Integrated Approach in the Control and Management of Skin Neglected Tropical Diseases in three health districts of Côte d’Ivoire
| Autor: | Yves Thierry Barogui, Roch Christian Johnson, Kingsley Asiedu, Henri Assé, Simplice Djakeaux, Ghislain Emmanuel Sopoh, Gabriel Diez, Aboa Paul Koffi, Silvia Regina Cavani Jorge Santos, Théodore Ange Kouakou Yao, Marie Hélène Zahiri |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Rural Population Buruli ulcer medicine.medical_specialty Adolescent Endemic Diseases 030231 tropical medicine Neglected tropical diseases - integration Psychological intervention Pilot Projects Disease Young Adult 03 medical and health sciences 0302 clinical medicine Leprosy Environmental health Epidemiology Prevalence medicine Humans Mass Screening Treponema pallidum 030212 general & internal medicine Child Buruli Ulcer Skin diseases - Côte d’Ivoire Aged Mycobacterium ulcerans business.industry Public health lcsh:Public aspects of medicine Public Health Environmental and Occupational Health Neglected Diseases lcsh:RA1-1270 Middle Aged medicine.disease Mycobacterium leprae Cote d'Ivoire Cross-Sectional Studies Yaws Neglected tropical diseases Female Biostatistics business Research Article |
| Zdroj: | BMC Public Health, Vol 20, Iss 1, Pp 1-9 (2020) BMC Public Health |
| Popis: | Background Neglected tropical diseases (NTDs) comprise 20 communicable diseases that are prevalent in rural poor and remote communities with less access to the health system. For effective and efficient control, the WHO recommends that affected countries implement integrated control interventions that take into account the different co-endemic NTDs in the same community. However, implementing these integrated interventions involving several diseases with different etiologies, requiring different control approaches and driven by different vertical programs, remains a challenge. We report here the results and lessons learned from a pilot test of this integrated approach based on integrated screening of skin diseases in three co-endemic health districts of Côte d’Ivoire, a West African country endemic for Buruli ulcer, leprosy and yaw. Method This cross-sectional study took place from April 2016 to March 2017 in 3 districts of Côte d’Ivoire co-endemic for BU, leprosy and yaws. The study was carried out in 6 stages: identification of potentially co-endemic communities; stakeholder training; social mobilization; mobile medical consultations; case detection and management; and a review meeting. Results We included in the study all patients with skin signs and symptoms at the screening stage who voluntarily accepted screening. In total, 2310 persons screened had skin lesions at the screening stage. Among them, 07 cases were diagnosed with Buruli ulcer. There were 30 leprosy cases and 15 yaws detected. Other types of ulcerations and skin conditions have been identified and represent the majority of cases detected. We learned from this pilot experience that integration can be successfully implemented in co-endemic communities in Côte d’Ivoire. Health workers are motivated and available to implement integrated interventions instead of interventions focused on a single disease. However, it is essential to provide capacity building, a minimum of drugs and consumables for the care of the patients identified, as well as follow-up of identified patients, including those with other skin conditions. Conclusions The results of this study show that the integration of activities can be successfully implemented in co-endemic communities under the condition of staff capacity building and minimal care of identified patients. |
| Databáze: | OpenAIRE |
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