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Stakeholder perspectives on an integrated package of care for lower limb disorders caused by podoconiosis, lymphatic filariasis or leprosy: A qualitative study.
- Source :
-
PLoS neglected tropical diseases [PLoS Negl Trop Dis] 2022 Jan 21; Vol. 16 (1), pp. e0010132. Date of Electronic Publication: 2022 Jan 21 (Print Publication: 2022). - Publication Year :
- 2022
-
Abstract
- Background: Lower limb disorders including lymphoedema create a huge burden for affected persons in their physical and mental health, as well as socioeconomic and psychosocial consequences for them, their families and communities. As routine health services for the integrated management and prevention of lower limb disorders are still lacking, the 'Excellence in Disability Prevention Integrated across Neglected Tropical Diseases' (EnDPoINT) study was implemented to assess the development and delivery of an integrated package of holistic care-including physical health, mental health and psychosocial care-within routine health services for persons with lower limb disorders caused by podoconiosis, lymphatic filariasis and leprosy.<br />Methodology/principal Findings: This study was part of the first of three phases within EnDPoINT, involving the development of the integrated care package. Focus group discussions and key informant interviews were undertaken with 34 participants between January-February 2019 in Awi zone, Ethiopia, in order to assess the draft care package's feasibility, acceptability and appropriateness. Persons affected by lower limb disorders such as lymphoedema experience stigma, exclusion from families, communities and work as well as physical and financial hardship. Beliefs in disease causation inhibit affected persons from accessing care. Ignorance was a barrier for health care providers as well as affected persons. Training and education of affected persons, communities and caregivers is important in improving care access. It also requires time, space, materials and financial resources. Both top-down and grass roots input into service development are key, as well as collaboration across stakeholders including charities, community leaders and "expert patients".<br />Conclusions/significance: This study highlighted the need for the EnDPoINT integrated care package and provided suggestions for solutions according to its three aspects of integrated care (integration into routine care; integration of mental health and psychosocial care; and integration of care across the three diseases), thereby giving support for its feasibility, acceptability and appropriateness.<br />Competing Interests: The authors have declared that no competing interests exist.
- Subjects :
- Adult
Elephantiasis psychology
Elephantiasis therapy
Elephantiasis, Filarial psychology
Elephantiasis, Filarial therapy
Ethiopia epidemiology
Female
Focus Groups
Health Services
Holistic Health
Humans
Leprosy psychology
Leprosy therapy
Lower Extremity pathology
Lymphedema epidemiology
Lymphedema therapy
Male
Middle Aged
Psychiatric Rehabilitation
Social Stigma
Young Adult
Delivery of Health Care, Integrated methods
Elephantiasis epidemiology
Elephantiasis, Filarial epidemiology
Leprosy epidemiology
Lymphedema psychology
Subjects
Details
- Language :
- English
- ISSN :
- 1935-2735
- Volume :
- 16
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- PLoS neglected tropical diseases
- Publication Type :
- Academic Journal
- Accession number :
- 35061673
- Full Text :
- https://doi.org/10.1371/journal.pntd.0010132