Implementation of a decentralized community-based treatment program to improve the management of Buruli ulcer in the Ouinhi district of Benin, West Africa
Publication Date
March 12, 2018
Authors
Arnaud Setondji Amoussouhoui, Ghislain Emmanuel Sopoh, Anita Carolle Wadagni, Roch Christian Johnson, et al
Volume
12
Issue
3
Pages
e0006291
DOI
https://dx.plos.org/10.1371/journal.pntd.0006291
Publisher URL
http://journals.plos.org/plosntds/article?id=10.1371%2Fjournal.pntd.0006291
Scopus
85045081780
Mendeley
http://www.mendeley.com/research/implementation-decentralized-communitybased-treatment-program-improve-management-buruli-ulcer-ouinhi
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Mendeley | Further Information

{"title"=>"Implementation of a decentralized community-based treatment program to improve the management of Buruli ulcer in the Ouinhi district of Benin, West Africa", "type"=>"journal", "authors"=>[{"first_name"=>"Arnaud Setondji", "last_name"=>"Amoussouhoui", "scopus_author_id"=>"57190496126"}, {"first_name"=>"Ghislain Emmanuel", "last_name"=>"Sopoh", "scopus_author_id"=>"16302385400"}, {"first_name"=>"Anita Carolle", "last_name"=>"Wadagni", "scopus_author_id"=>"57190666842"}, {"first_name"=>"Roch Christian", "last_name"=>"Johnson", "scopus_author_id"=>"56139765500"}, {"first_name"=>"Paulin", "last_name"=>"Aoulou", "scopus_author_id"=>"57190489120"}, {"first_name"=>"Inès Elvire", "last_name"=>"Agbo", "scopus_author_id"=>"57190491880"}, {"first_name"=>"Jean Gabin", "last_name"=>"Houezo", "scopus_author_id"=>"36343553500"}, {"first_name"=>"Micah", "last_name"=>"Boyer", "scopus_author_id"=>"57190496420"}, {"first_name"=>"Mark", "last_name"=>"Nichter", "scopus_author_id"=>"7003636270"}], "year"=>2018, "source"=>"PLoS Neglected Tropical Diseases", "identifiers"=>{"issn"=>"19352735", "doi"=>"10.1371/journal.pntd.0006291", "sgr"=>"85045081780", "scopus"=>"2-s2.0-85045081780", "isbn"=>"1111111111", "pmid"=>"29529087", "pui"=>"621575654"}, "id"=>"077c787d-a9fe-375e-bac4-4da02f928d43", "abstract"=>"Background Mycobacterium ulcerans infection, commonly known as Buruli ulcer (BU), is a debilitating neglected tropical disease. Its management remains complex and has three main components: antibiotic treatment combining rifampicin and streptomycin for 56 days, wound dressings and skin grafts for large ulcerations, and physical therapy to prevent functional limitations after care. In Benin, BU patient care is being integrated into the government health system. In this paper, we report on an innovative pilot program designed to introduce BU decentralization in Ouinhi district, one of Benin’s most endemic districts previously served by centralized hospital-based care. Methodology/Principal findings We conducted intervention-oriented research implemented in four steps: baseline study, training of health district clinical staff, outreach education, outcome and impact assessments. Study results demonstrated that early BU lesions (71% of all detected cases) could be treated in the community following outreach education, and that most of the afflicted were willing to accept decentralized treatment. Ninety-three percent were successfully treated with antibiotics alone. The impact evaluation found that community confidence in decentralized BU care was greatly enhanced by clinic staff who came to be seen as having expertise in the care of most chronic wounds. Conclusions/Significance This study documents a successful BU outreach and decentralized care program reaching early BU cases not previously treated by a proactive centralized BU program. The pilot program further demonstrates the added value of integrated wound management for NTD control.", "link"=>"http://www.mendeley.com/research/implementation-decentralized-communitybased-treatment-program-improve-management-buruli-ulcer-ouinhi", "reader_count"=>7, "reader_count_by_academic_status"=>{"Researcher"=>3, "Student > Ph. D. Student"=>1, "Student > Master"=>1, "Student > Bachelor"=>2}, "reader_count_by_user_role"=>{"Researcher"=>3, "Student > Ph. D. Student"=>1, "Student > Master"=>1, "Student > Bachelor"=>2}, "reader_count_by_subject_area"=>{"Medicine and Dentistry"=>4, "Social Sciences"=>1, "Immunology and Microbiology"=>2}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>4}, "Social Sciences"=>{"Social Sciences"=>1}, "Immunology and Microbiology"=>{"Immunology and Microbiology"=>2}}, "group_count"=>0}

Scopus | Further Information

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