02517nas a2200229   4500000000100000008004100001653001200042653001600054653002000070653001700090653001300107653001800120653001500138100001500153700001500168700002000183700001100203245014300214856026000357300001200617520165800629       2024                            d10aLeprosy10aSelf Report10aDetection delay10aRegistration10aReferral10aSocial Stigma10aBangladesh1 aHossain QZ1 aBoiragee J1 aAzad-Uz-Zaman Q1 aHadi A00aFactors that Influenced and Delayed Self-reporting and Registration of Leprosy Affected People in Different Prevalence Areas of Bangladesh  uhttps://www.researchgate.net/profile/Qazi-Azad-Uz-Zaman/publication/384622360_Factors_that_Influenced_and_Delayed_Self-reporting_and_Registration_of_Leprosy_Affected_People_in_Different_Prevalence_Areas_of_Bangladesh/links/66ff9eda906bca2ac3dffc67/Factors  a143-1573 a<p>This research aims to investigate factors favouring and those hindering self-reporting. Qualitative study was conducted from April 2018 to September 2019. Total 130 leprosy-affected people (LAP) were selected for in-depth interview (IDI) proportionately from 3 strata based on prevalence of leprosy and 23 professionals for key informant's interview (KII). A semi-structured in-depth interview guide was used to collect the data and recoded for analysis. 35% of the IDI respondents were female, and 65% were male. Around half of the respondents were from rural areas, 85% were married, and three-fourths (76%) were Muslim. Amongst them, 8% had self-reported to the leprosy hospital/ clinic for the diagnosis of Leprosy. Others had visited several different places for advice before receiving a diagnosis of Leprosy. Overall, 68% had detection delay &gt;24months. The psychosocial factors that negatively influenced self-reporting are fear of being excluded from family, relatives, neighbours and society, and fear of being separated and divorced from spouse. The other reasons for not self-reporting are non-cooperation from family members, less knowledge on leprosy, lack of information and awareness on leprosy and treatment, lack of proper motivation, and problems relating to counselling and accessibility of the health centre. If LAP delay reporting for leprosy treatment for 2-years after first symptom, the patient's condition may deteriorate with onset of disability which could have been prevented. So, public awareness about leprosy and willingness to initiate a consultation for leprosy diagnosis may reduce the burden of disability.</p>