Bainson K A
Ankaful Leprosy Hospital, Cape Coast, Ghana.
Lepr Rev. 1994 Dec;65(4):376-84. doi: 10.5935/0305-7518.19940038.
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. This paper describes the principles behind the integration, the strategies adopted and how they were implemented. It also includes the achievements made as well as the problems that were encountered and how they were solved.
将麻风病防治纳入初级卫生保健是为麻风病患者提供护理的最全面、最持久的体系。但迄今为止，只有少数国家采用了这种方法，主要是因为担心失败。在过去十年里，加纳制定了一种从垂直项目向综合项目过渡的示范方法。我们方法的亮点包括将麻风病服务作为卫生服务整体发展的一部分来发展，加强地区和分区层面麻风病防治的能力建设，以及建立定期有效的监测以便尽早发现并纠正操作问题。本文描述了整合背后的原则、所采用的策略及其实施方式。它还包括所取得的成就、遇到的问题以及解决这些问题的方式。
