Integrated approach in the control and management of skin neglected tropical diseases in Lalo, Benin

Barogui, Yves Thierry; Diez, Gabriel; Anagonou, Esai; Johnson, Roch Christian; Gomido, Inès Cica; Amoukpo, Hermione; Bachirou, Zoulkifl Salou; Houézo, Jean Gabin; Saizonou, Raoul; Sopoh, Ghislain Emmanuel; Asiedu, Kingsley

doi:10.1371/journal.pntd.0006584

Cited by 47 publications

(50 citation statements)

References 19 publications

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“…The proportion of leprosy cases detected in our study is similar to the finding in earlier studies conducted as well in Cote d'Ivoire, in Benin [26,27] as in Malawi [28]. For this integrated activities, the most endemic districts were visited.…”

Section: Resultssupporting

confidence: 90%

Integrated Approach in the Control and Management of Skin Neglected Tropical Diseases in three health districts of Côte d’Ivoire

Koffi

Yao

Barogui³

et al. 2020

Preprint

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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 an effective and efficient control, the WHO recommends to affected countries the implementation of 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. It 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 have included in the study all patients with ‘skin signs and symptoms at the screening stage who accepted voluntarily to be screened. In total, 2310 persons screened had skin lesions at the screening stage. Among them, 07 cases were diagnosed as 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 detected, as well as follow up of detected 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 a staff capacity building and a minimal care of the detected patients.

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Section: Resultssupporting

confidence: 90%

Integrated Approach in the Control and Management of Skin Neglected Tropical Diseases in three health districts of Côte d’Ivoire

Koffi

Yao

Barogui³

et al. 2020

Preprint

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“…Fifteen cases of yaws were detected, of which 8 were confirmed by serological test; the other 7 were diagnosed on a clinical basis because we did not have rapid screening tests during the first campaigns. The proportion of leprosy cases detected in our study is similar to the finding in earlier studies conducted as well in Cote d'Ivoire, in Benin [19,20] as in Malawi [21].…”

Section: Discussionsupporting

confidence: 91%

Integrated approach in the management of skin NTDs: Situational analysis of the integrated screening campaigns of skin diseases (leprosy, Buruli ulcer and yaws) in three health districts of Côte d’Ivoire

Koffi¹,

Yao²,

Barogui³

et al. 2019

Preprint

Self Cite

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BackgroundNeglected Tropical Diseases (NTDs) comprise 20 communicable diseases that are prevalent in rural poor and remote communities with less access to the health system. For an effective and efficient control, the WHO recommends to affected countries the implementation of 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 three skin NTDs. MethodThis 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. It 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.ResultsIn total, 2310 persons were screened with skin diseases. Among them, 07 cases were diagnosed as 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 detected, as well as follow up of detected patients including those with other skin conditions.ConclusionsThe results of this study show that the integration of activities can be successfully implemented in co-endemic communities under the condition of a staff capacity building and a minimal care of the detected patients.

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“…In addition to difficulties with diagnosis, barriers to the implementation of therapeutic education include, as for NTDs, poverty, inadequate facilities, shortage of skilled health workers, illiteracy, language and cultural barriers. The possibility of following an ‘integrated’ approach, as for NTDs, by better education of primary healthcare workers, including using digital technologies, may improve appropriate primary patient care and patient referral to specialists when necessary …”

Section: The Who Position On the African Region (Afro) Neglected Tropmentioning

confidence: 59%

“…The possibility of following an 'integrated' approach, as for NTDs, by better education of primary healthcare workers, including using digital technologies, may improve appropriate primary patient care and patient referral to specialists when necessary. 7 Whilst recognizing the validity of the WHO NTD 'integrated' approach, participants favoured a greater emphasis on dermatological conditions in general and also discussed AD integration with common-related disorders such as asthma and rhinitis. For the WHO NTDs integrative approach, special attention should be paid to campaigns against scabies to differentiate it from AD.…”

Section: Introductionmentioning

confidence: 99%

Position Statement on Atopic Dermatitis in Sub‐Saharan Africa: current status and roadmap

Schmid‐Grendelmeier

Takaoka

Ahogo

et al. 2019

Acad Dermatol Venereol

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Background The first International Society of Atopic Dermatitis (ISAD) global meeting dedicated to atopic dermatitis (AD) in Sub‐Saharan Africa (SSA) was held in Geneva, Switzerland in April 2019. A total of 30 participants were present at the meeting, including those from 17 SSA countries, representatives of the World Health Organization (WHO), the International Foundation for Dermatology (IFD) (a committee of the International League of Dermatological Societies, ILDS http://www.ilds.org), the Fondation pour la Dermatite Atopique, as well as specialists in telemedicine, artificial intelligence and therapeutic patient education (TPE). Results AD is one of the most prevalent chronic inflammatory skin diseases in SSA. Besides neglected tropical diseases (NTDs) with a dermatological presentation, AD requires closer attention from the WHO and national Departments of Health. Conclusions A roadmap has been defined with top priorities such as access to essential medicines and devices for AD care, in particular emollients, better education of primary healthcare workers for adequate triage (e.g. better educational materials for skin diseases in pigmented skin generally and AD in particular, especially targeted to Africa), involvement of traditional healers and to a certain extent also patient education, bearing in mind the barriers to effective healthcare faced in SSA countries such as travel distances to health facilities, limited resources and the lack of dermatological expertise. In addition, several initiatives concerning AD research in SSA were discussed and should be implemented in close collaboration with the WHO and assessed at follow‐up meetings, in particular, at the next ISAD meeting in Seoul, South Korea and African Society of Dermatology and Venereology (ASDV) meeting in Nairobi, Kenya, both in 2020.

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Integrated approach in the control and management of skin neglected tropical diseases in Lalo, Benin

Cited by 47 publications

References 19 publications

Integrated Approach in the Control and Management of Skin Neglected Tropical Diseases in three health districts of Côte d’Ivoire

Integrated Approach in the Control and Management of Skin Neglected Tropical Diseases in three health districts of Côte d’Ivoire

Integrated approach in the management of skin NTDs: Situational analysis of the integrated screening campaigns of skin diseases (leprosy, Buruli ulcer and yaws) in three health districts of Côte d’Ivoire

Position Statement on Atopic Dermatitis in Sub‐Saharan Africa: current status and roadmap

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