Evidence map›Paper›PMID 41023992›Full record

ArticleInternational journal for equity in health2025

Barriers to seeking healthcare services and contributing factors to grade 2 disability among women affected by leprosy in Telangana, India - a qualitative study.

Charlotte Nehring, Andrea Kaifie, Ananth Reddy, Matthew Willis, Fabian Schlumberger, Nita Chaudhuri, Anil Fastenau

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Article in International journal for equity in health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Charlotte NehringInstitute for Occupational, Social, and Environmental Medicine, Friedrich-Alexander University Erlangen-Nürnberg, Erlangen, Germany.
Andrea KaifieInstitute for Occupational, Social, and Environmental Medicine, Friedrich-Alexander University Erlangen-Nürnberg, Erlangen, Germany.
Ananth ReddySivananda Rehabilitation Home, Hyderabad, India.
Matthew WillisDepartment of Global Health, Institute of Public Health and Nursing Research, University of Bremen, Bremen, Germany. willis@uni-bremen.de.
Fabian SchlumbergerMarie Adelaide Leprosy Centre, Karachi, Pakistan.
Nita ChaudhuriFaculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands.
Anil FastenauDepartment of Global Health, Institute of Public Health and Nursing Research, University of Bremen, Bremen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLeprosy, a neglected tropical disease, remains a significant global health issue, with India accounting for nearly 60% of cases in 2022. Untreated Leprosy can result in irreversible disabilities and lead to social stigma, significantly affecting the lives of patients and their families. This study explores the barriers faced by women with leprosy in accessing healthcare and other factors that contributed to the development of Grade 2 disability in India.

methodsQualitative data were gathered through 20 interviews with women affected by leprosy at the Sivananda Rehabilitation Home, a leprosy clinic in Hyderabad, India. An interview guide was developed to conduct semi-structured interviews, specifically regarding the time between the onset of symptoms, diagnosis, and treatment start. An inductive analysis followed by the application of Levesque et al.’s framework was undertaken to identify themes and patterns in the participants’ experiences with the disease and treatment.

resultsSix key themes were identified. The social environment plays a pivotal role in disease progression, with participants often prioritising societal expectations over their own health, such as being good wives and mothers. Stigmatisation led to social isolation, as many women avoided contact outside their families to hide deformities. Most participants visited several healthcare facilities before receiving a diagnosis, facing financial and emotional burdens. Communication gaps were evident both within healthcare facilities - where companions were sometimes informed before the patient – and in their social environments. Finally, individual factors such as lack of knowledge, awareness, and trust in medical advice also contributed to care-seeking delays.

conclusionsThis study highlights significant gaps in healthcare access for women with leprosy in India. Family dynamics, societal roles, and stigma delay care, while physical and emotional burdens add to challenges. Communication gaps and limited awareness further reinforce neglect and mistrust. Addressing these barriers is crucial for effective policy and program implementation to reduce the burden of leprosy among women.

Indexed as

Health Services AccessibilityLeprosyPatient Acceptance of Health CarePersons with DisabilitiesAdultFemaleHumansIndiaInterviews as TopicMiddle AgedQualitative ResearchSocial IsolationSocial StigmaTreatment Delay

Identifiers

PMID41023992
PMCPMC12482034

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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.