Integrated morbidity management for lymphatic filariasis and podoconiosis, Ethiopia

Deribe, Kebede, Biruck, Kebede, Tamiru, Mossie, Mengistu, Belete, Fikreab, Kebede, Sarah, Martindal, Heven, Sime, Abate, Mulugeta, Biruk, Kebede, Mesfin, Sileshi, Asrat, Mengiste, Scott, McPherson and Amha, Fentaye (2017) Integrated morbidity management for lymphatic filariasis and podoconiosis, Ethiopia. Bulletin of the World Health Organization, 95 (9). pp. 652-656. ISSN 0042-9686

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Abstract

Problem Lymphatic filariasis and podoconiosis are the major causes of tropical lymphoedema in Ethiopia. The diseases require the similar provision of care, but in 2012 the Ethiopian health system did not integrate the morbidity management. Approach To establish health-care services for integrated lymphoedema morbidity management, the health ministry and partners used existing governmental structures. Integrated disease mapping was done in 659 out of the 817 districts, to identify endemic districts. To inform resource allocation, trained health extension workers did integrated disease burden assessments in 56 districts with a high clinical burden. To ensure standard provision of care, the health ministry developed an integrated lymphatic filariasis and podoconiosis morbidity management guideline, containing a treatment algorithm and a defined package of care. Experienced professionals on lymphoedema management trained government-employed health workers on integrated morbidity management. To monitor the integration, an indicator on the number of lymphoedema-treated patients was included in the national health management information system. Local setting In 2014, only 24% (87) of the 363 health facilities surveyed provided lymphatic filariasis services, while 12% (44) provided podoconiosis services. Relevant changes To date, 542 health workers from 53 health centres in 24 districts have been trained on integrated morbidity management. Between July 2013 and June 2016, the national health management information system has recorded 46 487 treated patients from 189 districts. Lessons learnt In Ethiopia, an integrated approach for lymphatic filariasis and podoconiosis morbidity management was feasible. The processes used could be applicable in other settings where these diseases are co-endemic.

Item Type: Article
Keywords: morbidity management, podoconiosis, Ethiopia
Schools and Departments: Brighton and Sussex Medical School > Global Health and Infection
Research Centres and Groups: Wellcome Trust Brighton and Sussex Centre for Global Health Research
Subjects: R Medicine
Depositing User: Esther Garibay
Date Deposited: 12 Jul 2017 12:32
Last Modified: 15 Sep 2017 11:31
URI: http://sro.sussex.ac.uk/id/eprint/69211

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