LEPROSY AND DISABILITY CONTROL IN THE GUERA PREFECTURE OF CHAD, AFRICA - DO WOMEN HAVE ACCESS TO LEPROSY CONTROL SERVICES

In a retrospective study, data from the Guera Leprosy and Disability C ontrol Project in Chad, covering the years from 1992 to 1996, were ana lysed in order to determine whether there was any indication that the quality of care provided to female leprosy sufferers is inferior to th e care provided for male patients. Data from a total of 741 patient re gistered for MDT, of whom 351 were newly diagnosed cases, are presente d and discussed. The data indicate that women have access to diagnosis and treatment and health education. They do not present for treatment later than men, disability rates are lower and they have slightly hig her treatment completion rates. Both women and men benefit from footwe ar and loan programs. More women than men are involved in patient self -help groups. The study shows that in this part of central Chad, there is no evidence of disadvantage for women with leprosy in either diagn osis, treatment or follow-up, but more qualitative data is needed to c onfirm these findings.