%0 Journal Article
%T Leprosy control in the post leprosaria abolition years in Nigeria: Reasons for default and irregular attendance at treatment centers
%A MC Nwosu
%A SNN Nwosu
%J West African Journal of Medicine
%D 2002
%I 
%X A questionnaire was administered to all patients with leprosy seen at the four leprosy clinics in Anambra State in a face-to-face interview. The questions covered among other items, the clinic attendance behavior and the single most important reason for absenteeism in the previous year. The total and individual reasons for absenteeism were determined for the various behavioral subgroups. The differences in frequencies and association were analyzed. Values of p<0.05 were considered as significant. The results showed that 27 females and 26 males were interviewed. 39.6% of the patients were irregular attendees, 7.5% were defaulters. Attendance at meetings (p<0.001); work at home (p<0.01); fear/shame/indignation (p<0.05); no confidence in treatment (p<0.025) were significant reason for absenteeism among irregular attendees, inter-current illnesses as reasons for absenteeism did not differ significantly between regular and irregular attendees. The association between clinical attendance behavior and lesion location (revealed Vs concealed) was not statistically significant (X20.3). the finding in this study indicates that in the post leprosaria abolition years, default and irregular clinic attendance by patients with leprosy are numerically large and may compound the problems of control programmes, and thus negate the realization of the global goal of intercepting leprosy transmission. R¨¦sum¨¦ Une questionnaire a ¨¦t¨¦ distrubu¨¦ aux maladies souffrant de la l¨¦pre, venant de quatre cliniques de la l¨¦pre, au Nig¨¦ria ¨¤ travers une intrevue face-¨¤-face avec ces maladies. Les questions sont bas¨¦es sur l'habitude de frequenter la clinique et la question la plus importante, mensuelle, par rapport au absent¨¦isme dans l'ann¨¦e pr¨¦c¨¦dente. On avait note la fr¨¦quence des raisons relatives au absent¨¦isme au niveau individual ainsi que general ¨¤ l'¨¦gard du behaviorisme des sous-groupes diverses. On avait analys¨¦ les differences entre les frequences et ses donn¨¦es. On a note les chiffres P<0.05 tr¨¨s remarquables. Il en r¨¦sulte que 27 femelles et 26 males ont ¨¦t¨¦ intrevu¨¦s. 39.6% des maladies avec frequentations irr¨¦guli¨¨res, 7,5% retardataires. Assistance ¨¤ des reunions (P<0.001); travaux domestiques (P<0.01) la peurla honte indignation (P<0.025) ¨¦taient des raisons valuables pour l'absent¨¦isme chez les maladies avec frequentations irr¨¦guli¨¨res, des maladies de temps en temps sont des raisons communes pour l'absent¨¦isme chez les deux groups. L'haitude de la frequentation de la clinique par rapport ¨¤ la situation de la lesion (r¨¦v¨¦l¨¦e par rapport ¨¤ la cach¨¦e) n'a pas indiqu¨¦e des donn¨¦s remarquables (X20,3). On arrive ¨¤ la conclusion que dans les ann¨¦es de la lutte contre la leper, le taux de la defiance et de la frequentation irr¨¦guli¨¨re ¨¤ la clinique par les maladies souffrant de la l¨¨pre est ¨¦lev¨¦ ce qui pourrait poser un probl¨¨me ¨¦norme pour le programme de la lutte contre cette maladie, ce qui pourrait ¨¦galement emp¨ºcher l'objectif global pour d¨¦raciner l'attaque de
%U http://www.ajol.info/index.php/wajm/article/view/28025