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Linda Lehman, MPH, Technical Director of Programs, American Leprosy Missions discusses how ALM addresses the problems of neglected tropical diseases through strengthening health systems and community outreach.

Published in: Healthcare
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  1. 1. Integrating Care Across Neglected Tropical Diseases and Chronic Health Conditions Linda Faye Lehman, OTR/L MPH C.Ped Senior Advisor for Morbidity Management and Disability Prevention Jim Oehrig Vice President of Integral Mission
  2. 2. Deuteronomy 6:5 “Love the Lord your God with all your heart, with all our soul, with all your mind and with all your strength.” Leviticus 19:18 “Love your neighbor as yourself.” Two Greatest Commandments at the heart of our lives and work Matthew 22.36-40
  3. 3. …American Leprosy Missions works to answer these questions constantly: 1. Are we made of people who desire to love the Lord their God? 2. Are we supporting people as they pursue working out the first commandment in their lives? 3. Are we loving our neighbor around the world and those with whom we work? 4. Are we working to ensure that when people ask “Why? and Who?” a response is available?
  4. 4. Burden of Neglected Tropical Diseases • 1.4 billion of world’s poorest suffer from NTDs, including 500 million children • Many NTDs can cause disability NTD_RoadMap_2012_Fullversion.pdf CDC, 2011
  5. 5. Detection & Disease Specific Treatment of NTDs Disease Management, Disability & Inclusion (DMDI)✚ Disease Burden
  6. 6. • Identify common complications early • Take appropriate actions to prevent or minimize the complication • Know when and where to refer • Know how to monitor if it is better, worse or the same • Involve the person affected, their family and community
  7. 7. Managing Cross-cutting Issues Leprosy BuruliUlcer Yaws Leishmaniasis Lymphatic Filariasis Podoconiosis Trachoma STH Eye / Vision X X X Sensory Loss X X Muscle Weakness X X Movement Limitations X X X X X X X Dry Skin & Nails X X X X X X Wounds X X X X X X X Scars X X X X X Edema X X X X Footwear X X X X X
  8. 8. Managing Cross-cutting Issues Leprosy BuruliUlcer Yaws Leishmaniasis Lymphatic Filariasis Podoconiosis Trachoma STH Self-care X X X X X X X X Psycho-social support & counseling (depression) X X X X X X X X Participation Restrictions X X X X X X X X Stigma reduction / Advocacy X X X X X X X X Education X X X X X X X X Nutrition X X X X X X X X Livelihood X X X X X X X X WASH (Water & Sanitation) X X X X X X X X
  9. 9. Develop Self-efficacy(Bandura, 1977) Belief I can achieve an intended result “I can Do and We can Do” Developed by: • Performing a task successfully • Witnessing other people successfully completing a task • Seeing people similar to oneself Training by “team” improves communication and collaboration between health workers at all levels. Follow-up and mentoring: Continue learning through “On the Job Training” during monitoring activities. Bandura, A. (1994). Self-efficacy. In V. S. Ramachaudran (Ed.), Encyclopedia of human behavior (Vol. 4, pp. 71-81). New York: Academic Press. (Reprinted in H. Friedman [Ed.], Encyclopedia of mental health. San Diego: Academic Press, 1998).
  10. 10. Utilization of Ten Steps Health System Strengthening • CBPHC • Acute & Hospital Care • Chronic Conditions • Integrated NTD Program • Referral Services • Traditional Healers School & Educational Curriculums • School Health • Medical and Nursing • Community Health • Rehabilitation specialist Community Focus • Community-directed interventions • Community-based inclusive development • Community-based Rehabilitation • Community-based self-care and self- help groups
  11. 11. Proposed Joint Indicators for WASH & NTD’s • Toilet is accessible and safe for people with physical impairments, women. • Improved on site water source with universal design • Water is consistently available in sufficient quantities to do activities of daily living and self-care
  12. 12. Thank you Linda Lehman Disease detection, Disease management, Self-care, Disability Prevention and Inclusion “I can do it, We can do it!”