title: [Estimation of the execution of the national strategy of leprosy elimination in the "Hauts Bassins" region in Burkina Faso].
abstract: BACKGROUND
  Burkina Faso achieved the leprosy elimination as a public health problem but this benefit was being lost. So, the National Program for Fighting against Leprosy has defined a strategy to reverse this situation. The aim of this survey was to evaluate the performance of the national program in the execution of this strategy in the region of "Hauts Bassins" (Burkina Faso) from 2005 to 2009.
  
  
  METHODS
  The survey was led through the five sanitary districts of the region. It consisted in interview with the mean actors of leprosy control program and the analysis of the data notified on the leprosy cases, in order to estimate the progression of the key indicators of detection and follow-up care for patients having leprosy.
  
  
  RESULTS
  During the survey period, 248 cases of leprosy were recorded including 236 new cases and 12 relapses. The prevalence of leprosy was 0.28 per 100 000 inhabitants in 2009. The detection rate decreased from 3.77 per 100 000 in 2005 to 2.75 per 100 000 in 2009. Among the 236 new cases of leprosy, 194 (82.2 %) were multibacillary form (MB). MB patients proportion increased from 69,3 % in 2005 to 91.1 % in 2009. The proportion of children was on average 3.8 %, the one of female cases 38.9 %. Newly diagnosed cases with grade 2 disabilities moved up from 21.4 % in 2005 to 42.2 % in 2009. The completion of cure rate was globally 88.26 %. The losts from follow-up among the patients who started multi-drug therapy were 7.14 %.
  
  
  CONCLUSIONS
  The aim of the leprosy elimination as a public health problem is achieved but some challenges may be taken up, particularly in the organization of leprosy detection by the heath structures.
authors: Service de dermatologie-venereologie du centre hospitalier universitaire Souro Sanou de Bobo-Dioulasso, 01 BP 676 Bobo-Dioulasso 01, Burkina Faso. bkrdiallo@yahoo.fr
authors: B
authors: B
authors: Diallo
authors: F
authors: F
authors: Barro Traoré
authors: J B
authors: JB
authors: Andonaba
authors: P
authors: P
authors: Tapsoba
authors: G
authors: G
authors: Sawadogo
authors: A
authors: A
authors: Traoré
mesh_terms: D000293:Adolescent; D000328:Adult; D002050:Burkina Faso / Q000453:epidemiology; D002648:Child; D002983:Clinical Competence; D018563:Disease Notification; D005260:Female; D006293:Health Promotion / Q000191:economics / Q000458:organization & administration / Q000706:statistics & numerical data*; D006306:Health Surveys; D006801:Humans; D007917:Leprostatic Agents / Q000191:economics / Q000600:supply & distribution / Q000627:therapeutic use; D007918:Leprosy / Q000175:diagnosis / Q000188:drug therapy / Q000191:economics / Q000453:epidemiology / Q000517:prevention & control*; D056006:Leprosy, Multibacillary / Q000175:diagnosis / Q000188:drug therapy / Q000191:economics / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D009017:Morbidity / Q000639:trends; D009313:National Health Programs / Q000191:economics / Q000458:organization & administration / Q000706:statistics & numerical data*; D015995:Prevalence; D015397:Program Evaluation; D012008:Recurrence; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D007917:Leprostatic Agents