Addressing the Neglected Tropical Disease Podoconiosis in Northern Ethiopia: Lessons Learned from a New Community Podoconiosis Program
Identifieur interne : 004529 ( Main/Exploration ); précédent : 004528; suivant : 004530Addressing the Neglected Tropical Disease Podoconiosis in Northern Ethiopia: Lessons Learned from a New Community Podoconiosis Program
Auteurs : Sara Tomczyk [Éthiopie] ; Abreham Tamiru [Éthiopie] ; Gail Davey [Royaume-Uni]Source :
- PLoS Neglected Tropical Diseases [ 1935-2727 ] ; 2012.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Connaissances, attitudes et pratiques en santé, Enseignement médical, Femelle, Humains, Jeune adulte, Maladies négligées (), Maladies négligées (épidémiologie), Mâle, Prévalence, Recherche sur les services de santé, Éléphantiasis (), Éléphantiasis (épidémiologie), Éthiopie (épidémiologie).
- MESH :
- Wicri :
- geographic : Éthiopie.
English descriptors
- KwdEn :
- Adult, Education, Medical, Elephantiasis (epidemiology), Elephantiasis (prevention & control), Ethiopia (epidemiology), Female, Health Knowledge, Attitudes, Practice, Health Services Research, Humans, Male, Middle Aged, Neglected Diseases (epidemiology), Neglected Diseases (prevention & control), Prevalence, Young Adult.
- MESH :
- geographic , epidemiology : Ethiopia.
- epidemiology : Elephantiasis, Neglected Diseases.
- prevention & control : Elephantiasis, Neglected Diseases.
- Adult, Education, Medical, Female, Health Knowledge, Attitudes, Practice, Health Services Research, Humans, Male, Middle Aged, Prevalence, Young Adult.
Abstract
Despite its great public health importance, few control initiatives addressing podoconiosis (non-filarial elephantiasis, a geochemical neglected tropical disease) exist. In June 2010, the first podoconiosis program in Northern Ethiopia, consisting of prevention, awareness, and care and support activities, began in Debre Markos, Northern Ethiopia. This study aims to document and disseminate the lessons learned from a new community podoconiosis program in Debre Markos.
We used a content analysis approach to examine and evaluate data from a series of sources. These sources include conducted interview transcripts, a focus group discussion transcript and secondary sources including monitoring and evaluation field reports, observation notes, and research obtained from a literature review. Themes were identified and grouped into matrix tables. Overall, sixteen program steps were identified and grouped into 6 domains: Initial preparation, training and sensitization, foundation building, treatment activity implementation, awareness, and follow-up. Emphasis is placed on the need for baseline data, effective training, local leadership, experience-sharing, mass-awareness, cross-cutting sector issues (i.e., water and waste management), and integration with government health systems. Related successes and challenges are also described, as are stakeholder roles and misconceptions and socio-cultural challenges affecting the program start-up. Many of the identified successes and challenges are relevant to the aim of the podoconiosis program to be sustainable and community-led.
Much of this information has already been used to improve the Debre Markos program. We also anticipate that the domains and steps identified will be useful in guiding new programs in other settings where podoconiosis is highly prevalent. We hope to encourage partnerships and collaboration among podoconiosis stakeholders in future growth and disease control expansion.
Url:
DOI: 10.1371/journal.pntd.0001560
PubMed: 22428078
PubMed Central: 3302806
Affiliations:
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Le document en format XML
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Ababa</wicri:noRegion></affiliation></author><author><name sortKey="Tamiru, Abreham" sort="Tamiru, Abreham" uniqKey="Tamiru A" first="Abreham" last="Tamiru">Abreham Tamiru</name><affiliation wicri:level="1"><nlm:aff id="aff2"><addr-line>International Orthodox Christian Charities, Debre Markos, Ethiopia</addr-line></nlm:aff><country xml:lang="fr">Éthiopie</country><wicri:regionArea>International Orthodox Christian Charities, Debre Markos</wicri:regionArea><wicri:noRegion>Debre Markos</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="aff3"><addr-line>Brighton and Sussex Medical School, Brighton, United Kingdom</addr-line></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Brighton and Sussex Medical School, Brighton</wicri:regionArea><wicri:noRegion>Brighton</wicri:noRegion></affiliation></author></analytic><series><title level="j">PLoS Neglected Tropical Diseases</title><idno type="ISSN">1935-2727</idno><idno type="eISSN">1935-2735</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Education, Medical</term><term>Elephantiasis (epidemiology)</term><term>Elephantiasis (prevention & control)</term><term>Ethiopia (epidemiology)</term><term>Female</term><term>Health Knowledge, Attitudes, Practice</term><term>Health Services Research</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Neglected Diseases (epidemiology)</term><term>Neglected Diseases (prevention & control)</term><term>Prevalence</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Connaissances, attitudes et pratiques en santé</term><term>Enseignement médical</term><term>Femelle</term><term>Humains</term><term>Jeune adulte</term><term>Maladies négligées ()</term><term>Maladies négligées (épidémiologie)</term><term>Mâle</term><term>Prévalence</term><term>Recherche sur les services de santé</term><term>Éléphantiasis ()</term><term>Éléphantiasis (épidémiologie)</term><term>Éthiopie (épidémiologie)</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Ethiopia</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Elephantiasis</term><term>Neglected Diseases</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Elephantiasis</term><term>Neglected Diseases</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Maladies négligées</term><term>Éléphantiasis</term><term>Éthiopie</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Education, Medical</term><term>Female</term><term>Health Knowledge, Attitudes, Practice</term><term>Health Services Research</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Prevalence</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Connaissances, attitudes et pratiques en santé</term><term>Enseignement médical</term><term>Femelle</term><term>Humains</term><term>Jeune adulte</term><term>Maladies négligées</term><term>Mâle</term><term>Prévalence</term><term>Recherche sur les services de santé</term><term>Éléphantiasis</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Éthiopie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Despite its great public health importance, few control initiatives addressing podoconiosis (non-filarial elephantiasis, a geochemical neglected tropical disease) exist. In June 2010, the first podoconiosis program in Northern Ethiopia, consisting of prevention, awareness, and care and support activities, began in Debre Markos, Northern Ethiopia. This study aims to document and disseminate the lessons learned from a new community podoconiosis program in Debre Markos.</p></sec><sec><title>Methods/Principal Findings</title><p>We used a content analysis approach to examine and evaluate data from a series of sources. These sources include conducted interview transcripts, a focus group discussion transcript and secondary sources including monitoring and evaluation field reports, observation notes, and research obtained from a literature review. Themes were identified and grouped into matrix tables. Overall, sixteen program steps were identified and grouped into 6 domains: Initial preparation, training and sensitization, foundation building, treatment activity implementation, awareness, and follow-up. Emphasis is placed on the need for baseline data, effective training, local leadership, experience-sharing, mass-awareness, cross-cutting sector issues (i.e., water and waste management), and integration with government health systems. Related successes and challenges are also described, as are stakeholder roles and misconceptions and socio-cultural challenges affecting the program start-up. Many of the identified successes and challenges are relevant to the aim of the podoconiosis program to be sustainable and community-led.</p></sec><sec><title>Conclusions/Significance</title><p>Much of this information has already been used to improve the Debre Markos program. We also anticipate that the domains and steps identified will be useful in guiding new programs in other settings where podoconiosis is highly prevalent. We hope to encourage partnerships and collaboration among podoconiosis stakeholders in future growth and disease control expansion.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Price, Ew" uniqKey="Price E">EW Price</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Davey, G" uniqKey="Davey G">G Davey</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sikorski, C" uniqKey="Sikorski C">C Sikorski</name></author><author><name sortKey="Ashine, M" uniqKey="Ashine M">M Ashine</name></author><author><name sortKey="Zeleke, Z" uniqKey="Zeleke Z">Z Zeleke</name></author><author><name sortKey="Davey, G" uniqKey="Davey G">G Davey</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Desta, K" uniqKey="Desta K">K Desta</name></author><author><name sortKey="Ashine, M" uniqKey="Ashine M">M Ashine</name></author><author><name sortKey="Davey, G" uniqKey="Davey G">G Davey</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wanji, S" uniqKey="Wanji S">S Wanji</name></author><author><name sortKey="Tendongfor, N" uniqKey="Tendongfor N">N Tendongfor</name></author><author><name sortKey="Esum, M" uniqKey="Esum M">M Esum</name></author><author><name sortKey="Che, Jn" uniqKey="Che J">JN Che</name></author><author><name sortKey="Mand, S" uniqKey="Mand S">S Mand</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Davey, G" uniqKey="Davey G">G Davey</name></author><author><name sortKey="Tekola, F" uniqKey="Tekola F">F Tekola</name></author><author><name sortKey="Newport, Mj" uniqKey="Newport M">MJ Newport</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Destas, K" uniqKey="Destas K">K Destas</name></author><author><name sortKey="Ashine, M" uniqKey="Ashine M">M Ashine</name></author><author><name sortKey="Davey, G" uniqKey="Davey G">G Davey</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Alemu, G" uniqKey="Alemu G">G Alemu</name></author><author><name sortKey="Tekola Ayele, F" uniqKey="Tekola Ayele F">F Tekola Ayele</name></author><author><name sortKey="Daniel, T" uniqKey="Daniel T">T Daniel</name></author><author><name sortKey="Ahrens, C" uniqKey="Ahrens C">C Ahrens</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Tekola, F" uniqKey="Tekola F">F Tekola</name></author><author><name sortKey="Mariam, D" uniqKey="Mariam D">D Mariam</name></author><author><name sortKey="Davey, G" uniqKey="Davey G">G Davey</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="Davey, G" uniqKey="Davey G">G Davey</name></author><author><name sortKey="Burridge, E" uniqKey="Burridge E">E Burridge</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Varvasovsky, Z" uniqKey="Varvasovsky Z">Z Varvasovsky</name></author><author><name sortKey="Brugha, R" uniqKey="Brugha R">R Brugha</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Martins, N" uniqKey="Martins N">N Martins</name></author><author><name sortKey="Kelly, Pm" uniqKey="Kelly P">PM Kelly</name></author><author><name sortKey="Grace, Ja" uniqKey="Grace J">JA Grace</name></author><author><name sortKey="Zwi, Ab" uniqKey="Zwi A">AB Zwi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Addis G, D" uniqKey="Addis G D">D Addis G</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Royaume-Uni</li><li>Éthiopie</li></country></list><tree><country name="Éthiopie"><noRegion><name sortKey="Tomczyk, Sara" sort="Tomczyk, Sara" uniqKey="Tomczyk S" first="Sara" last="Tomczyk">Sara Tomczyk</name></noRegion><name sortKey="Tamiru, Abreham" sort="Tamiru, Abreham" uniqKey="Tamiru A" first="Abreham" last="Tamiru">Abreham Tamiru</name></country><country name="Royaume-Uni"><noRegion><name sortKey="Davey, Gail" sort="Davey, Gail" uniqKey="Davey G" first="Gail" last="Davey">Gail Davey</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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