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Measuring elimination of podoconiosis, endemicity classifications, case definition and targets: an international Delphi exercise

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posted on 2023-06-09, 00:05 authored by Kebede Kassaye, Samuel Wanji, Oumer Shafi, Edridah Muheki Tukahebwa, Irenee Umulisa, Gail DaveyGail Davey
BACKGROUND Podoconiosis is one of the major causes of lymphoedema in the tropics. Nonetheless, currently there are no endemicity classifications or elimination targets to monitor the effects of interventions. This study aimed at establishing case definitions and indicators that can be used to assess endemicity, elimination and clinical outcomes of podoconiosis. METHODS This paper describes the result of a Delphi technique used among 28 experts. A questionnaire outlining possible case definitions, endemicity classifications, elimination targets and clinical outcomes was developed. The questionnaire was distributed to experts working on podoconiosis and other neglected tropical diseases in two rounds. The experts rated the importance of case definitions, endemic classifications, elimination targets and the clinical outcome measures. Median and mode were used to describe the central tendency of expert responses. The coefficient of variation was used to describe the dispersals of expert responses. RESULTS Consensus on definitions and indicators for assessing endemicity, elimination and clinical outcomes of podoconiosis directed at policy makers and health workers was achieved following the two rounds of Delphi approach among the experts. CONCLUSIONS Based on the two Delphi rounds we discuss potential indicators and endemicity classification of this disabling disease, and the ongoing challenges to its elimination in countries with the highest prevalence. Consensus will help to increase effectiveness of podoconiosis elimination efforts and ensure comparability of outcome data.

History

Publication status

  • Published

File Version

  • Published version

Journal

International Health

ISSN

1876-3405

Publisher

Oxford University Press

Issue

5

Volume

7

Page range

306-316

Department affiliated with

  • Global Health and Infection Publications

Full text available

  • Yes

Peer reviewed?

  • Yes

Legacy Posted Date

2016-01-19

First Open Access (FOA) Date

2017-11-24

First Compliant Deposit (FCD) Date

2017-11-24

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