Bacteriosis, Infection, Health staff, Care, Primary, Medical screening, Sanitary program, Human, India, Asia, Skin disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0402161
Code Inist : 002B05B02L1. Création : 25/01/1999.