Measuring elimination of podoconiosis, endemicity classifications, case definition and targets: an international Delphi exercise
Identifieur interne : 001B07 ( Main/Exploration ); précédent : 001B06; suivant : 001B08Measuring elimination of podoconiosis, endemicity classifications, case definition and targets: an international Delphi exercise
Auteurs : Kebede Deribe [Royaume-Uni, Éthiopie] ; Samuel Wanji [Cameroun] ; Oumer Shafi [Éthiopie] ; Edridah Muheki Tukahebwa [Ouganda] ; Irenee Umulisa [Rwanda] ; Gail Davey [Royaume-Uni]Source :
- International Health [ 1876-3413 ] ; 2015.
Descripteurs français
- KwdFr :
- MESH :
- normes : Évaluation de résultat (soins).
- épidémiologie : Éléphantiasis.
- Humains, Médecine tropicale, Méthode Delphi, Prévalence, Éradication de maladie, Évaluation de résultat (soins).
English descriptors
- KwdEn :
- MESH :
- epidemiology : Elephantiasis.
- methods : Disease Eradication, Outcome Assessment (Health Care).
- standards : Outcome Assessment (Health Care).
- Delphi Technique, Humans, Prevalence, Tropical Medicine.
Abstract
Podoconiosis is one of the major causes of lymphoedema in the tropics. Nonetheless, currently there are no endemicity classifications or elimination targets to monitor the effects of interventions. This study aimed at establishing case definitions and indicators that can be used to assess endemicity, elimination and clinical outcomes of podoconiosis.
This paper describes the result of a Delphi technique used among 28 experts. A questionnaire outlining possible case definitions, endemicity classifications, elimination targets and clinical outcomes was developed. The questionnaire was distributed to experts working on podoconiosis and other neglected tropical diseases in two rounds. The experts rated the importance of case definitions, endemic classifications, elimination targets and the clinical outcome measures. Median and mode were used to describe the central tendency of expert responses. The coefficient of variation was used to describe the dispersals of expert responses.
Consensus on definitions and indicators for assessing endemicity, elimination and clinical outcomes of podoconiosis directed at policy makers and health workers was achieved following the two rounds of Delphi approach among the experts.
Based on the two Delphi rounds we discuss potential indicators and endemicity classification of this disabling disease, and the ongoing challenges to its elimination in countries with the highest prevalence. Consensus will help to increase effectiveness of podoconiosis elimination efforts and ensure comparability of outcome data.
Url:
DOI: 10.1093/inthealth/ihv043
PubMed: 26185194
PubMed Central: 4550552
Affiliations:
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Medical School, Falmer, Brighton</wicri:regionArea><wicri:noRegion>Brighton</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="af2"><addr-line>School of Public Health, Addis Ababa University, Addis Ababa, Ethiopia</addr-line></nlm:aff><country xml:lang="fr">Éthiopie</country><wicri:regionArea>School of Public Health, Addis Ababa University, Addis Ababa</wicri:regionArea><wicri:noRegion>Addis Ababa</wicri:noRegion></affiliation></author><author><name sortKey="Wanji, Samuel" sort="Wanji, Samuel" uniqKey="Wanji S" first="Samuel" last="Wanji">Samuel Wanji</name><affiliation wicri:level="1"><nlm:aff id="af3"><addr-line>Research Foundation for Tropical Diseases and Environment, Buea, Cameroon</addr-line></nlm:aff><country xml:lang="fr">Cameroun</country><wicri:regionArea>Research Foundation for Tropical Diseases and Environment, Buea</wicri:regionArea><wicri:noRegion>Buea</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="af4"><addr-line>Department 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Ministry of Health, Kampala, Uganda</addr-line></nlm:aff><country xml:lang="fr">Ouganda</country><wicri:regionArea>Vector Control Division, Ministry of Health, Kampala</wicri:regionArea><wicri:noRegion>Kampala</wicri:noRegion></affiliation></author><author><name sortKey="Umulisa, Irenee" sort="Umulisa, Irenee" uniqKey="Umulisa I" first="Irenee" last="Umulisa">Irenee Umulisa</name><affiliation wicri:level="1"><nlm:aff id="af7"><addr-line>Malaria and OPD Division, Rwanda Biomedical Center, Kigali, Rwanda</addr-line></nlm:aff><country xml:lang="fr">Rwanda</country><wicri:regionArea>Malaria and OPD Division, Rwanda Biomedical Center, Kigali</wicri:regionArea><wicri:noRegion>Kigali</wicri:noRegion></affiliation></author><author><name sortKey="Davey, Gail" sort="Davey, Gail" uniqKey="Davey G" first="Gail" last="Davey">Gail Davey</name><affiliation wicri:level="1"><nlm:aff id="af1"><addr-line>Brighton and Sussex Medical School, Falmer, Brighton, UK</addr-line></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Brighton and Sussex Medical School, Falmer, Brighton</wicri:regionArea><wicri:noRegion>Brighton</wicri:noRegion></affiliation></author></analytic><series><title level="j">International Health</title><idno type="ISSN">1876-3413</idno><idno type="eISSN">1876-3405</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Delphi Technique</term><term>Disease Eradication (methods)</term><term>Elephantiasis (epidemiology)</term><term>Humans</term><term>Outcome Assessment (Health Care) (methods)</term><term>Outcome Assessment (Health Care) (standards)</term><term>Prevalence</term><term>Tropical Medicine</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Humains</term><term>Médecine tropicale</term><term>Méthode Delphi</term><term>Prévalence</term><term>Éléphantiasis (épidémiologie)</term><term>Éradication de maladie ()</term><term>Évaluation de résultat (soins) ()</term><term>Évaluation de résultat (soins) (normes)</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Elephantiasis</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Disease Eradication</term><term>Outcome Assessment (Health Care)</term></keywords><keywords scheme="MESH" qualifier="normes" xml:lang="fr"><term>Évaluation de résultat (soins)</term></keywords><keywords scheme="MESH" qualifier="standards" xml:lang="en"><term>Outcome Assessment (Health Care)</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Éléphantiasis</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Delphi Technique</term><term>Humans</term><term>Prevalence</term><term>Tropical Medicine</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Humains</term><term>Médecine tropicale</term><term>Méthode Delphi</term><term>Prévalence</term><term>Éradication de maladie</term><term>Évaluation de résultat (soins)</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Podoconiosis is one of the major causes of lymphoedema in the tropics. Nonetheless, currently there are no endemicity classifications or elimination targets to monitor the effects of interventions. This study aimed at establishing case definitions and indicators that can be used to assess endemicity, elimination and clinical outcomes of podoconiosis.</p></sec><sec><title>Methods</title><p>This paper describes the result of a Delphi technique used among 28 experts. A questionnaire outlining possible case definitions, endemicity classifications, elimination targets and clinical outcomes was developed. The questionnaire was distributed to experts working on podoconiosis and other neglected tropical diseases in two rounds. The experts rated the importance of case definitions, endemic classifications, elimination targets and the clinical outcome measures. Median and mode were used to describe the central tendency of expert responses. The coefficient of variation was used to describe the dispersals of expert responses.</p></sec><sec><title>Results</title><p>Consensus on definitions and indicators for assessing endemicity, elimination and clinical outcomes of podoconiosis directed at policy makers and health workers was achieved following the two rounds of Delphi approach among the experts.</p></sec><sec><title>Conclusions</title><p>Based on the two Delphi rounds we discuss potential indicators and endemicity classification of this disabling disease, and the ongoing challenges to its elimination in countries with the highest prevalence. Consensus will help to increase effectiveness of podoconiosis elimination efforts and ensure comparability of outcome data.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Heymanna, Dl" uniqKey="Heymanna D">DL Heymanna</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Whitty, Cj" uniqKey="Whitty C">CJ Whitty</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Dowdle, Wr" uniqKey="Dowdle W">WR Dowdle</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Davey, G" uniqKey="Davey G">G Davey</name></author><author><name sortKey="Newport, M" uniqKey="Newport M">M Newport</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Price, Ew" uniqKey="Price E">EW Price</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Price, Ew" 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sortKey="Gebrehanna, E" uniqKey="Gebrehanna E">E Gebrehanna</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Yakob, B" uniqKey="Yakob B">B Yakob</name></author><author><name sortKey="Deribe, K" uniqKey="Deribe K">K Deribe</name></author><author><name sortKey="Davey, G" uniqKey="Davey G">G Davey</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Tamiru, A" uniqKey="Tamiru A">A Tamiru</name></author><author><name sortKey="Tsegay, G" uniqKey="Tsegay G">G Tsegay</name></author><author><name sortKey="Wubie, M" uniqKey="Wubie M">M Wubie</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Deribe, K" uniqKey="Deribe K">K Deribe</name></author><author><name sortKey="Meribo, K" uniqKey="Meribo K">K Meribo</name></author><author><name sortKey="Gebre, T" uniqKey="Gebre T">T Gebre</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Deribe, K" uniqKey="Deribe K">K Deribe</name></author><author><name sortKey="Tomczyk, S" uniqKey="Tomczyk S">S Tomczyk</name></author><author><name sortKey="Tekola Ayele, F" uniqKey="Tekola Ayele F">F Tekola-Ayele</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Tekola, F" uniqKey="Tekola F">F Tekola</name></author><author><name sortKey="Ayele, Z" uniqKey="Ayele Z">Z Ayele</name></author><author><name sortKey="Mariam, Dh" uniqKey="Mariam D">DH Mariam</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Cameroun</li><li>Ouganda</li><li>Royaume-Uni</li><li>Rwanda</li><li>Éthiopie</li></country></list><tree><country name="Royaume-Uni"><noRegion><name sortKey="Deribe, Kebede" sort="Deribe, Kebede" uniqKey="Deribe K" first="Kebede" last="Deribe">Kebede Deribe</name></noRegion><name sortKey="Davey, Gail" sort="Davey, Gail" uniqKey="Davey G" first="Gail" last="Davey">Gail Davey</name></country><country name="Éthiopie"><noRegion><name sortKey="Deribe, Kebede" sort="Deribe, Kebede" uniqKey="Deribe K" first="Kebede" last="Deribe">Kebede Deribe</name></noRegion><name sortKey="Shafi, Oumer" sort="Shafi, Oumer" uniqKey="Shafi O" first="Oumer" last="Shafi">Oumer Shafi</name></country><country name="Cameroun"><noRegion><name sortKey="Wanji, Samuel" sort="Wanji, Samuel" uniqKey="Wanji S" first="Samuel" last="Wanji">Samuel Wanji</name></noRegion><name sortKey="Wanji, Samuel" sort="Wanji, Samuel" uniqKey="Wanji S" first="Samuel" last="Wanji">Samuel Wanji</name></country><country name="Ouganda"><noRegion><name sortKey="Muheki Tukahebwa, Edridah" sort="Muheki Tukahebwa, Edridah" uniqKey="Muheki Tukahebwa E" first="Edridah" last="Muheki Tukahebwa">Edridah Muheki Tukahebwa</name></noRegion></country><country name="Rwanda"><noRegion><name sortKey="Umulisa, Irenee" sort="Umulisa, Irenee" uniqKey="Umulisa I" first="Irenee" last="Umulisa">Irenee 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