A mixed methods evaluation of an integrated training package for skin neglected tropical diseases in Kaduna and Ogun, Nigeria

Autor: Luret A Lar, Shahreen Chowdhury, Cynthia Umunnakwe, Dupe Yahemba, Adekunle David, Olaitan O Omitola, Stephen Haruna, Sefiat Lawal, Sunday Isiyaku, Joy Shuaibu, Jehoshaphat Albarka, Rachael Thomson, Laura Dean
Rok vydání: 2023
Předmět:
Zdroj: International Health. 15:i75-i86
ISSN: 1876-3405
1876-3413
DOI: 10.1093/inthealth/ihac081
Popis: Background The overall burden of neglected tropical diseases (NTDs) affecting the skin is undetermined. Skin conditions are among the top 10 causes of disability worldwide. Affected persons seek treatment at advanced stages of the disease, resulting in morbidity and disability. We developed and evaluated an integrated training intervention for early case detection, referral and management of skin NTDs in two states in Nigeria. Methods This was a mixed-methods study using participatory approaches to develop specific skin algorithms and training packages for community and primary level health workers. This supported the identification, referral and clinical diagnosis of suspected cases. We used Kirkpatrick's model to evaluate the training package. Results Participants’ knowledge improved after the 2-months intervention. Across both states, knowledge retention appeared more robust for cadres at all levels: state, local government area and primary healthcare. All (100%) participants mentioned that the training assisted them in detecting, referring and managing skin NTDs. Training was understood by participants and training materials were easy to understand. Materials were also effective in educating community members about the symptoms of NTDs and supported referral to facilities for appropriate management. Conclusions Community implementers can be trained and supervised to detect people affected by skin NTDs and support appropriate management within the existing patient care pathway.
Databáze: OpenAIRE
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