Impact of socio-economic development, contact and peer counselling on stigma against persons affected by leprosy in Cirebon, Indonesia - a randomised controlled trial

Autor: Dadun, D., van Brakel, Wim H., Peters, Ruth M. H., Lusli, Mimi, Zweekhorst, Marjolein B. M., Bunders, Joske G. F., Irwanto
Přispěvatelé: Ethics, Law & Medical humanities, Science and Society, Athena Institute, APH - Global Health, Network Institute
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: Leprosy Review, 88(1), 2-22. British Leprosy Relief Association
Dadun, D, Van Brakel, W H, Peters, R M H, Lusli, M, Zweekhorst, M B M, Irwanto, A & Bunders-Aelen, J G F 2017, ' Impact of socio-economic development, contact and peer counselling on stigma against persons affected by leprosy in Cirebon, Indonesia-a randomised controlled trial ', Leprosy Review, vol. 88, no. 1, pp. 2-22 .
Dadun, D, van Brakel, W H, Peters, R M H, Lusli, M, Zweekhorst, M B M, Bunders, J G F & Irwanto 2017, ' Impact of socio-economic development, contact and peer counselling on stigma against persons affected by leprosy in Cirebon, Indonesia-a randomised controlled trial ', Leprosy Review, vol. 88, no. 1, pp. 2-22 .
ISSN: 0305-7518
Popis: Objectives: People affected by leprosy are often stigmatised, but stigma is rarelyquantified and the effectiveness of interventions is often not evaluated. The SARIProject aimed to test and evaluate three interventions: counselling (involving peercounsellors), socio-economic development (SED) and contact between communitymembers and affected people.Results: This study used a controlled trial design in which pairs of the stigmareductioninterventions were randomly allocated to sub-districts in Cirebon District,Indonesia. The study sample consisted of one cohort of people affected by leprosy (ontreatment or treated) and two independent samples of community members. The latterwere selected through purposive sampling. Three scales (e.g. SARI Stigma Scale,Participation scale) were applied among leprosy-affected people and two scales(e.g. Social Distance Scale) were used among community members pre- and post-intervention. Among affected people (n ¼ 237), significant differences inreduction of stigma and participation restrictions were found in all intervention areasand an improvement in quality of life in some intervention areas. Social distance andsocial stigma significantly reduced among community members (n ¼ 213 and 375)in the two intervention areas where the contact intervention was implemented. Twoof the five instruments indicated changes in the control area, but the changes in theintervention areas were much larger.Conclusion: The SARI Project has demonstrated that a measurable reduction inleprosy-related stigma can be achieved, both at community level and among peopleaffected by leprosy, using reproducible interventions that can be adapted to differentsettings and target groups.
Databáze: OpenAIRE
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