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Integrated morbidity management for lymphatic filariasis and podoconiosis, Ethiopia

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Version 2 2023-06-12, 08:42
Version 1 2023-06-09, 07:09
journal contribution
posted on 2023-06-12, 08:42 authored by Kebede Kassaye, Kebede Biruck, Mossie Tamiru, Belete Mengistu, Kebede Fikreab, Martindal Sarah, Sime Heven, Mulugeta Abate, Kebede Biruk, Sileshi Mesfin, Mengiste Asrat, McPherson Scott, Fentaye Amha
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.

Funding

The Global Atlas of Podoconiosis; G1974; WELLCOME TRUST; 201900/Z/16/Z

History

Publication status

  • Published

File Version

  • Published version

Journal

Bulletin of the World Health Organization

ISSN

0042-9686

Publisher

World Health Organization

Issue

9

Volume

95

Page range

652-656

Department affiliated with

  • Global Health and Infection Publications

Research groups affiliated with

  • Wellcome Trust Brighton and Sussex Centre for Global Health Research Publications

Full text available

  • Yes

Peer reviewed?

  • Yes

Legacy Posted Date

2017-07-12

First Open Access (FOA) Date

2017-09-15

First Compliant Deposit (FCD) Date

2017-07-12

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