APH 2003, 61, 127-139:
Patient characteristics & treatment outcome in active and passive case finding of leprosy. A retrospective cohort study in the province of Niassa, Mozambique.
Y. Stuip, C.H. Phaff, M. Van den Akker
is a common problem in northern Mozambique with an estimated prevalence
of 8.7/10,000 in 1999. During a Leprosy Elimination Campaign (LEC)
the case detection rate rises as a consequence of active case finding.
In the province of Niassa a LEC was organised in 9 out of 16 districts
during the second trimester of 1999. Comparison of patient characteristics
of 1999 LEC patients with those of a group of self-reporting patients
from the second trimester of 1998 shows that LEC patients have a lower
risk to abandon treatment than self-reporting patients. A thorough
phase of information and propaganda raises people's awareness of the
risks of leaving leprosy untreated and of medication being available
for free. Also a lower risk to abandon treatment is found for female
leprosy patients compared to their male counterparts. This result
has been found in previous research and can be explained by the fact
that women in developing countries tend to have a more subordinate
position than men. They are therefore more prone to listen to the
orders from the medical staff.