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 2...
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ftdoajarticles:oai:doaj.org/article:e8decddc85b64f1c8cbee49aca518c96 2023-05-15T15:10:45+02:00 Hansen’s disease deformities in a high risk area in Mozambique: A case study Abdoulaye Marega Paulo das Neves Pires Jaibo Mucufo Artur Muloliwa 2019-01-01T00:00:00Z https://doi.org/10.1590/0037-8682-0103-2018 https://doaj.org/article/e8decddc85b64f1c8cbee49aca518c96 EN eng Sociedade Brasileira de Medicina Tropical (SBMT) http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822019000100305&lng=en&tlng=en https://doaj.org/toc/1678-9849 1678-9849 doi:10.1590/0037-8682-0103-2018 https://doaj.org/article/e8decddc85b64f1c8cbee49aca518c96 Revista da Sociedade Brasileira de Medicina Tropical, Vol 52, Iss 0 (2019) Deformity Hansen’s disease Leprosy Nampula Mozambique Arctic medicine. Tropical medicine RC955-962 article 2019 ftdoajarticles https://doi.org/10.1590/0037-8682-0103-2018 2022-12-30T21:39:13Z 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. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Revista da Sociedade Brasileira de Medicina Tropical 52 |
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Directory of Open Access Journals: DOAJ Articles |
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ftdoajarticles |
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English |
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Deformity Hansen’s disease Leprosy Nampula Mozambique Arctic medicine. Tropical medicine RC955-962 |
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Deformity Hansen’s disease Leprosy Nampula Mozambique Arctic medicine. Tropical medicine RC955-962 Abdoulaye Marega Paulo das Neves Pires Jaibo Mucufo Artur Muloliwa Hansen’s disease deformities in a high risk area in Mozambique: A case study |
topic_facet |
Deformity Hansen’s disease Leprosy Nampula Mozambique Arctic medicine. Tropical medicine RC955-962 |
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. |
format |
Article in Journal/Newspaper |
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 |
title |
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_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_sort |
hansen’s disease deformities in a high risk area in mozambique: a case study |
publisher |
Sociedade Brasileira de Medicina Tropical (SBMT) |
publishDate |
2019 |
url |
https://doi.org/10.1590/0037-8682-0103-2018 https://doaj.org/article/e8decddc85b64f1c8cbee49aca518c96 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista da Sociedade Brasileira de Medicina Tropical, Vol 52, Iss 0 (2019) |
op_relation |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822019000100305&lng=en&tlng=en https://doaj.org/toc/1678-9849 1678-9849 doi:10.1590/0037-8682-0103-2018 https://doaj.org/article/e8decddc85b64f1c8cbee49aca518c96 |
op_doi |
https://doi.org/10.1590/0037-8682-0103-2018 |
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Revista da Sociedade Brasileira de Medicina Tropical |
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52 |
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