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Integration of the leprosy programme into primary health care: a case study of perceptions of primary health care workers.
Indian J Lepr ; 2003 Jul-Sep; 75(3): 243-58
Artículo en Inglés | IMSEAR | ID: sea-55054
ABSTRACT
Integration of the vertical leprosy programme into the existing horizontal health programme poses various administrative and operational challenges to programmers. In order to understand the preparedness of the PHC workers for integration of leprosy into primary health care services, 71 PHC workers were interviewed using a structured interview schedule. The results showed that about 42% of the staff have heard of the concept of integration earlier and 90% of the PHC staff are willing to treat leprosy patients in the primary health care centre, but only 72% were in favour of integration. The reasons for favouring integration were (1) wider coverage with MDT, (2) frequent field visits by the worker, (3) better rapport with the community, (4) timely treatment and (5) cost-effectiveness. About 28% of the staff members did not favour integration for the reasons that the leprosy programme would suffer, targets cannot be met, supervision would be difficult, knowledge of the staff was inadequate and importance cannot be given to leprosy as family planning is always a priority in PHC centres. About 43% of the staff felt that the performance of the leprosy programme would be better after integration. With regard to workload, 60% of the sample felt that there would be increase in the workload in the field, record maintenance and supervision. The difficulties foreseen by the workers were grouped into 6 categories, viz., administrative, managerial, technical, personnel, social and miscellaneous. It is worth noting that 91% of the staff that included all categories said they were not afraid of leprosy, but needed training in leprosy work. About 50% of the staff expected increase in salaries and promotions if integration took place.
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Texto completo: Disponible Índice: IMSEAR (Asia Sudoriental) Asunto principal: Atención Primaria de Salud / Humanos / Actitud del Personal de Salud / India / Leprostáticos / Lepra Tipo de estudio: Investigación cualitativa País/Región como asunto: Asia Idioma: Inglés Revista: Indian J Lepr Asunto de la revista: Tropical Medicine Año: 2003 Tipo del documento: Artículo

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Texto completo: Disponible Índice: IMSEAR (Asia Sudoriental) Asunto principal: Atención Primaria de Salud / Humanos / Actitud del Personal de Salud / India / Leprostáticos / Lepra Tipo de estudio: Investigación cualitativa País/Región como asunto: Asia Idioma: Inglés Revista: Indian J Lepr Asunto de la revista: Tropical Medicine Año: 2003 Tipo del documento: Artículo