01723nas a2200349   4500000000100000008004100001653000800042653001200050653001500062653001500077653002100092653001400113100001200127700001200139700001200151700001500163700001300178700001300191700002200204700001300226700001300239700001100252700001100263700001300274700001800287700000900305245019000314856005100504300001000555490000700565520080100572       2014                            d10aWHO10aleprosy10aGuidelines10aDisability10aDelphi Technique10aDeformity1 aCross H1 aArief F1 aBeise K1 aBrandsma W1 aChukwu J1 aEbenso J1 aDe Faria Grossi M1 aKawuma H1 aLehman L1 aMani S1 aPaul S1 aPiefer A1 avan Brakel WH1 aLi J00aA Delphi exercise to refine the WHO three-point Disability Grading system for leprosy, and to develop guidelines to promote greater accuracy and reliability of WHO Disability recording.  uhttps://leprosyreview.org/article/85/1/00-1890  a18-280 v853 a<p>A Delphi Exercise was undertaken with two objectives: (1) To ascertain whether operational definitions for WHO Disability Grading could be formulated by consensus. (2) To develop a set of simple guidelines based on those definitions for the guidance of health workers. Fifteen people with general expertise in prevention of disability due to leprosy were invited to participate as Delphi panel members, twelve responded positively. Eight issues that commonly cause confusion provided foci for the exercise. Operational definitions aimed at resolving those issues were developed by consensus. Simple guidelines for health workers, based on those definitions were also created and supported by consensus. This paper presents the process followed and the outcomes gained from the endeavour.</p>