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A study of the linkage of poverty alleviation with self-care in South Central Nepal
Hugh Cross
  Hugh Cross
Affiliation
63 Lower Barresdale, Alnwick, NE66 1 DW, United Kingdom
Correspondence to: Hugh Cross, 63 Lower Barresdale, Alnwick, NE66 1 DW, United Kingdom (e-mail: hcross@leprosy.org)
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a,*
Kerstin Beise
  Kerstin Beise
Affiliation
Benteng Somba Opu, Makassar 90225, South Sulawesi, Indonesia
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b
Ramesh Choudhary
  Ramesh Choudhary
Affiliation
Nepal Leprosy Trust, Lalgadh Leprosy Hospital and Services Centre, Janakpur, Nepal
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c
Background:

RECLAIM CDR was an empowerment project implemented by the Nepal Leprosy Trust (NLT) in four districts of Nepal. It ran from 2011 to 2016. The RECLAIM methodology reflected that of an earlier STigma Elimination Project that was implemented under the title of STEP. What follows in this paper are the salient findings of an independent evaluation of RECLAIM that took place in April 2016.

 Objectives:

The main objective of RECLAIM CDR was to ascertain the extent to which the STEP methodology might impact on poverty alleviation.

 Method:

Quantitative data relating to: impairment status, participation, selfefficacy, and relative poverty was analysed. Qualitative methods were also used for triangulation and to gain perspective.

 Results:

50 of the self-care groups (SCG) that were established progressed to become self-help groups (SHG) with a total membership of 866 people.

The median score on the Grameen Progress out of Poverty Index (PPI) rose from 27 to 38.

There was an improvement in levels of social participation with 44% of beneficiaries reporting ”no restriction”.

”Eye Hand and Foot” scores suggested that 68% of leprosy affected SHG members neither experienced improvement or deterioration in impairment status.

The median self-efficacy score rose from 20 to 29.

47 of the 50 SHGs had organized and managed a variety of activities that demonstrated commitment to social responsibility.

Conclusion:

The outcomes of the project suggest that self-care, as applied by groups of people affected by leprosy does enhance perceived self-efficacy and that the energy generated by such perceptions leads to more productive and fruitful lives generally.
Cite this article
Hugh Cross, Kerstin Beise, Ramesh Choudhary;
A study of the linkage of poverty alleviation with self-care in South Central Nepal ; Leprosy Review; 2017; 88; 3; 306-317; DOI: 10.47276/lr.88.3.306
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DOI: 10.47276/lr.88.3.306

articleview.journal_title: Leprosy Review
articleview.publisher: British Leprosy Relief Association
articleview.publisher_location: Colchester, UK
articleview.article_date_pre accepted on 29 June 2017 and articleview.pub_on 01 September 2017
© Lepra 2017
LEPROSY
Leprosy Review
0305-7518
British Leprosy Relief Association
Colchester, UK
30-6317
0305-7518/17/064053+12
10.47276/lr.88.3.306
Original Papers
A study of the linkage of poverty alleviation with self-care in South Central Nepal
CrossHugh
a
BeiseKerstin
b
ChoudharyRamesh
c
a
63 Lower Barresdale, Alnwick, NE66 1 DW, United Kingdom
b
Benteng Somba Opu, Makassar 90225, South Sulawesi, Indonesia
c
Nepal Leprosy Trust, Lalgadh Leprosy Hospital and Services Centre, Janakpur, Nepal
Correspondence to: Hugh Cross, 63 Lower Barresdale, Alnwick, NE66 1 DW, United Kingdom (e-mail: )
The study was undertaken at Lalgadh Leprosy Hospital and Services Centre, Janakpur, Nepal.
01092017
88
3
306
317
29062017
© Lepra
2017
Background:
RECLAIM CDR was an empowerment project implemented by the Nepal Leprosy Trust (NLT) in four districts of Nepal. It ran from 2011 to 2016. The RECLAIM methodology reflected that of an earlier STigma Elimination Project that was implemented under the title of STEP. What follows in this paper are the salient findings of an independent evaluation of RECLAIM that took place in April 2016.
Objectives:
The main objective of RECLAIM CDR was to ascertain the extent to which the STEP methodology might impact on poverty alleviation.
Method:
Quantitative data relating to: impairment status, participation, selfefficacy, and relative poverty was analysed. Qualitative methods were also used for triangulation and to gain perspective.
Results:
50 of the self-care groups (SCG) that were established progressed to become self-help groups (SHG) with a total membership of 866 people.
The median score on the Grameen Progress out of Poverty Index (PPI) rose from 27 to 38.
There was an improvement in levels of social participation with 44% of beneficiaries reporting ”no restriction”.
”Eye Hand and Foot” scores suggested that 68% of leprosy affected SHG members neither experienced improvement or deterioration in impairment status.
The median self-efficacy score rose from 20 to 29.
47 of the 50 SHGs had organized and managed a variety of activities that demonstrated commitment to social responsibility.
Conclusion:
The outcomes of the project suggest that self-care, as applied by groups of people affected by leprosy does enhance perceived self-efficacy and that the energy generated by such perceptions leads to more productive and fruitful lives generally.