An intensive self care training programme reduces admissions for the treatment of plantar ulcers

This paper describes, in detail, an intensive 14 day Self Care Training Pro gramme that is conducted at Lalgadh Leprosy Services Centre in Nepal. An ev aluation of the programme was undertaken in which hospital admission for in fected plantar ulceration was the outcome measure. It was found that those who had undertaken the programme were less likely to have been admitted for hospital treatment in a 3-month follow-up period (chi (2) = 5.1, P = 0.02) . An odds ratio of 1:1.8 (95% CI = 0.15-0.01) was also calculated. This pap er presents an overview of the issues related to impairment, a description of the Self Care Training Programme, an analysis of the evaluation results and a discussion of the findings.