SciELO - Scientific Electronic Library Online

vol.62 issue2Hydroxychloroquine: Inca inheritance drug to modern immunologyOzone a method of disinfection of the environment of hospitals author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand




Related links

  • Have no similar articlesSimilars in SciELO


Acta Médica Costarricense

On-line version ISSN 0001-6002Print version ISSN 0001-6012


RIVERA-CHAVARRIA, Ana; SANCHEZ-HERNANDEZ, Germana  and  ESPINOZA-AGUIRRE, Azálea. Barriers and facilitators related to leprosy detection in Costa Rica. Acta méd. costarric [online]. 2020, vol.62, n.2, pp.65-71. ISSN 0001-6002.


To analyze barriers and facilitators related to the diagnosis of leprosy in Costa Rica from the perspective of the person with the disease and in the context of everyday life.


A qualitative exploratory study was carried out from 25 semi-structured interviews, with people with leprosy or with a history of having it, aged between 23 - 88 years, treated in the Costa Rican public health system. From the analysis of the qualitative data, the barriers and facilitators were classified into personal, cultural factors and the offer of health services.


In relation to personal factors, most of the participants reported having no knowledge or awareness prior to the disease. Fear of being stigmatized, intermittent symptoms, feeling good, work and family commitments were perceived as barriers. Among the cultural factors, some religious beliefs were perceived as barriers and the family history of leprosy as a facilitator in terms of seeking care and diagnosis. With respect to health services, timely access to appointments with informed health personnel, telemedicine and family doctors were cited as facilitators.


The main barriers and facilitators described in the results of the study should be considered in order to contribute to the detection and timely treatment of leprosy to cure the disease avoid disability and eliminate transmission.

Keywords : Leprosy; barriers to access health services; early diagnosis; qualitative analysis; Costa Rica..

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )