Verma C, Rao P S S, Raju M S
Research Resource Centre, The Leprosy Mission Trust of India, B-13/A, Institutional Area, Sector-62, Noida-201307, India.
Indian J Lepr. 2011 Apr-Jun;83(2):95-100.
Leprosy services were integrated into the general health a decade ago but it seems that a majority of public are still ignorant of this development. Hence, a study was done in Uttar Pradesh, India to determine the awareness about integration and its relationships to various socio-demographic factors. A multistage representative random sample of 3000 persons was chosen in Faizabad district, selecting a sample of 3 villages each situated within 1 km, 1-3 km and beyond 3 km of a PHC. A systematic random sample of 10% of households was chosen from selected villages and an adult male and an adult female from each household interviewed by a qualified investigator. Data were computerized and cross- tabulated against distance from the PHC, sex, age, education and occupational status. Only 45.7% in Uttar Pradesh are aware of the availability of leprosy treatment facilities at PHC but most knew that MDT was free. A smaller proportion was also aware of other facilities such as ulcer dressing and treatment of complications. Family members and health workers and PHC were the main source of information. It is concluded that massive efforts are urgently needed to educate the rural public on integration.
十年前麻风病服务已纳入综合医疗卫生体系，但大多数公众似乎仍对此进展一无所知。因此，在印度北方邦开展了一项研究，以确定人们对这种整合的知晓情况及其与各种社会人口因素的关系。在法扎巴德区选取了一个由3000人组成的多阶段代表性随机样本，从每个距离初级卫生保健中心（PHC）1公里以内、1 - 3公里以及3公里以外的区域各选3个村庄作为样本。从选定的村庄中按系统随机抽样选取10%的家庭，由一名合格的调查员对每个家庭中的一名成年男性和一名成年女性进行访谈。数据被录入计算机，并根据与初级卫生保健中心的距离、性别、年龄、教育程度和职业状况进行交叉制表。在北方邦，只有45.7%的人知道初级卫生保健中心有麻风病治疗设施，但大多数人知道多药联合化疗是免费的。也有较小比例的人知晓其他设施，如溃疡包扎和并发症治疗。家庭成员、卫生工作者和初级卫生保健中心是主要的信息来源。研究得出结论，迫切需要做出巨大努力来对农村公众进行关于整合的教育。
