The development of national leprosy specialized facility to provide comprehensive care
DOI:
https://doi.org/10.14456/dcj.2023.28Keywords:
leprosy, comprehensive care, leprosy node , national leprosy specialized facilityAbstract
The objective of this study was to develop national leprosy specialized facility in providing leprosy related comprehensive care. The study was divided into 4 phases: (i) situation analysis; (ii) developing the service system of comprehensive care; (iii) implementing pilot project; (iv) monitoring and evaluation. There were 51 subjects including 32 medical personnel and 19 leprosy patients. Duration of study was 2 years. Frequency and percentage were used in quantitative analysis. Triangular technique and content analysis were used to validate and analyze qualitative data. The study showed that the developed service system was a multidisciplinary service including counseling and referral for leprosy patients in cases where the leprosy network was unable to provide care. The results showed that (1) the medical personnel and leprosy patients accepted the system at a high level. (2) The medical personnel were satisfied and the leprosy patients were very satisfied with the system. (3) After developing the system, the treatment outcomes were better in terms of increasing the percentage of patients diagnosed at the first visit and reducing the incidence of severe complications related to treatment. One hundred percentage of high-risk leprosy patients were assessed nerve function and 100 percent of persons affected by leprosy were referred to get rehabilitation. From the results showed that the National Leprosy Specialized Facility improve the quality of health services for leprosy patients that suitable for the low prevalence of the disease in Thailand.
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