01945nas a2200397   4500000000100000008004100001260005500042653001500097653001000112653000900122653001000131653002800141653002100169653001100190653001100201653001000212653002400222653001200246653000900258653001600267653002300283653001400306653001900320653002600339653003100365653001600396100001500412700001200427700001200439700001200451245009400463300000900557490000700566520096000573022001401533       2011                            d  c2011 Apr-JunbHind Kusht Nivaran SanghaNew Delhi 10aAdolescent10aAdult10aAged10aChild10aCommunity participation10aDisabled Persons10aFemale10aHumans10aIndia10aInterviews as Topic10aleprosy10aMale10aMiddle Aged10aProgram evaluation10aSelf care10aSocial Support10aSocioeconomic Factors10aSurveys and Questionnaires10aYoung Adult1 aPorichha D1 aRAO V N1 aSamal P1 aRao A K00aTransfer of disability care of leprosy to the affected persons and the community members.  a81-60 v833 a<p>Bargarh district in the western Orissa had high leprosy burden and LEPRA India supported in control activities. Its main focus was on POD care with community participation. After motivation and capacity building, it transferred the responsibility of POD care to affected persons, family, community partners and GHS staff in 2006. The effectiveness of this approach was evaluated in 2009. With personal contact responses from 112 (17%) persons with disability and 18 stakeholders were obtained. Result shows 98% affected persons are staying with family; 92% are practicing self-care; 92% felt self-care is beneficial; 57% and 36% are using commercial and MCR footwear respectively. Surgical correction of deformity is maintained in 80% of cases. Difficulty in activity and in community participation was experienced in about one third of affected persons the latter is mostly due to self stigma. The facilitators were happy with their beneficiaries.</p>  a0254-9395