“El dinero es el vehículo de interacción”: perspectivas de integración social de las personas afectadas por la lepra en e norte de Nigeria / No disponible

Objetivo: Este estudio propone un planteamiento mediante el cual la rehabilitación socio-económica (SER) puede conseguir reducir el estigma relacionado con la lepra en el norte de Nigeria, después de analizar las entrevistas llevadas a cabo para evaluar el impacto de la SER. Metodología: La evaluación combina un cuestionario cuantitativo (escala P) con entrevistas cualitativas de 20 individuos afectados de lepra, cinco grupos de discusión y 10 entrevistas a individuos considerados importantes. A partir de nuestra información desarrollamos un marco de trabajo de estigma relacionado con la lepra integrando los temas emergentes y que puedan constituir una posible amenaza para el funcionamiento de los grupos, para describir como se percibe el estigma por las personas afectadas de lepra en el norte de Nigeria. Resultados: Los resultados revelan que las personas afectadas por lepra están menos estigmatizadas por las discapacidades causadas por la enfermedad que por su incapacidad de contribuir al sostenimiento familiar/comunitario. También, se identificaron los microcréditos y la formación profesional como elementos del SER que reducen el estigma a través de un mecanismo de protección de individuos frente a la pérdida del valor social al facilitar su compromiso social continuado en las tareas sociales cotidianas de la familia/comunidad. Conclusión: Se propone que la SER estimula los cambios de actitud y la inclusión de personas afectadas por lepra al proteger a los individuos frente a la pérdida del valor social e incrementar su capacidad de participación. Se propone una mayor evaluación empírica del marco propuesto para evaluar su utilidad en otras culturas (AU)

Objective: This paper proposes a mechanism by which socio-economic rehabilitation (SER) reduces stigma in northern Nigeria following a re-analysis of the transcripts of interviews conducted to evaluate the impact of SER on leprosy-related stigma. Design: the evaluation combined quantitative questionnaire (P-scale) with qualitative interviews of 20 individuals affected by leprosy, five focus group discussions and 10 key informant interviews. Form our data, we developed a leprosy related stigma framework by integrating emerging themes with the construct of threat to group functioning to describe stigma processes experienced by people affected by leprosy in northern Nigeria. Results: Finding revealed people affected by leprosy are less likely to be stigmatized because of leprosy impairments than for their incapacity to contribute to family/community finances. We also identified micro-credit loans and vocational training as elements of SER for reducing stigma through the mechanism of protecting individuals against the loss of social value, and by facilitating their continued engagement in daily social roles in the family/community. Conclusion: We propose that SER stimulates attitudinal change towards, and inclusion of people affected by leprosy by protecting individuals against the loss of social value and increasing their contributive capacity. We recommend further empirical testing of the proposed framework to ascertain its utility in other cultures (AU)

'Money is the vehicle of interaction': insight into social integration of people affected by leprosy in northern Nigeria.

OBJECTIVE: This paper proposes a mechanism by which socio-economic rehabilitation (SER) reduces stigma in northern Nigeria following are-analysis of the transcripts of interviews conducted to evaluate the impact of SER on leprosy-related stigma. DESIGN: The evaluation combined quantitative questionnaire (P-scale) with qualitative interviews of 20 individuals affected by leprosy, five focus group discussions and 10 key informant interviews. From our data, we developed a leprosy-related stigma framework by integrating emerging themes with the construct of threat to group functioning to describe stigma processes experienced by people affected by leprosy in northern Nigeria. RESULTS: Findings revealed people affected by leprosy are less likely to be stigmatised because of leprosy impairments than for their incapacity to contribute to family/community finances. We also identified micro-credit loans and vocational training as elements of SER for reducing stigma through the mechanism of protecting individuals against the loss of social value, and by facilitating their continued engagement in daily social roles in the family/community. CONCLUSION: We propose that SER stimulates attitudinal change towards, and inclusion of people affected by leprosy by protecting individuals against the loss of social value and increasing their contributive capacity. We recommend further empirical testing of the proposed framework to ascertain its utility in other cultures.