01602nas a2200301   4500000000100000008004100001260001200042653001200054653001900066653001300085653001000098653002500108653001200133653001200145653001600157653002000173653001100193653001500204653003600219100001300255700001500268245004100283856006700324300001200391490000700403050001600410520087400426       2004                            d  c2004///10aTherapy10aRehabilitation10aPatients10aPaper10aMultipledrug therapy10aMethods10aleprosy10aIntegration10aHealth Services10aHealth10aDisability10aCommunity based rehabilitation 1 aThomas M1 aThomas M J00aChallenges in leprosy rehabilitation  uhttp://english.aifo.it/disability/apdrj/apdrj104/lep-rehab.pdf  a45 - 490 v15  aTHOMAS 20043 a<p>'Multiple drug Therapy' (MDT) has transformed the outcome of leprosy in people affected by it. Leprosy affected persons develop much less disfiguring disabilities after use of MDT. As a result leprosy services are now becoming integrated into general health services. When this integration becomes stronger, leprosy rehabilitation is also likely to adopt methods followed by general health services. Vertical, stand-alone services, based on single aetiology like leprosy, will require some adaptation to fit in with the environment of general health services. The authors speculate that changes in leprosy rehabilitation could make 'community based rehabilitation' (CBR) an important method for the vast majority of leprosy patients who need rehabilitaion. This paper discusses some of the concerns regarding the suitabilitay of CBR for leprosy rehabilitation.</p>