Developing an appropriate model of care for lymphatic filariasis and leprosy patients who need MMDP services in Bihar State, India

What is the comparative effect of enhancing the existing MMDP services with or without community-based components in significantly reducing the burden of Acute Attacks (AA), Hydrocele, and Mental Health (MH) issues among people affected by LF?

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Sample size: 1 320
Implementation partner(s): Lepra Society - India | India MOH
WHO Region: SEARO

Notes

The implementation of self-help groups for patients is a promising and sustainable way to manage morbidity and disability related to LF and leprosy. This work builds upon the team’s previous successes in disability management and aims to measure the impact of the proposed community-based health package on both clinical and social outcomes of leprosy and LF-affected individuals. This study aims to answer the following research questions:

  • What is the comparative effect of enhancing the existing MMDP services with or without community-based components in significantly reducing the burden of Acute Attacks (AA), Hydrocele, and Mental Health (MH) issues among people affected by LF?
  • What are the critical drivers and barriers that influence social validity and fidelity of demanding MMDP services?
  • What are the combined community-based leprosy pathways that add most value to demanding MMDP services?

Interventional Research Questions (to be answered by process/impact evaluations in phase-3):

  • Which implementation factors and mechanisms of impact are most effective in improving patient’s health outcomes and MMDP service utilization?
  • What elements of the enhanced MMDP services, including combined community-based leprosy elements, contribute most to lower discrimination and increased access of people affected by LF to target facilities?

The research team iwill conduct a two-arm intervention study in which one arm receives the standard package of MMDP services and the other arm receives the enhanced MMDP/community-based health package. They plan to measure impact by assessing whether patients experience reduced complications, mental health issues, hydrocele burden, and fewer acute attacks as a result of the intervention.

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