Hansen’s disease deformities in a high risk area in Mozambique: A case study
Abstract INTRODUCTION: Hansen’s disease is no longer a public health problem in Mozambique, since 2008 (incidence under 1 / 10,000 inhabitants). The country is one of the most affected in the world and Nampula province’s Murrupula district (incidence 1.7 / 10,000) has a high deformity rate (22% in...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Sociedade Brasileira de Medicina Tropical (SBMT)
2019-01-01
|
| Series: | Revista da Sociedade Brasileira de Medicina Tropical |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822019000100305&lng=en&tlng=en |
| _version_ | 1811245752631951360 |
|---|---|
| author | Abdoulaye Marega Paulo das Neves Pires Jaibo Mucufo Artur Muloliwa |
| author_facet | Abdoulaye Marega Paulo das Neves Pires Jaibo Mucufo Artur Muloliwa |
| author_sort | Abdoulaye Marega |
| collection | DOAJ |
| description | Abstract INTRODUCTION: Hansen’s disease is no longer a public health problem in Mozambique, since 2008 (incidence under 1 / 10,000 inhabitants). The country is one of the most affected in the world and Nampula province’s Murrupula district (incidence 1.7 / 10,000) has a high deformity rate (22% in 2010). This study aimed to identify high deformity rate associated determinants and proposals for better health program results. METHODS: This study involved a descriptive quantitative survey, systematic observation of patients and health professionals, and a survey of community volunteers. Data were analyzed using Epi Info 7.2. Pearson's chi-square and Fisher’s exact test were used to assess statistical association with deformity, with a significance level of 5% and 95% confidence interval. Ethical procedures followed the Helsinki declaration (2013). RESULTS: Among 238 subjects, 175 were patients and 63 leprosy health staff. Most patients relied on subsistence agriculture facing social exclusion (43, 25%). The waiting time from first symptoms to diagnosis was over one year for 63%. Deformity affected 116 subjects (68%), particularly those who considered the disease as God’s desire (p = 0.01), and practiced traditional treatments (p = 0.001). Among leprosy health staff, 35 (52%) were not trained on diagnosis and management. CONCLUSIONS: High deformity rate is associated with low economic status, the belief that the disease is God’s desire, the use of traditional healers, late diagnosis, and poor disease management. A health education program targeting professionals and population, with infection screening and self-care groups can prevent deformities. |
| first_indexed | 2024-04-12T14:43:55Z |
| format | Article |
| id | doaj.art-e8decddc85b64f1c8cbee49aca518c96 |
| institution | Directory Open Access Journal |
| issn | 1678-9849 |
| language | English |
| last_indexed | 2024-04-12T14:43:55Z |
| publishDate | 2019-01-01 |
| publisher | Sociedade Brasileira de Medicina Tropical (SBMT) |
| record_format | Article |
| series | Revista da Sociedade Brasileira de Medicina Tropical |
| spelling | doaj.art-e8decddc85b64f1c8cbee49aca518c962022-12-22T03:28:44ZengSociedade Brasileira de Medicina Tropical (SBMT)Revista da Sociedade Brasileira de Medicina Tropical1678-98492019-01-0152010.1590/0037-8682-0103-2018S0037-86822019000100305Hansen’s disease deformities in a high risk area in Mozambique: A case studyAbdoulaye MaregaPaulo das Neves PiresJaibo MucufoArtur MuloliwaAbstract INTRODUCTION: Hansen’s disease is no longer a public health problem in Mozambique, since 2008 (incidence under 1 / 10,000 inhabitants). The country is one of the most affected in the world and Nampula province’s Murrupula district (incidence 1.7 / 10,000) has a high deformity rate (22% in 2010). This study aimed to identify high deformity rate associated determinants and proposals for better health program results. METHODS: This study involved a descriptive quantitative survey, systematic observation of patients and health professionals, and a survey of community volunteers. Data were analyzed using Epi Info 7.2. Pearson's chi-square and Fisher’s exact test were used to assess statistical association with deformity, with a significance level of 5% and 95% confidence interval. Ethical procedures followed the Helsinki declaration (2013). RESULTS: Among 238 subjects, 175 were patients and 63 leprosy health staff. Most patients relied on subsistence agriculture facing social exclusion (43, 25%). The waiting time from first symptoms to diagnosis was over one year for 63%. Deformity affected 116 subjects (68%), particularly those who considered the disease as God’s desire (p = 0.01), and practiced traditional treatments (p = 0.001). Among leprosy health staff, 35 (52%) were not trained on diagnosis and management. CONCLUSIONS: High deformity rate is associated with low economic status, the belief that the disease is God’s desire, the use of traditional healers, late diagnosis, and poor disease management. A health education program targeting professionals and population, with infection screening and self-care groups can prevent deformities.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822019000100305&lng=en&tlng=enDeformityHansen’s diseaseLeprosyNampulaMozambique |
| spellingShingle | Abdoulaye Marega Paulo das Neves Pires Jaibo Mucufo Artur Muloliwa Hansen’s disease deformities in a high risk area in Mozambique: A case study Revista da Sociedade Brasileira de Medicina Tropical Deformity Hansen’s disease Leprosy Nampula Mozambique |
| title | Hansen’s disease deformities in a high risk area in Mozambique: A case study |
| title_full | Hansen’s disease deformities in a high risk area in Mozambique: A case study |
| title_fullStr | Hansen’s disease deformities in a high risk area in Mozambique: A case study |
| title_full_unstemmed | Hansen’s disease deformities in a high risk area in Mozambique: A case study |
| title_short | Hansen’s disease deformities in a high risk area in Mozambique: A case study |
| title_sort | hansen s disease deformities in a high risk area in mozambique a case study |
| topic | Deformity Hansen’s disease Leprosy Nampula Mozambique |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822019000100305&lng=en&tlng=en |
| work_keys_str_mv | AT abdoulayemarega hansensdiseasedeformitiesinahighriskareainmozambiqueacasestudy AT paulodasnevespires hansensdiseasedeformitiesinahighriskareainmozambiqueacasestudy AT jaibomucufo hansensdiseasedeformitiesinahighriskareainmozambiqueacasestudy AT arturmuloliwa hansensdiseasedeformitiesinahighriskareainmozambiqueacasestudy |