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  1. A comparative study of the cost and effectiveness of a modified system of mdt drug delivery system in a high endemic district (Nalagonda) of South India.

    Article - En anglais

    Fall in the case load (from 17 000 to 4 500), has changed the disease profile and introduction of fixed duration Therapy (FDT) has made management of leprosy cases rather easy in Nalgonda, a backward district in Andhra Pradesh.

    The system of drug delivery which was conceived for managing large case load, however, remains unchanged, thereby resulting not only in considerable wastage of resources but also in hampering other activities like case detection and patient care.

    This study was undertaken to develop and assess a modified ysten of drug delivery in terms of the cost and effectiveness, its overall effect on other activities in the programme and its acceptability by the field staff Four Leprosy Control Units (LCUs) were selected and were randomly assigned either to study (Gudibanda, Suryapet) or control (Nalgonda, Bhuvanagiri) group.

    In the study group the modified drug delivery system replaced the existing system.

    The modified system consisted of the para medical worker being made responsible for patients at all the DDPs in his subcentre.

    The clinics were managed alternately by medical officers and non medical supervisors every month.

    In the control group each clinic was managed by medical officers every month and it covered two sub centers with each drug delivery point being assisted by a para medical worker. (...)

    Mots-clés Pascal : Lèpre, Mycobactériose, Bactériose, Infection, Etude comparative, Analyse avantage coût, Traitement, Polychimiothérapie, Service santé, Distribution, Homme, Inde, Asie, Peau pathologie, Surveillance sanitaire

    Mots-clés Pascal anglais : Leprosy, Mycobacterial infection, Bacteriosis, Infection, Comparative study, Cost benefit analysis, Treatment, Polychemotherapy, Health service, Distribution, Human, India, Asia, Skin disease, Sanitary surveillance

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0477996

    Code Inist : 002B05B02L1. Création : 22/03/2000.