REductioN of disABility in Leprosy through Enhanced self care in Janjgir-Champ district, Chhattisgarh, India (ENABLE India)

The nerve damage in leprosy increases the risk of repeated injuries and ulcers in the feet and hands leading to disfigurement of limbs leading to stigma, restriction in social participation and loss of work. We propose to evaluate an enhanced self-care program in collaboration with stakeholders, which will be embedded within a larger care and prevention program called the Replicable Model.This will be a prospective interventional cohort study. The intervention (enhanced self-care program) will be delivered by the Replicability model project team through the national leprosy program.The patients with neuropathy in their eyes, hands and feet from the three blocks (sub-unit of district) of Janjgir-Champa district. Enhanced self-care program implemented through front-line health worker of the public health system in Janjgir-Champa district, Chhattisgarh state, India.The main outcomes will be prevalence of ulcers among those at risk of an ulcer; the total surface area of ulcers (cm2) among those with ulcers and disability severity level as measured using Eye, Hand and Foot score (EHF score). We will also make qualitative observations of the implementation of the progress