دورية أكاديمية
Improving experiences of neglected tropical diseases of the skin: Mixed methods formative research for development of a complex intervention in Atwima Mponua District, Ghana.
| العنوان: | Improving experiences of neglected tropical diseases of the skin: Mixed methods formative research for development of a complex intervention in Atwima Mponua District, Ghana. |
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| المؤلفون: | Okyere D; Noguchi Memorial Institute of Medical Research, University of Ghana, Accra, Ghana., Ocloo EK; Noguchi Memorial Institute of Medical Research, University of Ghana, Accra, Ghana.; Department of Sociology and Anthropology, University of Cape Coast, Cape Coast, Ghana., Owusu L; Kumasi Centre for Collaborative Research, Kwame Nkrumah University of Science & Technology, Kumasi, Ghana., Amoako YA; Kumasi Centre for Collaborative Research, Kwame Nkrumah University of Science & Technology, Kumasi, Ghana.; School of Medicine and Dentistry, Kwame Nkrumah University of Science & Technology, Kumasi, Ghana., Tuwor RD; Kumasi Centre for Collaborative Research, Kwame Nkrumah University of Science & Technology, Kumasi, Ghana., Koka E; Department of Sociology and Anthropology, University of Cape Coast, Cape Coast, Ghana., Novignon J; Kumasi Centre for Collaborative Research, Kwame Nkrumah University of Science & Technology, Kumasi, Ghana.; Department of Economics, Kwame Nkrumah University of Science & Technology, Kumasi, Ghana., Asante-Poku A; Noguchi Memorial Institute of Medical Research, University of Ghana, Accra, Ghana., Siam IM; Noguchi Memorial Institute of Medical Research, University of Ghana, Accra, Ghana., Afreh EK; Noguchi Memorial Institute of Medical Research, University of Ghana, Accra, Ghana., Agbanyo A; Kumasi Centre for Collaborative Research, Kwame Nkrumah University of Science & Technology, Kumasi, Ghana., Akuffo RA; Noguchi Memorial Institute of Medical Research, University of Ghana, Accra, Ghana., Gyabaah S; Kumasi Centre for Collaborative Research, Kwame Nkrumah University of Science & Technology, Kumasi, Ghana., Oppong MN; Kumasi Centre for Collaborative Research, Kwame Nkrumah University of Science & Technology, Kumasi, Ghana., Halliday KE; Faculty of Infectious and Tropical Diseases, London School of Hygiene & Tropical Medicine, London, United Kingdom., Simpson H; Faculty of Infectious and Tropical Diseases, London School of Hygiene & Tropical Medicine, London, United Kingdom., Timothy J; Faculty of Infectious and Tropical Diseases, London School of Hygiene & Tropical Medicine, London, United Kingdom., Marks M; Faculty of Infectious and Tropical Diseases, London School of Hygiene & Tropical Medicine, London, United Kingdom.; Hospital for Tropical Diseases, University College London Hospital, London, United Kingdom.; Division of Infection and Immunity, University College London, London, United Kingdom., Zuurmond M; Faculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, United Kingdom., Walker SL; Faculty of Infectious and Tropical Diseases, London School of Hygiene & Tropical Medicine, London, United Kingdom., Pullan RL; Faculty of Infectious and Tropical Diseases, London School of Hygiene & Tropical Medicine, London, United Kingdom., Ahorlu CS; Noguchi Memorial Institute of Medical Research, University of Ghana, Accra, Ghana., Phillips RO; Kumasi Centre for Collaborative Research, Kwame Nkrumah University of Science & Technology, Kumasi, Ghana.; School of Medicine and Dentistry, Kwame Nkrumah University of Science & Technology, Kumasi, Ghana., Yeboah-Manu D; Noguchi Memorial Institute of Medical Research, University of Ghana, Accra, Ghana., Pitt C; Noguchi Memorial Institute of Medical Research, University of Ghana, Accra, Ghana., Palmer J; Faculty of Public Health and Policy, London School of Hygiene & Tropical Medicine, London, United Kingdom. |
| مؤلفون مشاركون: | SHARP collaboration |
| المصدر: | PLOS global public health [PLOS Glob Public Health] 2024 Jun 13; Vol. 4 (6), pp. e0002833. Date of Electronic Publication: 2024 Jun 13 (Print Publication: 2024). |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Public Library of Science Country of Publication: United States NLM ID: 9918283779606676 Publication Model: eCollection Cited Medium: Internet ISSN: 2767-3375 (Electronic) Linking ISSN: 27673375 NLM ISO Abbreviation: PLOS Glob Public Health Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: San Francisco, California : Public Library of Science, [2021]- |
| مستخلص: | Integrated approaches to managing co-endemic neglected tropical diseases (NTDs) of the skin within primary healthcare services are complex and require tailoring to local contexts. We describe formative research in Atwima Mponua District in Ghana's Ashanti Region designed to inform the development of a sustainable intervention to improve access to skin NTD care. We employed a convergent, parallel, mixed-methods design, collecting data from February 2021 to February 2022. We quantitatively assessed service readiness using a standardised checklist and reviewed outpatient department registers and condition-specific case records in all government health facilities in the district. Alongside a review of policy documents, we conducted 49 interviews and 7 focus group discussions with purposively selected affected persons, caregivers, community members, health workers, and policy-makers to understand skin NTD care-seeking practices and the policy landscape. Outside the district hospital, skin NTD reporting rates in the surveyed facilities were low; supply chains for skin NTD diagnostics, consumables, and medicines had gaps; and health worker knowledge of skin NTDs was limited. Affected people described fragmented care, provided mostly by hospitals (often outside the district) or traditional healers, resulting in challenges obtaining timely diagnosis and treatment and high care-seeking costs. Affected people experienced stigma, although the extent to which stigma influenced care-seeking behaviour was unclear. National actors were more optimistic than district-level actors about local resource availability for skin NTD care and were sceptical of including traditional healers in interventions. Our findings indicate that improvement of the care cascade for affected individuals to reduce the clinical, economic, and psychosocial impact of skin NTDs is likely to require a complementary set of interventions. These findings have informed the design of a strategy to support high-quality, integrated, decentralised care for skin NTDs in Atwima Mponua, which will be assessed through a multidisciplinary evaluation. Competing Interests: The authors have declared that no competing interests exist. (Copyright: © 2024 Okyere et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.) |
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| تواريخ الأحداث: | Date Created: 20240613 Latest Revision: 20240615 |
| رمز التحديث: | 20240615 |
| مُعرف محوري في PubMed: | PMC11175470 |
| DOI: | 10.1371/journal.pgph.0002833 |
| PMID: | 38870111 |
| قاعدة البيانات: | MEDLINE |
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