Burden of leprosy in Malawi: community camp-based cross-sectional study

Msyamboza, Kelias Phiri; Mawaya, Leonard R; Kubwalo, H. W.; Ng’oma, David; Liabunya, Moses; Manjolo, Sunganani; Msiska, Pilirani P; Somba, Wilson W

doi:10.1186/1472-698x-12-12

Cited by 25 publications

(20 citation statements)

References 14 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%

“…Apart from the skin NTD, many others of skin diseases (97.75%) were detected and treated. This confirms one of the results of Msyamboza et al, who also noticed that the actors involved in the management of leprosy had acquired the ability to detect many other skin diseases [28]. In addition, to kick off the series of campaigns, the nurses in the targeted health areas, who were already experienced in the management BU and leprosy and were available, benefited from capacity building.…”

Section: Resultssupporting

confidence: 80%

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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%

Section: Resultssupporting

confidence: 80%

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%

“…Apart from the skin NTD, many others of skin diseases (97.75%) were detected and treated. This confirms one of the results of Msyamboza et al, who also noticed that the actors involved in the management of leprosy had acquired the ability to detect many other skin diseases [21]. In addition,to kick off the series of campaigns, the nurses in the targeted health areas, who were already experienced in the management BU and leprosy and were available, benefited from capacity building.…”

Section: Discussionsupporting

confidence: 80%

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

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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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“…These rates are similar to the mortality rates of hepatitis B, meningitis, obstructed labor and rheumatic heart disease [3]. Published data suggest the prevalence of skin diseases in developing countries ranges from 20% to 80%, depending on geographic location [4]. It is estimated that skin diseases in sub-Saharan Africa account for 896,000 disability-adjusted life years (DALYs), on par with endocrine and anxiety disorders, gout, and war-related injuries [3].…”

supporting

confidence: 57%

Affordable dermascope for resource-poor settings

Johnstone

Bacik

Burke

et al. 2013

2013 IEEE Global Humanitarian Technology Conference (GHTC)

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Skin diseases in developing countries receive little attention when compared with well-known killers such as HIV/AIDS, pneumonia and tuberculosis. In communities with few doctors and even fewer dermatological specialists (if any), Community Health Workers (CHWs) are charged with meeting the needs of these at-risk populations. However, skin diseases can be difficult to assess by CHWs and often signify larger underlying problems. Teledermatology is being increasingly employed as a means of remotely assessing and diagnosing skin ailments. Typical commercially-available dermascopes cannot withstand the harsh conditions of developing countries and there is a need for inexpensive and ruggedized dermascopes for resource-constrained settings. This paper presents the design and field-testing results for a dermascope intended for use in rural Kenya as a part of an operational telemedicine system. Though the design faced challenges with ambient light, material availability, and camera mobility, the final prototype produced images deemed acceptable for diagnosis by Kenyan clinicians.

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Burden of leprosy in Malawi: community camp-based cross-sectional study

Cited by 25 publications

References 14 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

Affordable dermascope for resource-poor settings

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