Evidence map›Paper›PMID 30589875›Full record

ArticlePloS one2018

Perceived stigma of leprosy among community members and health care providers in Lalitpur district of Nepal: A qualitative study.

Sujan Babu Marahatta, Rakchya Amatya, Srijana Adhikari, Deena Giri, Sarina Lama, Nils Kaehler, Komal Raj Rijal, Suchana Marahatta, Bipin Adhikari

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 2 pooled it
2.7field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 2 syntheses or guidelines pooled it, 96 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 2 countries.

Sujan Babu MarahattaManmohan Memorial Institute of Health Sciences, Swayambhu, Kathmandu, Nepal.
Rakchya AmatyaManmohan Memorial Institute of Health Sciences, Swayambhu, Kathmandu, Nepal.
Srijana AdhikariManmohan Memorial Institute of Health Sciences, Swayambhu, Kathmandu, Nepal.
Deena GiriManmohan Memorial Institute of Health Sciences, Swayambhu, Kathmandu, Nepal.ORCID 0000-0002-6176-1706
Sarina LamaManmohan Memorial Institute of Health Sciences, Swayambhu, Kathmandu, Nepal.
Nils KaehlerMahidol-Oxford Tropical Medicine Research Unit (MORU), Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.
Komal Raj RijalCentral Department of Microbiology, Tribhuvan University, Kirtipur, Kathmandu, Nepal.
Suchana MarahattaBP Koirala Institute of Health Sciences, Dharan, Nepal.
Bipin AdhikariMahidol-Oxford Tropical Medicine Research Unit (MORU), Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.ORCID 0000-0001-8981-3910
Manmohan Memorial Institute of Health Sciences · NPMahidol University · THTribhuvan University · NP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLeprosy remains a major stigmatizing condition. Stigma is a dynamic process resulting from the interaction between physical attributes caused by leprosy and the existing stereotypes in a community. Leprosy has pervasive impacts on all areas of life including psychosocial burden to an individual, social interaction, marriage, and employment. These impacts vary and are largely dependent on a particular culture and community. The main objective of this study was to explore the perceived stigma of leprosy amongst community members and health care providers in Lalitpur district of Nepal.

methodsA total of six focused group discussions (FGDs) with 43 participants from a community living close to Anandaban Leprosy Hospital and ten semi structured interviews (SSIs) with health care providers were conducted between October and December 2016. An interview guide was used for the FGDs and SSIs. All qualitative data were transcribed and translated into English and were thematically analyzed using Atlas.ti software.

resultsVisible deformities due to leprosy was one of the major contributing factors for stigma. Stigma was further exacerbated by an attitude to conceal the disease due to perceived fear of potential discrimination. While over the years, stigma was felt to be decreasing, various aspects of life were still affected by leprosy stigma including marriage, employment and social interaction. This was largely attributed to leprosy and its consequences, specifically the disability and deformity caused by leprosy.

conclusionLeprosy was still perceived to be feared and concealed because of potential discrimination, even within the community that was close to a long established leprosy hospital. Various aspects such as marriage, employment and social interaction were still affected by the stigma which was strongly associated with visible deformities. In addition to ongoing rehabilitation and stigma reduction programs, integrating strategies such as community engagement wherein community and leprosy affected person jointly take a role in stigma reduction programs can be helpful.

Indexed as

Health Knowledge, Attitudes, PracticeHealth PersonnelPerceptionSocial StigmaAdultAgedCross-Sectional StudiesFemaleFocus GroupsHumansLeprosyMaleMiddle AgedNepalQualitative ResearchSurveys and Questionnaires

Identifiers

PMID30589875
PMCPMC6307718
OpenAlexW2908238196

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.