Andreas Jenny

Leprosy in Nepal: Curriculum for Agricultural Rehabilitation Andreas Jenny

Diplomarbeit, die am 01.06.1996 erfolgreich an einer Universität in Deutschland eingereicht wurde. Abstract: Leprosy, a communicable disease, is one of the most feared and stigmatised diseases in the world. This disease is an important cause of permanent and progressive disability when it is not treated in an early stage. Leprosy control is an instrument to find and treat all existing leprosy cases in a certain area, to bring them under treatment in order to prevent the disabling consequences of the disease. It is essential to consider the cultural, the social, the political, and the economical aspects in the context of leprosy in Nepal to meet the real need of each individual patient. Due to the agricultural background of almost 93 % of Nepal's population, this field needs special attention as a tool for adequate rehabilitation. This paper aims to provide a solution providing a concept for agricultural leprosy rehabilitation. In chapter five rehabilitation strategies for clients with agricultural background are lined out regarding the specific situation in Nepal. Possibilities for the integration of agricultural topics in occupational therapy are discussed, as well as agricultural business creation suitable for disabled clients. Chapter six contains two curricula. The first curriculum deals with a kitchen garden training in occupational therapy and the second curriculum with a curriculum for a beekeeping training as a business creation measure. Table of Contents: |List of Figures|iv |List of Pictures|iv |List of Maps|iv |Table|iv |List of Abbreviations|v |Acknowledgements and Preface|vi 1.|INTRODUCTION|1 2.|HISTORICAL BACKGROUND|2 3.|MEDICAL ASPECTS OF LEPROSY|4 3.1|Prevalence|4 3.2|Epidemiology|5 3.3|Treatment|6 3.4|Leprosy Control|6 4.|LEPROSY IN NEPAL|8 4.1|The Country|8 4.1.1|Geography|8 4.1.2|People|9 4.1.3|Government and Administration|10 4.1.4|Economy|11 4.2|The Context of Leprosy in Nepal|12 4.2.1|Cultura