Diallo B, Barro Traoré F, Andonaba J B, Tapsoba P, Sawadogo G, Traoré A
Service de dermatologie-venereologie du centre hospitalier universitaire Souro Sanou de Bobo-Dioulasso, 01 BP 676 Bobo-Dioulasso 01, Burkina Faso.
Mali Med. 2012;27(1):27-32.
Burkina Faso achieved the leprosy elimination as a public health problem but this benefit was being lost. So, the National Program for Fighting against Leprosy has defined a strategy to reverse this situation. The aim of this survey was to evaluate the performance of the national program in the execution of this strategy in the region of "Hauts Bassins" (Burkina Faso) from 2005 to 2009.
The survey was led through the five sanitary districts of the region. It consisted in interview with the mean actors of leprosy control program and the analysis of the data notified on the leprosy cases, in order to estimate the progression of the key indicators of detection and follow-up care for patients having leprosy.
During the survey period, 248 cases of leprosy were recorded including 236 new cases and 12 relapses. The prevalence of leprosy was 0.28 per 100 000 inhabitants in 2009. The detection rate decreased from 3.77 per 100 000 in 2005 to 2.75 per 100 000 in 2009. Among the 236 new cases of leprosy, 194 (82.2 %) were multibacillary form (MB). MB patients proportion increased from 69,3 % in 2005 to 91.1 % in 2009. The proportion of children was on average 3.8 %, the one of female cases 38.9 %. Newly diagnosed cases with grade 2 disabilities moved up from 21.4 % in 2005 to 42.2 % in 2009. The completion of cure rate was globally 88.26 %. The losts from follow-up among the patients who started multi-drug therapy were 7.14 %.
The aim of the leprosy elimination as a public health problem is achieved but some challenges may be taken up, particularly in the organization of leprosy detection by the heath structures.
布基纳法索已实现将麻风病作为公共卫生问题予以消除，但这一成果正在丧失。因此，国家麻风病防治计划制定了一项战略来扭转这一局面。本次调查的目的是评估国家计划在2005年至2009年期间在布基纳法索“上盆地”地区实施该战略的成效。
通过该地区的五个卫生区开展调查。调查包括与麻风病控制项目的主要参与者进行访谈以及对麻风病病例通报数据进行分析，以便评估麻风病患者检测和后续护理关键指标的进展情况。
在调查期间，共记录了248例麻风病病例，其中包括236例新发病例和12例复发病例。2009年麻风病患病率为每10万居民0.28例。检测率从2005年的每10万居民3.77例降至2009年的每10万居民2.75例。在236例新发病例中，194例（82.2%）为多菌型（MB）。MB患者比例从2005年的69.3%增至2009年的91.1%。儿童比例平均为3.8%，女性病例比例为38.9%。新诊断出的二级残疾病例从2005年的21.4%升至2009年的42.2%。治愈完成率总体为88.26%。开始接受多药治疗的患者失访率为7.14%。
将麻风病作为公共卫生问题予以消除的目标已经实现，但仍可能面临一些挑战，尤其是在卫生机构组织麻风病检测方面。
