In this paper, the social exclusion framework is applied to explore the
impact of leprosy on affected people in Bangladesh, and to investigate
the effectiveness of interventions of health education and
socio-economic rehabilitation. Leprosy, because of its political,
social, economic and cultural implications, provides a useful
self-contained micro-study to test the applicability of social exclusion
as a working tool. Primary research carried out in two centres in
Bangladesh showed that in the lifetime of present patients it is
possible to trace marked trajectories of exclusion and inclusion. It is
argued that in order to reverse situations of deprivation, it is crucial
to investigate these processes at the individual and societal levels.
Consequently, two means of intervention are compared: health education
of society and rehabilitation of individual patients. These
interventions commonly remain distinct, but it is concluded that only by
integrating the two approaches can deep-seated prejudices be removed,
facilitating early detection and elimination of leprosy. It was found
that processes of inclusion are effective when they involve the same
actors that promoted exclusion, and when they create bridges across the
rigid divides separating the excluded from the excluding society or
group. It is also suggested that lessons learnt in the context of
leprosy can be usefully applied to contexts of HIV/AIDS or caste-ism.
In combating social exclusion how are interventions on the ‘excluded’ related to interventions on the ‘excluding society’?:A comparative analysis of leprosy rehabilitation and prevention in Bangladesh, presented at Staying Poor: Chronic Poverty and Development Policy, Institute for Development Policy and Management, University of Manchester, 7-9 April 2003. Chronic Poverty Research Centre (CPRC), Manchester, UK, 26 pp.
In combating social exclusion how are interventions on the ‘excluded’ related to interventions on the ‘excluding society’?: A comparative analysis of leprosy rehabilitation and prevention in Bangladesh.