Qi Jiang, Boya Wang, Yiwei Qian, Dorien Emmers, Shanshan Li, Lucy Pappas, Eleanor Tsai, Letao Sun, Manpreet Singh, Lia Fernald, Scott Rozelle
Effectiveness of a government-led, multiarm intervention on early childhood development and caregiver mental health: a study protocol for a factorial cluster-randomised trial in rural China
BMJ open
brazil leprosy listed among health priorities since 2006 plan known pact life pacto pela vida sole country american continent reached global goal disease elimination local health systems face many challenges achieve global goal study aimed investigate patients perceive local health systems performance eliminate leprosy whether perceptions differ terms patients income crosssectional study conducted londrina state paran brazil interviews performed leprosy patients local health system assessed structured adapted tool considering domains judged good quality health care authors used univariate bivariate multivariate analyses one hundred nineteen patients recruited study 504 60 male 540 64 42 65 years old 663 79 finished elementary school results showed patients used primary health care service near place residence receive leprosy diagnosis important advances health system verified elimination leprosy verifying protocols good care delivery leprosy patients services develop collective health actions engage patients family members community patients difficulty observed access diagnosis treatment health services near homes leprosy care provided specialized level patients strongly bond teams care process individual limited perspectives integration among health services purpose case management social mobilization community leprosy problem