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Case finding i n leprosy control programmes is dependent on the abi l i ty of field staff in the diagnosis of leprosy. However assessment of th is ab i l i ty i n field circumstances i s difficult and t ime consuming . In this study 20 case histories i n the form ofa q uestionnaire i s eva luated as a tool to assess abi l i ty to i n terpret the signs and symptoms of leprosy . The study incl uded field workers of d ifferent grades and d iffering experience from 6 cent res i n I nd ia . The val idity of this method is shown by the better performance by the h igher grades of staff and the corre lat ion of performance wi th experience. The use of case h is tories in th i s way i s a usefu l educat ional tool ; i t can also b e used to ident i fy indiv idual members w i t h major difficul t ies i n the d iagnosis of leprosy and to ident i fy part icu lar cases which presen t more general diagnostic problems.

A multicentre evaluation of a questionnaire to assess ability in the diagnosis of leprosy