Factors Influencing Proper Plantar Ulcer Care of Leprosy Patients: Experience from Mon-Ywa Township of Disabilities Survey Project, Myanmar
DOI:
https://doi.org/10.12970/2310-998X.2013.01.02.4Keywords:
Proper plantar ulcer care, factors influencing, Myanmar, leprosy, disability.Abstract
A cross-sectional study design was applied to explore types and ways of proper plantar ulcer care and factors influencing it. This study was conducted during 2008 in Mon-ywa Township because it is one of the ‘9 selected townships of the Disabilities survey project’. The study involved 19 patients affected by leprosy (PAL) with foot grade 2 disability, but without plantar ulcer at the time of study, 6 community members who had PAL in their immediate family and 6 community members who had PAL among their surroundings. They participated voluntarily in the study. The information was gathered by in-depth interview. Stigma attached to disability-related leprosy was still observed among the study respondents. They knew that ulcer could weaken their life and their surroundings. They were also aware of that one would gain benefit if one would free from ulcer. Personal outlook, a close attachment of their families and responsibility for the family, community’s reactions and the provision from the health service were the key factors to push and pull the PAL to perform plantar ulcer care. Consequently, as to regain the normal life in a society, despite a number of difficulties, PAL tried their best to look after the plantar ulcer along with the help from their families and relatives. As they were aware of the value of ulcer-free condition. for the future, they had positive view on plantar ulcer care not only for them but also for their families.
References
Department of Health: Report on ‘A pilot project on introducing POD/POWD services at township level in mid-Myanmar’. Yangon: Ministry of Health 2005.
Department of Health: Report on ‘Situation of Leprosy Control programme, 2005’. Yangon: Ministry of Health 2006.
Department of Health: Leprosy profile of Mon-ywa Zone, 2008. Leprosy Control programme. Mon-ywa: Ministry of Health 2008.
Lay KM. Prevention of disability pilot project: Shwedaung and Thegone townships, Bago Division (West). Pyay: Department of Health 2005.
Win LL, Maw W, Shwe S, Ishida Y, Myint K. Report on Underlying causes of poor plantar ulcer care among leprosy patients in Pakokku and Yesagyo townships of Disabilities survey project. Department of Medical Research (Lower Myanmar), Leprosy Control Programme, Department of Health and IMCJ 2008.
World Health Organization. A guide to leprosy control. Geneva: World Health Organization 1988.
Pan American Health Organization: Leprosy: consensus statement on prevention of disability. Philippines, PAHO/HDM/CE/418-06 2006.
Feenstra W, Van De Vijver S, Benbow C, Amenu A, Saudenrson P. Can people affected by leprosy at risk of developing plantar ulcers be identified? A field study from central Ethiopia. Leprosy Rev 2001; 72: 151-57.
Li J, Mu H, Ke W, Bao X, Wang Y, Wang Z, et al. The sustainability of self-care in two counties of Guizhou Province, Peoples’ Republic of China. Leprosy Rev 2008; 79: 110-17.
