Summary This paper deseribes, in detail, an intensive 14 day Self Care Training Programme that is eondueted at Lalgadh Leprosy Services Centre in Nepal. An evalu ' ation of the programme was undertaken in whieh hospital adrnission for infected 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 (X2 = 5 ·1, P = 0·02). An odds ratio of 1:1· 8 (95% CI = 0· 15-0·01) was also calculated. This paper presents an overview of the issues related to impairrn ent, a description of the Self Care Training Programme, an analysis of the evaluation results and a discussion of the findings.
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