Valencia L B
Southeast Asian J Trop Med Public Health. 1986 Sep;17(3):442-50.
The study addresses the question of how the qualitative aspect of the interaction between the people involved in the leprosy control programme affects the process of patients (P), service providers (SP) and satellite informants (SI) composed of community leaders, in the delivery of basic leprosy control services in two high leprosy endemic villages in La Union province, the Philippines. The interaction between P, SP and SI as an independent variable is imagined to be linked in a form of a triad, influenced by psycho-social and environmental variables. Data was gathered by conventional methods as interviews, historical research and use of rating scales as well as non-conventional methods as PUP, a locally developed standardized instrument which measures variables that determine a Filipino's adjustment to social situations, and photographic documentation. Statistical analysis was made on the independent variable and the dependent variable - an improved Leprosy Control Programme. It was observed that the stigmatization of Hansenites had deep historical roots with the policy of colonial administrations to isolate and segregate Hansenites. This stigma remains to the present and was observed to exist even among service providers: Low knowledge levels of patients on the causes of the disease on the one hand, and service providers on the cure, particularly on the use of Multiple Drug Therapy. The reorganization scheme of the Health Ministry also resulted in the slow down of leprosy control activities thereby affecting delivery of services. Individual personality traits and other psycho-social factors of P, SP and SI further contributed to the lag in service delivery.(ABSTRACT TRUNCATED AT 250 WORDS)
该研究探讨了在菲律宾拉乌尼翁省两个麻风病高发村庄提供基本麻风病防治服务的过程中，麻风病防治项目相关人员之间互动的定性方面如何影响由患者（P）、服务提供者（SP）以及由社区领袖组成的卫星信息提供者（SI）的进程。P、SP和SI之间的互动作为一个自变量，被认为以三元组的形式相互关联，并受到心理社会和环境变量的影响。数据通过常规方法收集，如访谈、历史研究和使用评级量表，以及非常规方法，如PUP（一种当地开发的标准化工具，用于测量决定菲律宾人对社会状况适应程度的变量）和照片记录。对自变量和因变量——改进后的麻风病防治项目进行了统计分析。研究发现，对麻风病人的污名化有着深厚的历史根源，源于殖民政府隔离和区分麻风病人的政策。这种污名至今仍然存在，甚至在服务提供者中也能观察到：一方面患者对疾病病因的了解程度较低，另一方面服务提供者对治疗方法，特别是对联合化疗的使用了解不足。卫生部的重组计划也导致麻风病防治活动放缓，从而影响了服务的提供。P、SP和SI的个人性格特征及其他心理社会因素进一步导致了服务提供的滞后。（摘要截断于250字）
