Patients help other patients: Qualitative study on a longstanding community cooperative to tackle leprosy in India
Although leprosy is portrayed as a disappearing disease, leprosy affected persons in India are still suffering massively. Even further, nearly 60% of the world's newly detected cases are appearing from India alone. The problem has exacerbated due to the drastic decrease of global funding after...
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| Published in | PLOS Neglected Tropical Diseases Vol. 14; no. 1; p. e0008016 |
|---|---|
| Main Authors | , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
United States
Public Library of Science (PLoS)
01.01.2020
Public Library of Science |
| Subjects | |
| Online Access | Get full text |
| ISSN | 1935-2735 1935-2727 1935-2735 |
| DOI | 10.1371/journal.pntd.0008016 |
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| Abstract | Although leprosy is portrayed as a disappearing disease, leprosy affected persons in India are still suffering massively. Even further, nearly 60% of the world's newly detected cases are appearing from India alone. The problem has exacerbated due to the drastic decrease of global funding after India's official declaration of 'elimination', which did not foster the actual pain of patients beyond prevalence. Leprosy patients have hardships in their lives due to disabilities, stigma and poverty; thus, they require sustained, continuous care even after release from treatment. Yet, current interventions mostly have a vertical, short-term approach, not showing much progress in lightening the burden of leprosy. In contrast, Little Flower Hospital Community (LFHC) in India has been remarkably providing holistic care for thousands of leprosy patients for 35 years. However, there has not been any research conducted to uncover the underlying factors of this longstanding leprosy control model. Therefore, this research explores the in-depth contextual attributes of this hospital community that has been able to successfully provide sustainable care for a long time even without excessive external funds.
This qualitative research used a grounded theory approach, involving 28 in-depth interviews of 11 patients, 13 workers, and 4 board members from the hospital. The interview data were inductively analyzed to examine the contextual factors of the hospital's sustainability. Open coding, axial coding and selective coding were conducted, and Glaser's Six C's model was used to create a theoretical model of the sustainability of LFHC. The fundamental cause of the sustainability was the leprosy patients' strong craving for life with dignity, despite the isolation from the society. The desire resulted in a bottom-up formation of a 'consumer-provider cooperative', where patients mutually support each other with basic treatment learned from experience. The profits earned from the patients' occupational efforts such as dairy farming, cover the costs needed to manage the hospital community, which contributes to economical sustainability. Social sustainability was established through the holistic care including psychosocial, educational, medical, and residential support. The wholesome care socially rehabilitated the patients to be included in the society with satisfaction, social justice and social cohesion. The main limitation of this study is that this study cannot be generalized due to the nature of Grounded Theory based study.
This study investigated the determinants that made LFHC sustainable, and the findings suggested the importance of forming a cooperative community and implementing social rehabilitation for sustainable leprosy control. More exploration on transferring this model to other leprosy colonies will have great impact in maintaining sustainable care for leprosy patients. Furthermore, this research may highlight the importance of sustainable development in policies targeting neglected tropical diseases beyond leprosy as well. |
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| AbstractList | Background Although leprosy is portrayed as a disappearing disease, leprosy affected persons in India are still suffering massively. Even further, nearly 60% of the world’s newly detected cases are appearing from India alone. The problem has exacerbated due to the drastic decrease of global funding after India’s official declaration of ‘elimination’, which did not foster the actual pain of patients beyond prevalence. Leprosy patients have hardships in their lives due to disabilities, stigma and poverty; thus, they require sustained, continuous care even after release from treatment. Yet, current interventions mostly have a vertical, short-term approach, not showing much progress in lightening the burden of leprosy. In contrast, Little Flower Hospital Community (LFHC) in India has been remarkably providing holistic care for thousands of leprosy patients for 35 years. However, there has not been any research conducted to uncover the underlying factors of this longstanding leprosy control model. Therefore, this research explores the in-depth contextual attributes of this hospital community that has been able to successfully provide sustainable care for a long time even without excessive external funds. Methods and findings This qualitative research used a grounded theory approach, involving 28 in-depth interviews of 11 patients, 13 workers, and 4 board members from the hospital. The interview data were inductively analyzed to examine the contextual factors of the hospital’s sustainability. Open coding, axial coding and selective coding were conducted, and Glaser’s Six C’s model was used to create a theoretical model of the sustainability of LFHC. The fundamental cause of the sustainability was the leprosy patients’ strong craving for life with dignity, despite the isolation from the society. The desire resulted in a bottom-up formation of a ‘consumer-provider cooperative’, where patients mutually support each other with basic treatment learned from experience. The profits earned from the patients’ occupational efforts such as dairy farming, cover the costs needed to manage the hospital community, which contributes to economical sustainability. Social sustainability was established through the holistic care including psychosocial, educational, medical, and residential support. The wholesome care socially rehabilitated the patients to be included in the society with satisfaction, social justice and social cohesion. The main limitation of this study is that this study cannot be generalized due to the nature of Grounded Theory based study. Conclusions This study investigated the determinants that made LFHC sustainable, and the findings suggested the importance of forming a cooperative community and implementing social rehabilitation for sustainable leprosy control. More exploration on transferring this model to other leprosy colonies will have great impact in maintaining sustainable care for leprosy patients. Furthermore, this research may highlight the importance of sustainable development in policies targeting neglected tropical diseases beyond leprosy as well. Although leprosy is portrayed as a disappearing disease, leprosy affected persons in India are still suffering massively. Even further, nearly 60% of the world's newly detected cases are appearing from India alone. The problem has exacerbated due to the drastic decrease of global funding after India's official declaration of 'elimination', which did not foster the actual pain of patients beyond prevalence. Leprosy patients have hardships in their lives due to disabilities, stigma and poverty; thus, they require sustained, continuous care even after release from treatment. Yet, current interventions mostly have a vertical, short-term approach, not showing much progress in lightening the burden of leprosy. In contrast, Little Flower Hospital Community (LFHC) in India has been remarkably providing holistic care for thousands of leprosy patients for 35 years. However, there has not been any research conducted to uncover the underlying factors of this longstanding leprosy control model. Therefore, this research explores the in-depth contextual attributes of this hospital community that has been able to successfully provide sustainable care for a long time even without excessive external funds. This qualitative research used a grounded theory approach, involving 28 in-depth interviews of 11 patients, 13 workers, and 4 board members from the hospital. The interview data were inductively analyzed to examine the contextual factors of the hospital's sustainability. Open coding, axial coding and selective coding were conducted, and Glaser's Six C's model was used to create a theoretical model of the sustainability of LFHC. The fundamental cause of the sustainability was the leprosy patients' strong craving for life with dignity, despite the isolation from the society. The desire resulted in a bottom-up formation of a 'consumer-provider cooperative', where patients mutually support each other with basic treatment learned from experience. The profits earned from the patients' occupational efforts such as dairy farming, cover the costs needed to manage the hospital community, which contributes to economical sustainability. Social sustainability was established through the holistic care including psychosocial, educational, medical, and residential support. The wholesome care socially rehabilitated the patients to be included in the society with satisfaction, social justice and social cohesion. The main limitation of this study is that this study cannot be generalized due to the nature of Grounded Theory based study. This study investigated the determinants that made LFHC sustainable, and the findings suggested the importance of forming a cooperative community and implementing social rehabilitation for sustainable leprosy control. More exploration on transferring this model to other leprosy colonies will have great impact in maintaining sustainable care for leprosy patients. Furthermore, this research may highlight the importance of sustainable development in policies targeting neglected tropical diseases beyond leprosy as well. Background Although leprosy is portrayed as a disappearing disease, leprosy affected persons in India are still suffering massively. Even further, nearly 60% of the world’s newly detected cases are appearing from India alone. The problem has exacerbated due to the drastic decrease of global funding after India’s official declaration of ‘elimination’, which did not foster the actual pain of patients beyond prevalence. Leprosy patients have hardships in their lives due to disabilities, stigma and poverty; thus, they require sustained, continuous care even after release from treatment. Yet, current interventions mostly have a vertical, short-term approach, not showing much progress in lightening the burden of leprosy. In contrast, Little Flower Hospital Community (LFHC) in India has been remarkably providing holistic care for thousands of leprosy patients for 35 years. However, there has not been any research conducted to uncover the underlying factors of this longstanding leprosy control model. Therefore, this research explores the in-depth contextual attributes of this hospital community that has been able to successfully provide sustainable care for a long time even without excessive external funds. Methods and findings This qualitative research used a grounded theory approach, involving 28 in-depth interviews of 11 patients, 13 workers, and 4 board members from the hospital. The interview data were inductively analyzed to examine the contextual factors of the hospital’s sustainability. Open coding, axial coding and selective coding were conducted, and Glaser’s Six C’s model was used to create a theoretical model of the sustainability of LFHC. The fundamental cause of the sustainability was the leprosy patients’ strong craving for life with dignity, despite the isolation from the society. The desire resulted in a bottom-up formation of a ‘consumer-provider cooperative’, where patients mutually support each other with basic treatment learned from experience. The profits earned from the patients’ occupational efforts such as dairy farming, cover the costs needed to manage the hospital community, which contributes to economical sustainability. Social sustainability was established through the holistic care including psychosocial, educational, medical, and residential support. The wholesome care socially rehabilitated the patients to be included in the society with satisfaction, social justice and social cohesion. The main limitation of this study is that this study cannot be generalized due to the nature of Grounded Theory based study. Conclusions This study investigated the determinants that made LFHC sustainable, and the findings suggested the importance of forming a cooperative community and implementing social rehabilitation for sustainable leprosy control. More exploration on transferring this model to other leprosy colonies will have great impact in maintaining sustainable care for leprosy patients. Furthermore, this research may highlight the importance of sustainable development in policies targeting neglected tropical diseases beyond leprosy as well. A typical day for a leprosy patient starts like this. One wakes up and discovers that the ulcer on his left foot has worsened over a few days. Strong odor coming from the wound is disturbing and skin continues to deteriorate but he can’t visit the clinic because it is too far from home and also because he does not have enough money. He leaves the house to beg for money on the streets. As usual, people try to avoid being close to him and stares at him with fear. A typical day for a leprosy patient from Little Flower Hospital Community (LFHC) goes like this. One wakes up from the housing provided by LFHC and discovers that the ulcer on her left foot has worsened over a few days. She visits the hospital nearby and gets her wound checked up by the nurse. She leaves the hospital to work at the dairy farm, which is a job provided by the LFHC. The money that she earns is used to support her and the hospital both. As usual, people in the community greet her with a smile. LFHC created a vast difference in the life of the patient, meeting one’s holistic needs. This research explores how LFHC was able to provide appropriate care for leprosy patients and sustain itself for 35 years. The possibilities of implementing the sustainable model of LFHC to marginalized people in the rest of the world are noteworthy. Although leprosy is portrayed as a disappearing disease, leprosy affected persons in India are still suffering massively. Even further, nearly 60% of the world's newly detected cases are appearing from India alone. The problem has exacerbated due to the drastic decrease of global funding after India's official declaration of 'elimination', which did not foster the actual pain of patients beyond prevalence. Leprosy patients have hardships in their lives due to disabilities, stigma and poverty; thus, they require sustained, continuous care even after release from treatment. Yet, current interventions mostly have a vertical, short-term approach, not showing much progress in lightening the burden of leprosy. In contrast, Little Flower Hospital Community (LFHC) in India has been remarkably providing holistic care for thousands of leprosy patients for 35 years. However, there has not been any research conducted to uncover the underlying factors of this longstanding leprosy control model. Therefore, this research explores the in-depth contextual attributes of this hospital community that has been able to successfully provide sustainable care for a long time even without excessive external funds.BACKGROUNDAlthough leprosy is portrayed as a disappearing disease, leprosy affected persons in India are still suffering massively. Even further, nearly 60% of the world's newly detected cases are appearing from India alone. The problem has exacerbated due to the drastic decrease of global funding after India's official declaration of 'elimination', which did not foster the actual pain of patients beyond prevalence. Leprosy patients have hardships in their lives due to disabilities, stigma and poverty; thus, they require sustained, continuous care even after release from treatment. Yet, current interventions mostly have a vertical, short-term approach, not showing much progress in lightening the burden of leprosy. In contrast, Little Flower Hospital Community (LFHC) in India has been remarkably providing holistic care for thousands of leprosy patients for 35 years. However, there has not been any research conducted to uncover the underlying factors of this longstanding leprosy control model. Therefore, this research explores the in-depth contextual attributes of this hospital community that has been able to successfully provide sustainable care for a long time even without excessive external funds.This qualitative research used a grounded theory approach, involving 28 in-depth interviews of 11 patients, 13 workers, and 4 board members from the hospital. The interview data were inductively analyzed to examine the contextual factors of the hospital's sustainability. Open coding, axial coding and selective coding were conducted, and Glaser's Six C's model was used to create a theoretical model of the sustainability of LFHC. The fundamental cause of the sustainability was the leprosy patients' strong craving for life with dignity, despite the isolation from the society. The desire resulted in a bottom-up formation of a 'consumer-provider cooperative', where patients mutually support each other with basic treatment learned from experience. The profits earned from the patients' occupational efforts such as dairy farming, cover the costs needed to manage the hospital community, which contributes to economical sustainability. Social sustainability was established through the holistic care including psychosocial, educational, medical, and residential support. The wholesome care socially rehabilitated the patients to be included in the society with satisfaction, social justice and social cohesion. The main limitation of this study is that this study cannot be generalized due to the nature of Grounded Theory based study.METHODS AND FINDINGSThis qualitative research used a grounded theory approach, involving 28 in-depth interviews of 11 patients, 13 workers, and 4 board members from the hospital. The interview data were inductively analyzed to examine the contextual factors of the hospital's sustainability. Open coding, axial coding and selective coding were conducted, and Glaser's Six C's model was used to create a theoretical model of the sustainability of LFHC. The fundamental cause of the sustainability was the leprosy patients' strong craving for life with dignity, despite the isolation from the society. The desire resulted in a bottom-up formation of a 'consumer-provider cooperative', where patients mutually support each other with basic treatment learned from experience. The profits earned from the patients' occupational efforts such as dairy farming, cover the costs needed to manage the hospital community, which contributes to economical sustainability. Social sustainability was established through the holistic care including psychosocial, educational, medical, and residential support. The wholesome care socially rehabilitated the patients to be included in the society with satisfaction, social justice and social cohesion. The main limitation of this study is that this study cannot be generalized due to the nature of Grounded Theory based study.This study investigated the determinants that made LFHC sustainable, and the findings suggested the importance of forming a cooperative community and implementing social rehabilitation for sustainable leprosy control. More exploration on transferring this model to other leprosy colonies will have great impact in maintaining sustainable care for leprosy patients. Furthermore, this research may highlight the importance of sustainable development in policies targeting neglected tropical diseases beyond leprosy as well.CONCLUSIONSThis study investigated the determinants that made LFHC sustainable, and the findings suggested the importance of forming a cooperative community and implementing social rehabilitation for sustainable leprosy control. More exploration on transferring this model to other leprosy colonies will have great impact in maintaining sustainable care for leprosy patients. Furthermore, this research may highlight the importance of sustainable development in policies targeting neglected tropical diseases beyond leprosy as well. |
| Author | Hyeonseok Koh Juhwan Oh Hee Won Han Ken Ing Cherng Ong Nobutoshi Nawa Ayako Morita Seong Hye Jung Soo-Young Yu Masamine Jimba |
| AuthorAffiliation | 1 Department of Medicine, Seoul National University College of Medicine, Seoul, South Korea Hospital Infantil de Mexico Federico Gomez, UNITED STATES 2 Department of Nursing, Seoul National University College of Nursing, Seoul, South Korea 3 JW LEE Center for Global Medicine, Seoul National University College of Medicine, Seoul, South Korea 4 Institute of Education, Tokyo Medical and Dental University, Tokyo, Japan 5 Department of Global Health Promotion, Tokyo Medical and Dental University, Tokyo, Japan 6 Department of Community and Global Health, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan |
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| Cites_doi | 10.1002/sd.417 10.1016/S1473-3099(08)70293-7 10.1590/S0102-311X2009000600004 10.1371/journal.pntd.0004003 10.47276/lr.81.1.69 10.4103/0019-5154.119952 10.1371/journal.pntd.0001029 10.1371/journal.pntd.0005088 10.47276/lr.80.1.22 10.1080/10705422.2011.550260 10.1111/j.1467-8292.2009.00390.x 10.1093/heapol/czh034 10.3402/gha.v5i0.18394 10.1093/ije/dyh002 10.1016/S1473-3099(11)70006-8 10.1371/journal.pmed.0020341 10.47276/lr.79.1.83 |
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| Copyright | 2020 Jung et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. 2020 Jung et al 2020 Jung et al |
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| References | PN Rao (pntd.0008016.ref016) 2004; 70 H Finkenflugel (pntd.0008016.ref027) 2008; 79 N Hochberg (pntd.0008016.ref003) 2017 BG Glaser (pntd.0008016.ref014) 1967 W Majee (pntd.0008016.ref025) 2011; 19 A Rinaldi (pntd.0008016.ref011) 2005; 2 LRS Kerr-Pontes (pntd.0008016.ref021) 2004; 33 A Singal (pntd.0008016.ref004) 2013; 58 P Streeten (pntd.0008016.ref029) 1981 D Durrheim (pntd.0008016.ref001) 2003 FO Wanyama (pntd.0008016.ref023) 2009; 80 M Lusli (pntd.0008016.ref013) 2016; 10 WH Van Brakel (pntd.0008016.ref035) 2012; 5 DN Lockwood (pntd.0008016.ref007) 2005; 83 WHO (pntd.0008016.ref002) 2003 MK Kindhauser (pntd.0008016.ref039) 2003 WHO (pntd.0008016.ref008) 2016 WHO (pntd.0008016.ref026) 1988 LC Rodrigues (pntd.0008016.ref010) 2011; 11 H Lesshafft (pntd.0008016.ref036) 2010; 81 PN Rao (pntd.0008016.ref005) 2018; 9 WHO (pntd.0008016.ref015) 2018; 93 S Georgieva (pntd.0008016.ref018) 2008 J Corbin (pntd.0008016.ref019) 2008 SG Feenstra (pntd.0008016.ref022) 2011; 5 V Gauri (pntd.0008016.ref024) 2004; 19 P Hotez (pntd.0008016.ref038) 2006 K Senior (pntd.0008016.ref006) 2009; 9 UNDP (pntd.0008016.ref030) 1990 N Dempsey (pntd.0008016.ref033) 2011; 19 S Noordeen (pntd.0008016.ref009) 1995; 73 VP Rao (pntd.0008016.ref028) 2000; 71 VP Shetty (pntd.0008016.ref034) 2009; 80 S McKenzie (pntd.0008016.ref032) 2004 MK Nations (pntd.0008016.ref037) 2009; 25 B Glaser (pntd.0008016.ref017) 1978 JMJFptgtQrin Swanson (pntd.0008016.ref020) 1986 AK Sen (pntd.0008016.ref031) 1999 RM Peters (pntd.0008016.ref012) 2015; 9 |
| References_xml | – volume: 19 start-page: 289 issue: 5 year: 2011 ident: pntd.0008016.ref033 publication-title: The social dimension of sustainable development: Defining urban social sustainability doi: 10.1002/sd.417 – year: 2008 ident: pntd.0008016.ref019 publication-title: Basics of qualitative research: Techniques and procedures for developing grounded theory – volume: 9 start-page: 10 issue: 1 year: 2009 ident: pntd.0008016.ref006 article-title: Stigma, chemoprophylaxis, and leprosy control publication-title: %J The Lancet Infectious Diseases doi: 10.1016/S1473-3099(08)70293-7 – volume-title: Human development report 1990: Concept and measurement of human development year: 1990 ident: pntd.0008016.ref030 – volume: 25 start-page: 1215 year: 2009 ident: pntd.0008016.ref037 article-title: Stigma, deforming metaphors and patients' moral experience of multibacillary leprosy in Sobral, Ceará State, Brazil publication-title: Cadernos de Saúde Pública doi: 10.1590/S0102-311X2009000600004 – year: 2004 ident: pntd.0008016.ref032 publication-title: Social sustainability: towards some definitions – volume: 9 start-page: e0004003 issue: 10 year: 2015 ident: pntd.0008016.ref012 article-title: A cluster-randomized controlled intervention study to assess the effect of a contact intervention in reducing leprosy-related stigma in Indonesia publication-title: PLoS neglected tropical diseases doi: 10.1371/journal.pntd.0004003 – volume-title: The discovery of grounded theory: strategies for qualitative theory year: 1967 ident: pntd.0008016.ref014 – volume: 81 start-page: 69 issue: 1 year: 2010 ident: pntd.0008016.ref036 article-title: Perceived social restriction in leprosy-affected inhabitants of a former leprosy colony in Northeast Brazil publication-title: Leprosy review doi: 10.47276/lr.81.1.69 – volume: 58 start-page: 443 issue: 6 year: 2013 ident: pntd.0008016.ref004 article-title: Leprosy in post-elimination era in India: Difficult journey ahead publication-title: Indian journal of dermatology doi: 10.4103/0019-5154.119952 – volume: 5 start-page: e1029 issue: 5 year: 2011 ident: pntd.0008016.ref022 article-title: Recent food shortage is associated with leprosy disease in Bangladesh: a case-control study publication-title: PLoS neglected tropical diseases doi: 10.1371/journal.pntd.0001029 – volume: 10 start-page: e0005088 issue: 12 year: 2016 ident: pntd.0008016.ref013 article-title: The impact of a rights-based counselling intervention to reduce stigma in people affected by leprosy in Indonesia publication-title: PLoS neglected tropical diseases doi: 10.1371/journal.pntd.0005088 – year: 1981 ident: pntd.0008016.ref029 publication-title: First things first: meeting basic human needs in the developing countries – volume: 9 start-page: 83 issue: 2 year: 2018 ident: pntd.0008016.ref005 publication-title: Current situation of leprosy in India and its future implications – volume: 83 start-page: 230 year: 2005 ident: pntd.0008016.ref007 article-title: Leprosy: too complex a disease for a simple elimination paradigm publication-title: Bulletin of the World Health Organization – volume: 93 start-page: 445 issue: 35 year: 2018 ident: pntd.0008016.ref015 publication-title: Global leprosy update, 2017: reducing the disease burden due to leprosy–Situation de la lèpre dans le monde, 2017: reduction de la charge de morbidité due à la lèpre – volume-title: Communicable diseases 2002: global defence against the infectious disease threat year: 2003 ident: pntd.0008016.ref039 – year: 1978 ident: pntd.0008016.ref017 article-title: Theoretical sensitivity publication-title: Advances in the methodology of grounded theory – volume-title: Development as freedom / Amartya Sen year: 1999 ident: pntd.0008016.ref031 – volume: 80 start-page: 22 issue: 1 year: 2009 ident: pntd.0008016.ref034 article-title: Detection of previously undetected leprosy cases in a defined rural and urban area of Maharashtra, Western India publication-title: Leprosy review doi: 10.47276/lr.80.1.22 – volume: 73 start-page: 1 issue: 1 year: 1995 ident: pntd.0008016.ref009 article-title: Elimination of leprosy as a public health problem: progress and prospects publication-title: Bulletin of the World Health Organization – volume: 19 start-page: 48 issue: 1 year: 2011 ident: pntd.0008016.ref025 article-title: Cooperatives and community development: A perspective on the use of cooperatives in development publication-title: Journal of community practice doi: 10.1080/10705422.2011.550260 – year: 2003 ident: pntd.0008016.ref002 publication-title: World Health Organization Leprosy Elimination Project status report – volume: 80 start-page: 361 issue: 3 year: 2009 ident: pntd.0008016.ref023 article-title: Reinventing the wheel? African cooperatives in a liberalized economic environment publication-title: Annals of Public Cooperative Economics doi: 10.1111/j.1467-8292.2009.00390.x – volume-title: Global leprosy elimination: time to change more than the elimination target date year: 2003 ident: pntd.0008016.ref001 – year: 2017 ident: pntd.0008016.ref003 article-title: Textbook of Global Health, Fourth Edition publication-title: Clinical Infectious Diseases – start-page: 6 year: 2008 ident: pntd.0008016.ref018 article-title: Best Practices in Project Management Through a Grounded Theory Lens publication-title: Electronic Journal of Business Research Methods – year: 1988 ident: pntd.0008016.ref026 publication-title: A guide to leprosy control – volume: 19 start-page: 292 issue: 5 year: 2004 ident: pntd.0008016.ref024 article-title: Separating financing from provision: evidence from 10 years of partnership with health cooperatives in Costa Rica publication-title: Health Policy Planning doi: 10.1093/heapol/czh034 – volume: 5 start-page: 18394 issue: 1 year: 2012 ident: pntd.0008016.ref035 article-title: Disability in people affected by leprosy: the role of impairment, activity, social participation, stigma and discrimination publication-title: Global health action doi: 10.3402/gha.v5i0.18394 – volume: 33 start-page: 262 issue: 2 year: 2004 ident: pntd.0008016.ref021 article-title: Inequality and leprosy in Northeast Brazil: an ecological study publication-title: International journal of epidemiology doi: 10.1093/ije/dyh002 – start-page: 23 year: 2006 ident: pntd.0008016.ref038 article-title: The neglected tropical diseases: the ancient afflictions of stigma and poverty and the prospects for their control and elimination publication-title: Hot topics in infection and immunity in children III: Springer – volume: 70 start-page: 269 issue: 5 year: 2004 ident: pntd.0008016.ref016 article-title: Recent advances in the control programs and therapy of leprosy publication-title: Indian Journal of Dermatology, Venereology, Leprology – volume: 11 start-page: 464 issue: 6 year: 2011 ident: pntd.0008016.ref010 article-title: Leprosy now: epidemiology, progress, challenges, and research gaps publication-title: The Lancet infectious diseases doi: 10.1016/S1473-3099(11)70006-8 – year: 2016 ident: pntd.0008016.ref008 publication-title: Global Leprosy Strategy 2016–2020: accelerating towards a leprosy-free world – volume: 2 start-page: e341 issue: 12 year: 2005 ident: pntd.0008016.ref011 article-title: The global campaign to eliminate leprosy publication-title: PLoS medicine doi: 10.1371/journal.pmed.0020341 – start-page: 121 year: 1986 ident: pntd.0008016.ref020 publication-title: Analyzing data for categories and description – volume: 79 start-page: 83 issue: 1 year: 2008 ident: pntd.0008016.ref027 article-title: Integrating community-based rehabilitation and leprosy rehabilitation services into an inclusive development approach publication-title: Leprosy Review doi: 10.47276/lr.79.1.83 – volume: 71 start-page: 466 issue: 4 year: 2000 ident: pntd.0008016.ref028 article-title: Socio-economic rehabilitation programmes of LEPRA India-methodology, results and application of needs based socio-economic evaluation publication-title: Leprosy review |
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| Snippet | Although leprosy is portrayed as a disappearing disease, leprosy affected persons in India are still suffering massively. Even further, nearly 60% of the... Background Although leprosy is portrayed as a disappearing disease, leprosy affected persons in India are still suffering massively. Even further, nearly 60%... A typical day for a leprosy patient starts like this. One wakes up and discovers that the ulcer on his left foot has worsened over a few days. Strong odor... BACKGROUND:Although leprosy is portrayed as a disappearing disease, leprosy affected persons in India are still suffering massively. Even further, nearly 60%... Background Although leprosy is portrayed as a disappearing disease, leprosy affected persons in India are still suffering massively. Even further, nearly 60%... |
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| Title | Patients help other patients: Qualitative study on a longstanding community cooperative to tackle leprosy in India |
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