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Disease Prevention and Control / Communicable Diseases / Leprosy

Workshop on Implementation Research (IR) in Leprosy

(Rio de Janeiro, Brazil, 23–25 March 2004)

Report (11 pp, PDF, 906 KB)

- PAHO Communicable Disease Research
- WHO Tropical Disease Research
(Special Programme for Research & Training in Tropical Diseases)

- PAHO Leprosy Page
- WHO Leprosy Page

This workshop was co-organized by TDR and the Oswaldo Cruz Foundation (FIOCRUZ) in Rio de Janeiro, Brazil. Twenty participants from ten countries and four TDR/WHO staff members took part in the event. Objectives were as follows:

  • Develop a conceptual framework on challenges in leprosy elimination and integration.
  • Define research priorities for leprosy implementation research (IR).
  • Outline a plan for priority leprosy IR.
  • Develop a strategy for advocacy and fundraising in leprosy IR.

Conceptual Framework: On the basis of the presentations and the subsequent discussions, a conceptual framework was developed on enabling/limiting integration factors and expected outputs/outcomes and depicted graphically.

Principal Research Question: What are the strengths and weaknesses of leprosy control at different stages of integration, and what are cost-effective solutions to the main identified problems in integrated leprosy control?

Introduction: The presentations provided a summary of the current state of leprosy integration into general health services at the global level, as well as related research needs. It was made clear that integration is occurring at different levels and is applying different models. This was complemented by a paper on the need for advocacy in leprosy research and control. Country experiences with integration from India, Myanmar, Brazil, and other Latin American countries illustrated the different levels, models and speed of integrating leprosy control into general health services. This was the third workshop, as recommended by the TDR Scientific Working Group on Leprosy in November 2002 following the Amsterdam workshop on Leprosy Transmission and Diagnostics and the London workshop on Nerve Damage.

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