Integration of leprosy control into primary health care is the most comprehensive and permanent system of delivering care to leprosy patients.

But so far only a few countries have adopted this approach, largely on account of a fear of failure.

Over the past decade Ghana has developed a model approach towards the transition from a vertical to an integrated programme.

The highlights of our approach included the development of the leprosy service as part of the overall development of the health service, increasing capacity building for leprosy control at the district and subdistrict levels as well as the establishment of a regular and effective monitoring to identify and correct operational problems early.