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Piotrowski, Helen, Oluwole, Akinola, Fapohunda, Victoria O, Adejobi, Josephine B, Nebe, Obiageli J, Soneye, Islamiat, Kafil-Emiola, Maryam, Gideon, Ntuen Uduak, Ekpo, Uwem F, Ahmed, Aminat O, Abdussalam, Hameedat Opeyemi, Imhonopi, Gloria B, Ojo, Omobola Yetunde, Odubena, Oluwafayokemi Y, Adebola, Ise Oluwa-Adelokiki, Soyinka, Festus O, Ogunmola, Olusola O, Olalupo, Abosede F, Isiyaku, Sunday, Thomson, Rachael and Ozano, Kim (2023) 'Mixed-methods evaluation of integrating female genital schistosomiasis management within primary healthcare: a pilot intervention in Ogun State, Nigeria'. International Health, Vol 15, Issue Supplement_1, i18-i29.
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Abstract
Background:
Detection and management of female genital schistosomiasis (FGS) within primary healthcare is crucial for achieving schistosomiasis elimination, however, current technical strategies are not feasible in many settings. In Nigeria, there are currently no established standard operating procedures to support front-line health workers. This article presents an evaluation of piloting an FGS care package in two LGAs of Ogun State, Nigeria.
Methods:
We used quantitative and qualitative analysis, including 46 interviews with patients, health workers and the quality improvement team; observations of training, learning sessions and supervision across 23 heath facilities; and records of patients detected and managed.
Results:
Of 79 women and girls who were screened, 66 were treated and followed up. Health workers assimilated knowledge of FGS and effectively diagnosed and managed patients, demonstrating the feasibility of using symptomatic screening and treatment tools to diagnose and care for women or girls with suspected FGS. Challenges included establishing a referral pathway to tertiary care for patients with complications, insecurity, gender norms that limited uptake and sensitization, the limited capacity of the workforce, conflicting priorities and praziquantel acquisition.
Conclusions:
Simple tools can be used in primary healthcare settings to detect and manage women and girls with FGS. Contextual challenges must be addressed. Sustainability will require political and financial commitments.
| Item Type: | Article |
|---|---|
| Subjects: | WA Public Health > WA 20.5 Research (General) WA Public Health > Health Problems of Special Population Groups > WA 309 Women's health WC Communicable Diseases > WC 20 Research (General) WC Communicable Diseases > Tropical and Parasitic Diseases > WC 810 Schistosomiasis |
| Faculty: Department: | Clinical Sciences & International Health > Clinical Sciences Department Clinical Sciences & International Health > International Public Health Department |
| Digital Object Identifer (DOI): | https://doi.org/10.1093/inthealth/ihac073 |
| SWORD Depositor: | JISC Pubrouter |
| Depositing User: | JISC Pubrouter |
| Date Deposited: | 03 Apr 2023 09:28 |
| Last Modified: | 13 Jun 2023 11:27 |
| URI: | https://archive.lstmed.ac.uk/id/eprint/22227 |
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