The aim of this article is to promote and encourage ulcer care at the lowest possible level, as near to the patient's home as possible, and to stimulate paramedical workers and physicians in peripheral units to take responsibility for such treatment. Traditionally surgeons, often working full time in leprosy institutions, in vertical Leprosy programmes have given ulcer care. As integration proceeds, focusing on multi- Drug therapy, the priority for care after cure in programmes gets a lower profile.
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