The double jeopardy associated with female leprosy patients is the central
theme underpinning this essay. It constitutes a combination of biological f
actors unique to women and culturally defined bias, resulting in more stigm
atization and isolation for women. Having examined the female immunological
response and biological roles, the essay continues by focusing on the gend
er-culture perspective of leprosy. It draws upon an historical analysis of
the experiences of Indian and African women to illustrate the ways in which
gender roles impact upon health education and the utilization of health ca
re services. Concluding comments suggest strategies that might improve fema
le leprosy patient status, and views towards future research.