02081nas a2200253 4500000000100000008004100001260001300042653002900055653002500084653002100109653003100130653001500161653001100176653001200187653001200199653002900211653001000240100001600250245014900266300001200415490000700427520137900434022001401813 2005 d c2005 Sep10aClinical Trials as Topic10aDeveloping countries10aEquipment Design10aFoot Deformities, Acquired10aFoot Ulcer10aHumans10aleprosy10aMyanmar10aNational Health Programs10aShoes1 aYamaguchi T00a[Background of development and effectiveness of myanmar sandals (the activity of Leprosy Control and Basic Health Services Project in Myanmar)]. a199-2030 v743 a

"Leprosy control and Basic health service Project" was terminated at March 2005 within the scope of the period. I was assigned to develop the Plantar protect footwear for neuropathic feet, which called "Myanmar Sandals" in common. These sandals are not made by new technologies but made by basic knowledge. I would like to report about this activity as which is a part of distinguished strategy of ODA (Official Development Assistance) for developing country, but not as the technical report of these sandals. There is only one National Leprosy Hospital in Myanmar. At the time this project started, there were only two footwear technicians for the people who had disabilities by after effect of Hansen's disease in this country. And, it would appear that the number of the people is over 50,000. Furthermore, the budget of national hospital is not enough to refill necessary consumable supplies and materials. Although, I should instruct new technique which like making in Japan in ordinary circumstances, I could not think that such technical transfer by using costly imported materials woud bring beneficial effect and be continued. We were bound to be anxious about such situations when we made the plan. As a result of examining a plan based on these situations, we reached the conclusion that development of the simplified ready-made footwear was pressing need.

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