An equitable challenge: when sustainable development goals set the post‐2015 agenda

Williams, Eloise

doi:10.1111/1753-6405.12131

Cited by 3 publications

(3 citation statements)

References 3 publications

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“…In Cameroon, the inability to control the NTDs like onchocerciasis coupled with other factors like the ever increasing maternal mortality ratio and poverty levels [7, 20]; could account for the failure to achieve the above MDGs. With the advent of the Sustainable Development Goals (SDGs) [21] there is need for a revamp of health policies to ensure that Cameroon does not fail to achieve these goals too.…”

Section: Results and Discussionmentioning

confidence: 99%

An appraisal of the neglected tropical diseases control program in Cameroon: the case of the national program against onchocerciasis

Njim

Aminde

2017

BMC Public Health

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BackgroundOnchocerciasis is a severe parasitic infestation which causes disabling skin and subcutaneous tissue changes. Current global estimates suggest that it accounts for 1135.7 disability adjusted life years (DALYs) per 100,000 population. The disease is endemic in many African countries including Cameroon, probably suggesting that the current health policies are inadequate to achieve eradication of the disease. We aimed to appraise the current Onchocerciasis control program in Cameroon in the context of existing literature.MethodsWe carried out a MEDLINE search via PubMed to source for articles on Onchocerciasis in Cameroon.ResultsOur appraisal of the literature suggests that Onchocerciasis poses a significant health and economic burden in Cameroon. A composite of factors contribute to the challenge of containing and eradicating Onchocerciasis in Cameroon and include: continuous transmission of the disease; non-compliance to mass drug administration; inability of health care providers (HCPs) to adequately diagnose the disease; limited access of most individuals in endemic zones to annual preventive chemotherapy and inadequate population education on simple and practical measures to prevent the disease. More robust population-based epidemiologic studies are needed to better quantify the current disease burden and consequently guide intervention strategies for complete disease eradication.ConclusionOnchocerciasis is still a neglected tropical disease (NTD) in Cameroon and urgently demands a need for intensification and probably modification of some strategies in the current onchocerciasis elimination program. Control of the disease will contribute to achievement of the corresponding Sustainable Development Goals (SDGs) quota.

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Section: Results and Discussionmentioning

confidence: 99%

An appraisal of the neglected tropical diseases control program in Cameroon: the case of the national program against onchocerciasis

Njim

Aminde

2017

BMC Public Health

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“…The above situation greatly favoured the rapid spread of the epidemic. Persistent poor vaccination coverage in Cameroon coupled with inadequate public health policies [ 3 ] could pose a significant pitfall towards the attainment of the Sustainable Development Goals (SDGs) in the post 2015 era; especially Goal 3 which has as one of its targets ending the epidemics of AIDS, tuberculosis, malaria, and neglected tropical diseases and combat hepatitis, water-borne diseases, and other communicable diseases by 2030 [ 13 ]. The role of the PHAs during this outbreak was pivotal.…”

Section: Discussionmentioning

confidence: 99%

Trend in mortality from a recent measles outbreak in Cameroon: a retrospective analysis of 223 measles cases in the Benakuma Health District

Njim¹,

Kimbong²,

Aminde³

et al. 2016

Pan Afr Med J

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IntroductionMeasles is a highly contagious viral infection with high mortality in poorly vaccinated regions. We sought to establish the trend in mortality and the factors that favoured the recent measles outbreak that occurred in Benakuma, in the North west region of Cameroon from the 21/06/2015 to 26/09/2015.MethodsWe carried out a retrospective register analysis of 223 measles cases. Time trends were established using the Mann-Kendall test while survival was assessed using the Kaplan-Meier survival analysis and log rank test for comparisons.ResultsWe had a case fatality of 8.5% and the mortality decreased significantly (p = 0.01) after the following public health interventions were instituted: community sensitisation and education; outbreak response immunisation and the use of a clinician in controlling the outbreak. Furthermore, the number of cases (p < 0.01) and the duration from onset of illness to consultation at a health facility (p < 0.01) decreased significantly after the institution of the aforementioned interventions. Also, survival during the outbreak was better in females (p = 0.02) and in those treated in health facilities (p < 0.01).ConclusionThe poor vaccination status in Benakuma coupled with negative cultural beliefs; poor socioeconomic and environmental factors and inadequate public health policies predisposed the region to a measles outbreak and favoured the spread of the virus. Public health policies should be revisited, modified and intensified to scale up vaccination coverage in measles endemic zones in Cameroon to help eliminate the disease and facilitate the overall attainment of the Sustainable Development Goals.

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“…These gaps need to be addressed in order to attain the newly set Sustainable Development Goals (SDGs) amongst which the control and eradication of Schistosomiasis and other NTDs (SDG 3) remains a priority [20]. …”

Section: Discussionmentioning

confidence: 99%

Bladder outlet obstruction; a rare complication of the neglected schistosome, Schistosoma haematobium: two case reports and public health challenges

Agbor

Njim

Mbolingong³

2016

BMC Res Notes

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BackgroundSchistosomiasis is a severe parasitic infestation with debilitating complications and is the third most devastating tropical disease in the world. It is one of the neglected tropical diseases (NTDs) with a high disease-burden. We present two rare cases of bladder outlet obstruction: one which led to a chronic kidney disease and ultimately death and a second which recovered after treatment with praziquantel.Case presentationsA 72 year old male presented with lower urinary tract symptoms which culminated in an episode of acute urinary retention. The patient had never received preventive chemotherapy with praziquantel. After suprapubic aspiration, the cause of the obstructive uropathy was found to be several mature live worms of Schistosoma haematobium. Despite treatment with praziquantel and haemodialysis; we lost the patient due to sepsis from a urinary tract infection. In the second case, a 15 year old male presented with LUTS for a 1 year duration and was diagnosed to have schistosomiasis after eggs of Schistosoma haematobium were found in his urine. He was treated with praziquantel.ConclusionThere are several gaps in the public health policies in place to control this NTD in Cameroon as annual distribution of preventive chemotherapy is inadequate due to inaccessibility of some high-endemic zones and is based on data obtained two decades ago. Population education is insufficient leading to poor health-seeking behaviour. These gaps in public health policies need to be addressed to aid in the overall achievement of the sustainable development goals.

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An equitable challenge: when sustainable development goals set the post‐2015 agenda

Cited by 3 publications

References 3 publications

An appraisal of the neglected tropical diseases control program in Cameroon: the case of the national program against onchocerciasis

An appraisal of the neglected tropical diseases control program in Cameroon: the case of the national program against onchocerciasis

Trend in mortality from a recent measles outbreak in Cameroon: a retrospective analysis of 223 measles cases in the Benakuma Health District

Bladder outlet obstruction; a rare complication of the neglected schistosome, Schistosoma haematobium: two case reports and public health challenges

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