title: [Practical problems encountered in the multi-drug therapy of leprosy in Senegal].
abstract: The authors make an inventory of the difficulties they have met while realizing the different stages of MDT treatment programmes in Senegal. Main problems were: Necessity of complementary training on theoretical, but even more on practical techniques for all the staff: Ridley and Jopling classification, neurological examination, bacteriological examination, data collection. Difficulty to maintain a true supervision. Necessity to settle a quality control of slit skin smears. Necessity to settle a system to trace irregular patients. Heaviness of centralized management, but its necessity to maintain "tightness" of the drugs distribution network. Difficulty to obtain a regular follow up of patients who are released for treatment. The evolution of anti-leprosy activities makes it necessary to adapt the "Service des Grandes Endémies".
authors.forename: J C
authors.initials: JC
authors.lastname: Naudin
authors.forename: G
authors.initials: G
authors.lastname: Detoeuf
authors.forename: B
authors.initials: B
authors.lastname: Diouf
authors.forename: J
authors.initials: J
authors.lastname: Millan
mesh_terms: D003622:Dapsone / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D006801:Humans; D007918:Leprosy / Q000188:drug therapy*; D012675:Senegal
chemical_list: D003622:Dapsone
vernacular_title: Problèmes pratiques rencontrés dans la polychimiothérapie de la lèpre au Sénégal.