The impact of acute adenolymphangitis in podoconiosis on caregivers: a case study in Wayu Tuka woreda, Oromia, Western Ethiopia. ‘If she was healthy, I would be free.'

Phillips, Clare, Samuel, Abdi, Tiruneh, Gemechu, Deribe, Kebede and Davey, Gail (2019) The impact of acute adenolymphangitis in podoconiosis on caregivers: a case study in Wayu Tuka woreda, Oromia, Western Ethiopia. ‘If she was healthy, I would be free.'. PLoS Neglected Tropical Diseases, 13 (7). pp. 1-15. ISSN 1935-2727

[img] PDF - Published Version
Available under License Creative Commons Attribution.

Download (1MB)
[img] PDF (Uncorrected Proof) - Other
Available under License Creative Commons Attribution.

Download (2MB)
[img] PDF - Accepted Version
Download (412kB)

Abstract

Background
Podoconiosis, also known as mossy foot or endemic non-filarial elephantiasis, is a preventable form of lower-leg lymphoedema caused by prolonged (typically barefoot) exposure to soil derived from volcanic rocks. Acute adenolymphangitis (also called ‘acute attack’) is a serious complication of podoconiosis resulting in significant symptoms and worsening disability. Despite the well-known morbidity associated with podoconiosis, to date there have been no studies looking at the impact, or burden, of podoconiosis on caregivers. This study explored the experiences and impact of acute attacks on the caregivers of those with podoconiosis in one endemic district of Ethiopia.

Methods/Principal findings
This qualitative study was based in Wayu Tuka woreda (district), Oromia, Western Ethiopia. 27 semi-structured interviews of those with podoconiosis and their caregivers were conducted in June 2018. Here we report the findings from the caregiver’s interviews. Data were analysed using NVivo 12. Directed content analysis, a qualitative approach related to thematic analysis, was used to analyse the results.
This study highlights a previously unreported impact of acute attacks on the caregivers of those affected by podoconiosis. The findings demonstrate the significant social and financial pressures placed on podoconiosis-affected families which are exacerbated during acute attacks. This study also highlighted the emotional burden experienced by caregivers, the range of care activities placed on them and the limited support available.

Conclusions
This study found a significant impact on the caregivers of those with podoconiosis, especially during acute attacks, in in Wayu Tuka woreda. It also highlighted the limited support available to caregivers. Further research is needed to understand whether this impact applies to podoconiosis caregivers across Ethiopia, and beyond, and to establish if there are wider implications of this important consequence of podoconiosis, for example on the economy and caregivers’ mental and physical health.

Item Type: Article
Schools and Departments: Brighton and Sussex Medical School > Global Health and Infection
Research Centres and Groups: Brighton and Sussex Centre for Global Health Research
Subjects: R Medicine
Related URLs:
Depositing User: Deborah Miller
Date Deposited: 07 Jun 2019 13:17
Last Modified: 08 Aug 2019 09:00
URI: http://sro.sussex.ac.uk/id/eprint/84151

View download statistics for this item

📧 Request an update