It is Possible: Availability of Lymphedema Case Management in each Health Facility in Togo. Program Description, Evaluation, and Lessons Learned
Identifieur interne : 003526 ( Main/Exploration ); précédent : 003525; suivant : 003527It is Possible: Availability of Lymphedema Case Management in each Health Facility in Togo. Program Description, Evaluation, and Lessons Learned
Auteurs : Els Mathieu ; Ameyo M. Dorkenoo ; Michael Datagni ; Paul T. Cantey ; Kodjo Morgah ; Kira Harvey ; Joshua Ziperstein ; Naomi Drexler ; Gina Chapleau ; Yao SodahlonSource :
- The American Journal of Tropical Medicine and Hygiene [ 0002-9637 ] ; 2013.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Agents de santé communautaire (enseignement et éducation), Autosoins (), Enfant, Filariose lymphatique (), Filariose lymphatique (épidémiologie), Humains, Jeune adulte, Modèles d'organisation, Prise en charge personnalisée du patient (organisation et administration), Services de santé communautaires (), Services de santé communautaires (organisation et administration), Sujet âgé, Sujet âgé de 80 ans ou plus, Togo (épidémiologie), Éducation du patient comme sujet (), Éducation pour la santé (), Évaluation de programme.
- MESH :
- enseignement et éducation : Agents de santé communautaire.
- organisation et administration : Prise en charge personnalisée du patient, Services de santé communautaires.
- épidémiologie : Filariose lymphatique, Togo.
- Adolescent, Adulte, Adulte d'âge moyen, Autosoins, Enfant, Filariose lymphatique, Humains, Jeune adulte, Modèles d'organisation, Services de santé communautaires, Sujet âgé, Sujet âgé de 80 ans ou plus, Éducation du patient comme sujet, Éducation pour la santé, Évaluation de programme.
- Wicri :
- geographic : Togo.
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Aged, 80 and over, Case Management (organization & administration), Child, Community Health Services (methods), Community Health Services (organization & administration), Community Health Workers (education), Elephantiasis, Filarial (epidemiology), Elephantiasis, Filarial (therapy), Health Education (methods), Humans, Middle Aged, Models, Organizational, Patient Education as Topic (methods), Program Evaluation, Self Care (methods), Togo (epidemiology), Young Adult.
- MESH :
- geographic , epidemiology : Togo.
- education : Community Health Workers.
- epidemiology : Elephantiasis, Filarial.
- methods : Community Health Services, Health Education, Patient Education as Topic, Self Care.
- organization & administration : Case Management, Community Health Services.
- therapy : Elephantiasis, Filarial.
- Adolescent, Adult, Aged, Aged, 80 and over, Child, Humans, Middle Aged, Models, Organizational, Program Evaluation, Young Adult.
Abstract
Lymphatic filariasis (LF) is a vector-borne parasitic disease that can clinically manifest as disabling lymphedema. Although the LF elimination program aims to reduce disability and to interrupt transmission, there has been a scarcity of disease morbidity management programs, particularly on a national scale. This report describes the implementation of the first nationwide LF lymphedema management program. The program, which was initiated in Togo in 2007, focuses on patient behavioral change. Its goal is two-fold: to achieve a sustainable program on a national-scale, and to serve as a model for other countries. The program has five major components: 1) train at least one health staff in lymphedema care in each health facility in Togo; 2) inform people with a swollen leg that care is available at their dispensary; 3) train patients on self-care; 4) provide a support system to motivate patients to continue self-care by training community health workers or family members and providing in home follow-up; and 5) integrate lymphedema management into the curriculum for medical staff. The program achieved the inclusion of lymphedema management in the routine healthcare package. The evaluation after three years estimated that 79% of persons with a swollen leg in Togo were enrolled in the program. The adherence rate to the proposed World Health Organization treatment of washing, exercise, and leg elevation was more than 70% after three years of the program, resulting in a stabilization of the lymphedema stage and a slight decrease in reported acute attacks among program participants. Health staff and patients consider the program successful in reaching and educating the patients. After the external funding ended, the morbidity management program is maintained through routine Ministry of Health activities.
Url:
DOI: 10.4269/ajtmh.12-0453
PubMed: 23690550
PubMed Central: 3748474
Affiliations:
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xml:lang="en"><p>Lymphatic filariasis (LF) is a vector-borne parasitic disease that can clinically manifest as disabling lymphedema. Although the LF elimination program aims to reduce disability and to interrupt transmission, there has been a scarcity of disease morbidity management programs, particularly on a national scale. This report describes the implementation of the first nationwide LF lymphedema management program. The program, which was initiated in Togo in 2007, focuses on patient behavioral change. Its goal is two-fold: to achieve a sustainable program on a national-scale, and to serve as a model for other countries. The program has five major components: 1) train at least one health staff in lymphedema care in each health facility in Togo; 2) inform people with a swollen leg that care is available at their dispensary; 3) train patients on self-care; 4) provide a support system to motivate patients to continue self-care by training community health workers or family members and providing in home follow-up; and 5) integrate lymphedema management into the curriculum for medical staff. The program achieved the inclusion of lymphedema management in the routine healthcare package. The evaluation after three years estimated that 79% of persons with a swollen leg in Togo were enrolled in the program. The adherence rate to the proposed World Health Organization treatment of washing, exercise, and leg elevation was more than 70% after three years of the program, resulting in a stabilization of the lymphedema stage and a slight decrease in reported acute attacks among program participants. Health staff and patients consider the program successful in reaching and educating the patients. After the external funding ended, the morbidity management program is maintained through routine Ministry of Health activities.</p></div></front></TEI><affiliations><list></list><tree><noCountry><name sortKey="Cantey, Paul T" sort="Cantey, Paul T" uniqKey="Cantey P" first="Paul T." last="Cantey">Paul T. Cantey</name><name sortKey="Chapleau, Gina" sort="Chapleau, Gina" uniqKey="Chapleau G" first="Gina" last="Chapleau">Gina Chapleau</name><name sortKey="Datagni, Michael" sort="Datagni, Michael" uniqKey="Datagni M" first="Michael" last="Datagni">Michael Datagni</name><name sortKey="Dorkenoo, Ameyo M" sort="Dorkenoo, Ameyo M" uniqKey="Dorkenoo A" first="Ameyo M." last="Dorkenoo">Ameyo M. Dorkenoo</name><name sortKey="Drexler, Naomi" sort="Drexler, Naomi" uniqKey="Drexler N" first="Naomi" last="Drexler">Naomi Drexler</name><name sortKey="Harvey, Kira" sort="Harvey, Kira" uniqKey="Harvey K" first="Kira" last="Harvey">Kira Harvey</name><name sortKey="Mathieu, Els" sort="Mathieu, Els" uniqKey="Mathieu E" first="Els" last="Mathieu">Els Mathieu</name><name sortKey="Morgah, Kodjo" sort="Morgah, Kodjo" uniqKey="Morgah K" first="Kodjo" last="Morgah">Kodjo Morgah</name><name sortKey="Sodahlon, Yao" sort="Sodahlon, Yao" uniqKey="Sodahlon Y" first="Yao" last="Sodahlon">Yao Sodahlon</name><name sortKey="Ziperstein, Joshua" sort="Ziperstein, Joshua" uniqKey="Ziperstein J" first="Joshua" last="Ziperstein">Joshua Ziperstein</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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