Lepra: doença, isolamento e segregação no contexto colonial em Moçambique

Zamparoni, Valdemir

doi:10.1590/s0104-59702016005000028

Cited by 12 publications

(11 citation statements)

References 8 publications

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“…Such views may cause delays in seeking care. These results corroborate other studies in Zambezi valley (Zambézia and Sofala provinces) and in Namaita (Nampula) 11 .…”

Section: Discussionsupporting

confidence: 92%

Hansen’s disease deformities in a high risk area in Mozambique: A case study

Marega

Pires

Mucufo

et al. 2019

Rev. Soc. Bras. Med. Trop.

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Introduction: Hansen's disease is no longer a public health problem in Mozambique, since 2008 (incidence under 1 / 10,000 inhabitants). The country is one of the most affected in the world and Nampula province's Murrupula district (incidence 1.7 / 10,000) has a high deformity rate (22% in 2010). This study aimed to identify high deformity rate associated determinants and proposals for better health program results. Methods: This study involved a descriptive quantitative survey, systematic observation of patients and health professionals, and a survey of community volunteers. Data were analyzed using Epi Info 7.2. Pearson's chi-square and Fisher's exact test were used to assess statistical association with deformity, with a significance level of 5% and 95% confidence interval. Ethical procedures followed the Helsinki declaration (2013). Results: Among 238 subjects, 175 were patients and 63 leprosy health staff. Most patients relied on subsistence agriculture facing social exclusion (43, 25%). The waiting time from first symptoms to diagnosis was over one year for 63%. Deformity affected 116 subjects (68%), particularly those who considered the disease as God's desire (p = 0.01), and practiced traditional treatments (p = 0.001). Among leprosy health staff, 35 (52%) were not trained on diagnosis and management. Conclusions: High deformity rate is associated with low economic status, the belief that the disease is God's desire, the use of traditional healers, late diagnosis, and poor disease management. A health education program targeting professionals and population, with infection screening and selfcare groups can prevent deformities.

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“…Such views may cause delays in seeking care. These results corroborate other studies in Zambezi valley (Zambézia and Sofala provinces) and in Namaita (Nampula) 11 .…”

Section: Discussionsupporting

confidence: 92%

Hansen’s disease deformities in a high risk area in Mozambique: A case study

Marega

Pires

Mucufo

et al. 2019

Rev. Soc. Bras. Med. Trop.

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“…Leprosy patients withdraw from their community after being diagnosed with leprosy (Richardus et al, 2018). The progress of leprosy is the biggest cause of withdrawal behavior (Zamparoni, 2017). Many people with leprosy withdrawal do so to avoid the stigma of others outside the home (Borges and Machado, 2019).…”

Section: Discussionmentioning

confidence: 99%

Leprosy Resilience with Disabilities Due to Illness: A Qualitative Study

Jatimi

Yusuf

Andayani³

2020

INJEC

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Introduction: Leprosy is an infectious disease that still causes complex problems. The problem in question is not only in medical and physical terms, such as disability, but extends to social, economic, and cultural problems. This study aims to explore the experience of leprosy sufferers with disabilities to achieve resilience. Methods: A descriptive qualitative research design with a phenomenological approach was used. The number of participants was eleven people affected by leprosy with grade 1 and 2 disabilities in Sumenep Regency obtained by a purposive sampling technique. Data collection used in-depth interviews with interview guides and field notes; the results of data collection were analyzed with theme analysis. Results: This study produced five main themes about the experience of leprosy patients in the process of achieving resilience, namely: 1) self-stigma as a stressor experienced by lepers, 2) psychosocial problems that arise in response to stressors, 3) active coping as a method of resolving stress, 4) positive adaptation as a form of self-adjustment, 5) characteristics of strong individuals. Conclusion: Lepers with disabilities identify self-stigma as a stressor that triggers the emergence of psychosocial problems. Individuals can form tough characteristics, such as responding positively to unexpected conditions, becoming more productive, and showing helping others behavior after overcoming stressors through the stages of active coping and positive adaptation.

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“…Conceptions of leprosy are usually associated to previous knowledge related to past experience, cultural prejudice and information obtained from the media. Biblical narratives which associate it to impurity and the need for exclusion and isolation, as well as the use of the term leper, collaborate for the construction and consolidation of this disease's social imaginary (11,19,(23)(24) .…”

Section: Discussionmentioning

confidence: 99%

Múltiplas dimensões da gestão do cuidado à hanseníase e os desafios para a eliminação

Cavalcante

Larocca

Chaves

2020

Rev. esc. enferm. USP

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RESUMO Objetivo Analisar a assistência às pessoas afetadas pela hanseníase por meio das múltiplas dimensões da Gestão do Cuidado. Método Estudo de caso único, exploratório, com abordagem por métodos mistos, conduzido em um serviço de referência de um munícipio da Região Sul do Brasil. Utilizou-se análise de conteúdo e o software webQDA para o tratamento dos dados. Resultados Participaram profissionais de saúde, pessoas com hanseníase e familiares. Constatou-se que a incidência da hanseníase indica sua disseminação no cenário do estudo, apesar da baixa endemicidade. As lacunas na efetividade da detecção precoce foram evidenciadas pelo predomínio dos casos multibacilares e pela presença de grau dois de incapacidade no diagnóstico. Evidenciaram-se as contradições nas múltiplas dimensões da Gestão do Cuidado, permitindo compreender que os desafios para o enfrentamento da hanseníase não se encontram apenas no âmbito biológico, mas na sua determinação social. Conclusão Os desafios apresentados apontam as fragilidades da rede de atenção à saúde para alcançar a redução da carga da doença e a necessidade de políticas públicas efetivas para o enfrentamento de doenças determinadas pelas desigualdades sociais, como a hanseníase.

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Lepra: doença, isolamento e segregação no contexto colonial em Moçambique

Cited by 12 publications

References 8 publications

Hansen’s disease deformities in a high risk area in Mozambique: A case study

Hansen’s disease deformities in a high risk area in Mozambique: A case study

Leprosy Resilience with Disabilities Due to Illness: A Qualitative Study

Múltiplas dimensões da gestão do cuidado à hanseníase e os desafios para a eliminação

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