Factors Influencing Proper Plantar Ulcer Care of Leprosy Patients: Experience from Mon-Ywa Township of Disabilities Survey Project, Myanmar

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.