The WHO atlas for female-genital schistosomiasis: Co-design of a practicable diagnostic guide, digital support and training.

Autor:	Martinez SG; Department of Health and Nursing Science, University of Agder, Kristiansand, Norway., Mbabazi PS; National Planning Authority of the Government of the Republic of Uganda, Kampala, Uganda., Sebitloane MH; Discipline of Obstetrics and Gynaecology, School of Clinical Medicine, Nelson R. Mandela School of Medicine, University of KwaZulu-Natal, Durban, South Africa., Vwalika B; Department of Obstetrics and Gynaecology, School of Medicine, University of Zambia, Lusaka, Zambia., Mocumbi S; Department of Obstetrics and Gynaecology, Faculty of Medicine, Universidade Eduardo Mondlane, Maputo, Mozambique., Galaphaththi-Arachchige HN; Department of Infectious Diseases Ullevaal, Norwegian Centre for Imported and Tropical Diseases, Oslo University Hospital, Oslo, Norway., Holmen SD; Department of Infectious Diseases Ullevaal, Norwegian Centre for Imported and Tropical Diseases, Oslo University Hospital, Oslo, Norway., Randrianasolo B; Association K'OLO VANONA, Antananarivo, Madagascar., Roald B; Center for Paediatric and Pregnancy Related Pathology, Department of Pathology, Oslo University Hospital, and Faculty of Medicine, University of Oslo, Oslo, Norway., Olowookorun F; Ugu District Office, Port Shepstone, South Africa., Hyera F; Department of Public Health Medicine, Faculty of Health Sciences, Walter Sisulu University (WSU), Mthatha, South Africa., Mabote S; Instituto Nacional de Saúde-INS (National Health Institute), Marracuene, Mozambique., Nemungadi TG; National Department of Health, Pretoria, Communicable Diseases Control Directorate, Pretoria, South Africa., Ngcobo TV; National Department of Health, Pretoria, Communicable Diseases Control Directorate, Pretoria, South Africa., Furumele T; National Department of Health, Pretoria, Communicable Diseases Control Directorate, Pretoria, South Africa., Ndhlovu PD; BRIGHT Academy, Centre for Bilharzia and Tropical Health Research, Ugu District, KwaZulu-Natal, South Africa., Gerdes MW; Department of Information and Communication Technologies, University of Agder, Kristiansand, Norway., Gundersen SG; Institute for Global Development and Planning, University of Agder, Kristiansand, Norway., Mkhize-Kwitshana ZL; School of Laboratory Medicine & Medical Sciences, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa.; Research Capacity Division, South African Medical Research Council, Tygerberg, South Africa., Taylor M; School of Laboratory Medicine & Medical Sciences, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa., Mhlanga REE; Discipline of Public Health Medicine, Nelson R Mandela School of Medicine, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa., Kjetland EF; Department of Infectious Diseases Ullevaal, Norwegian Centre for Imported and Tropical Diseases, Oslo University Hospital, Oslo, Norway.; School of Laboratory Medicine & Medical Sciences, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa.
Jazyk:	angličtina
Zdroj:	PLOS global public health [PLOS Glob Public Health] 2024 Mar 18; Vol. 4 (3), pp. e0002249. Date of Electronic Publication: 2024 Mar 18 (Print Publication: 2024).
DOI:	10.1371/journal.pgph.0002249
Abstrakt:	Up to 56 million young and adult women of African origin suffer from Female Genital Schistosomiasis (FGS). The transmission of schistosomiasis happens through contact with schistosomiasis infested fresh water in rivers and lakes. The transmission vector is the snail that releases immature worms capable of penetrating the human skin. The worm then matures and mates in the blood vessels and deposits its eggs in tissues, causing urogenital disease. There is currently no gold standard for FGS diagnosis. Reliable diagnostics are challenging due to the lack of appropriate instruments and clinical skills. The World Health Organisation (WHO) recommends "screen-and-treat" cervical cancer management, by means of visual inspection of characteristic lesions on the cervix and point-of-care treatment as per the findings. FGS may be mistaken for cervical cancer or sexually transmitted diseases. Misdiagnosis may lead to the wrong treatment, increased risk of exposure to other infectious diseases (human immunodeficiency virus and human papilloma virus), infertility and stigmatisation. The necessary clinical knowledge is only available to a few experts in the world. For an appropriate diagnosis, this knowledge needs to be transferred to health professionals who have minimal or non-existing laboratory support. Co-design workshops were held with stakeholders (WHO representative, national health authority, FGS experts and researchers, gynaecologists, nurses, medical doctors, public health experts, technical experts, and members of the public) to make prototypes for the WHO Pocket Atlas for FGS, a mobile diagnostic support tool and an e-learning tool for health professionals. The dissemination targeted health facilities, including remote areas across the 51 anglophone, francophone and lusophone African countries. Outcomes were endorsed by the WHO and comprise a practical diagnostic guide for FGS in low-resource environments. Competing Interests: The authors have declared that no competing interests exist. (Copyright: © 2024 Martinez et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
Databáze:	MEDLINE
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