Risk factors for Podoconiosis: Kamwenge District, Western Uganda, 2015

Kihembo, Christine; Masiira, Ben; Lali, William; Matwale, George; Musenero, Monica; Ario, Alex Riolexus; Nanyunja, Miriam

doi:10.11604/pamj.cp.2017.1.1.16

Cited by 2 publications

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“…Moreover, the odds of podoconiosis in individuals with a family history of podoconiosis were higher by a factor of 10.2 compared to those with no family history of podoconiosis. This finding is similar to the study conducted in Gojam, Ethiopia, and West Uganda [9,21]. This may indicate the role of genetic background in the development of podoconiosis [3].…”

Section: Plos Neglected Tropical Diseasessupporting

confidence: 89%

Determinants of Podoconiosis in Bensa District, Sidama Region, Ethiopia: A case control study

Hailu,

Chea,

Ali

et al. 2023

PLoS Negl Trop Dis

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Background Podoconiosis is one of the neglected tropical diseases (NTD) with the greatest potential for elimination. Despite its public health importance, podoconiosis is a poorly understood disease which led to a widespread misconception about its cause, prevention, and treatment. Even though the exact global burden is still to be measured, it is estimated that at least 4 million people are affected with podoconiosis worldwide, of which more than 1.5 million people are in Ethiopia. The objective of this study was to identify the determinants of podoconiosis in Bensa District, Sidama Regional State, Ethiopia. Methodology/Principal findings A community-based unmatched case-control study was used to identify the determinants of podoconiosis. The sample size was estimated using the double population proportion formula. An interviewer-administered structured questionnaire was used for data collection. Blood specimens collected from cases were tested by Filariasis Test Strip to exclude lymphatic filariasis. Data were checked for completeness, coded and entered into Epi-data Version 4.6, and exported to the SPSS version 22 software. Variables with a p<0.2 in the bivariate analysis were further analyzed using multivariable binary logistic regression. Multivariable logistic regression analysis was used to examine determinants that could be associated with podoconiosis with a 95% confidence interval. A total of 459 (153 cases and 306 controls) participants were included with a response rate of 100%. Factors such as the age of participant [AOR = 0.34, 95% CI (0.13–0.87)], being female [AOR = 2.90, 95% CI (1.40–6.10)], age at which shoe wearing started [AOR = 0.7, 95% CI (0.03–0.16)], not wearing shoe daily [AOR = 2.26, 95% CI (1.05–4.86)], wearing hard plastic shoe [AOR = 3.38, 95% CI (1.31–10.89)], and family history with a similar disease (leg swelling) [AOR = 10.2, 95% CI (3.97–26.37)] were significantly associated with the occurrence of podoconiosis. Conclusions/Significance The age of the participants, gender, the age at which shoe wearing started, type of shoe the participants’ wear, frequency of shoe wearing, traveling barefoot, and family history with similar disease (leg swelling) were significantly associated with the occurrence of podoconiosis. Sidama regional health bureau along with non-governmental organizations working on the neglected tropical disease should plan modalities on awareness creation and comprehensive health education on shoe wearing and foot hygiene.

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Section: Plos Neglected Tropical Diseasessupporting

confidence: 89%

Determinants of Podoconiosis in Bensa District, Sidama Region, Ethiopia: A case control study

Hailu,

Chea,

Ali

et al. 2023

PLoS Negl Trop Dis

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“…A total of 29 manuscripts are undergoing internal and CDC reviews. Findings from some of the published manuscripts, such as Risk Factors for Podoconiosis in Kamwenge District, Uganda [10] were widely covered in major national and international media outlets, including international National newspapers have also published articles from many fellows, written to inform the public about current public health challenges, such as outbreaks and tips on disease prevention. These publications have contributed to use of their public health recommendations on a wider scale nationally.…”

Section: Resultsmentioning

confidence: 99%

Uganda public health fellowship program’s contribution to building a resilient and sustainable public health system in Uganda

Ario

Bulage

Kadobera

et al. 2019

Global Health Action

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Background : Low-income countries with relatively weak-health systems are highly vulnerable to public health threats. Effective public health system with a workforce to investigate outbreaks can reduce disease impact on livelihoods and economic development. Building effective public health partnerships is critical for sustainability of such a system. Uganda has made significant progress in responding to emergencies during the past quarter century, but its public health workforce is still inadequate in number and competency. Objectives : To reinforce implementation of priority public health programs in Uganda and cultivate core capacities for compliance with International Health Regulations. Methods : To develop a competent workforce to manage epidemics and improve disease surveillance, Uganda Ministry of Health (MoH) established an advanced-level Field Epidemiology Training Program, called Public Health Fellowship Program (PHFP); closely modelled after the US CDC’s Epidemic Intelligence Service. PHFP is a 2-year, full-time, non-degree granting program targeting mid-career public health professionals. Fellows spend 85% of their field time in MoH placements learning through service delivery and gaining competencies in major domains. Results : During 2015–2018, PHFP enrolled 41 fellows, and graduated 30. Fellows were placed in 19 priority areas at MoH and completed 235 projects (91 outbreaks, 12 refugee assessments, 50 surveillance, and 60 epidemiologic studies, 3 cost analysis and 18 quality improvement); made 194 conference presentations; prepared 63 manuscripts for peer-reviewed publications (27 published as of December 2018); produced MoH bulletins, and developed three case studies. Projects have resulted in public health interventions with improvements in surveillance systems and disease control. Conclusion : During the 4 years of existence, PHFP has contributed greatly to improving real-time disease surveillance and outbreak response core capacities. Enhanced focus on evidence-based targeted approaches has increased effectiveness in outbreak response and control, and integration of PHFP within MoH has contributed to building a resilient and sustainable health system in Uganda.

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Risk factors for Podoconiosis: Kamwenge District, Western Uganda, 2015

Cited by 2 publications

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Determinants of Podoconiosis in Bensa District, Sidama Region, Ethiopia: A case control study

Determinants of Podoconiosis in Bensa District, Sidama Region, Ethiopia: A case control study

Uganda public health fellowship program’s contribution to building a resilient and sustainable public health system in Uganda

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