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120719 Disability in people affected by leprosy


Disability in people affected by leprosy: the role of impairment, activity, social participation, stigma and discrimination


Leprosy-related disability is a challenge to public health, and social and rehabilitation services in endemic countries. Disability is more than a mere physical dysfunction, and includes activity limitations, stigma, discrimination, and social participation restrictions. The authors of this paper assessed the extent of disability and its determinants among persons with leprosy-related disabilities after release from multi drug treatment.
They conducted a survey on disability among persons affected by leprosy in Indonesia, using a Rapid Disability Appraisal toolkit based on the International Classification of Functioning, Disability and Health.

The majority of respondents reported problems in all components of disability. The reported physical impairment after release from treatment justifies ongoing monitoring to facilitate early prevention. Stigma was a major determinant of social participation, and therefore disability. Stigma reduction activities and socio-economic rehabilitation are urgently needed in addition to strategies to reduce the development of further
physical impairment after release from treatment.