Abstract
Brazil has included leprosy among the diaseases assisted in the basic health uníts, as part of the commitment of the Global Alliance for the Elimination of Leprosy. The Health Secretaria of Rio de Janeiro State defined the universal access to diagnosis, to WHO Disability Grade evaluation and to the treatment of leprosy sufferers as a political-technical priority in all the basic health units of the state. Decentralization of diagnosis and treatment of leprosy became a priority, and increased from 308 (20.04%) health units with these actions available in December, 2000, to 622 (40.79%) in July, 2004. Epidemiological indicators seem not to have been significantly influenced by this. Many problems disturb the decentralization process in Rio de Janeiro. We hope we can obtain resources wi th governmental and non-governmental organizations to go on with this strategy (trainings, local supervisions, support to municipal managers in decentralization process, to increase the diffusion of signals and symptoms of the disease in communícation media) to reach the target of leprosy elimination in Rio de Janeiro State.
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