Reasons for loss to follow-up of patients with podoconiosis in the Amhara Region, northern Ethiopia

Campion, Alice, Tamiru, Abreham, Tsegay, Girmay and Davey, Gail (2015) Reasons for loss to follow-up of patients with podoconiosis in the Amhara Region, northern Ethiopia. International Health, 7 (5). pp. 367-373. ISSN 1876-3405

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Abstract

BACKGROUND

Podoconiosis is a non-infectious form of tropical lymphoedema characterised by swelling of the feet and lower legs. Treatment is simple and effective yet evidence indicates that a proportion of patients become lost to follow-up.

METHODS

This study was a quantitative questionnaire-based study which aimed to identify the most common reasons for loss to follow-up of patients. A total of 191 participants registered with the International Orthodox Christian Charities (IOCC) who had become lost to follow-up were included in a cross-sectional survey based in the Amhara Region, northern Ethiopia.

RESULTS

The most common reason was distance, stated by 26.7% (51/191). This was significantly associated with living further from the treatment site (p=0.02). Having had podoconiosis for longer was protective against this (p=0.03). For each additional hour of travel time a patient lived from the treatment centre, the odds of them reporting 'distance' as the main reason for becoming lost to follow-up increased by 1.61 (95% CI 1.25-2.08).

CONCLUSIONS

The consequences of podoconiosis are exacerbated by walking long distances, but in most areas, this is currently required of patients in order to receive treatment. We recommend expansion of services to widen treatment availability, since provision of transport to and from treatment centres is unlikely to be feasible.

Item Type: Article
Schools and Departments: Brighton and Sussex Medical School > Global Health and Infection
Subjects: R Medicine > RA Public aspects of medicine > RA0001 Medicine and the state. Including medical statistics, medical economics, provisions for medical care, medical sociology > RA0407 Health status indicators. Medical statistics and surveys
R Medicine > RA Public aspects of medicine > RA0001 Medicine and the state. Including medical statistics, medical economics, provisions for medical care, medical sociology > RA0410 Medical economics. Economics of medical care. Employment
R Medicine > RA Public aspects of medicine > RA0001 Medicine and the state. Including medical statistics, medical economics, provisions for medical care, medical sociology > RA0411 Provisions for personal medical care. Medical care plans
R Medicine > RA Public aspects of medicine > RA0001 Medicine and the state. Including medical statistics, medical economics, provisions for medical care, medical sociology > RA0411 Provisions for personal medical care. Medical care plans

R Medicine > RA Public aspects of medicine > RA0001 Medicine and the state. Including medical statistics, medical economics, provisions for medical care, medical sociology > RA0418 Medicine and society. Social medicine. Medical sociology
R Medicine > RA Public aspects of medicine > RA0418 Medicine and society. Social medicine. Medical sociology

R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine > RA0639 Transmission of disease
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine > RA0645.3 Home health care services
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine > RA0771 Rural health and hygiene. Rural health services
R Medicine > RA Public aspects of medicine > RA0791 Medical geography. Medical climatology and meteorology
Depositing User: Gharib Murbe
Date Deposited: 19 Feb 2015 11:33
Last Modified: 02 Aug 2017 15:54
URI: http://sro.sussex.ac.uk/id/eprint/52992
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