'We no longer experience the same pain' : a cross-sectional study assessing the impact of Heart and Sole Africa's podoconiosis prevention education program

© The Author(s) 2024. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene..

BACKGROUND: Podoconiosis is a non-infectious neglected tropical disease caused by long-term exposure to irritant volcanic soils. It results in severe physical, psychological and financial consequences. Heart and Sole Africa (HASA) is a non-governmental, community-based organization providing management to podoconiosis patients in Rwanda. We sought to analyze the impact of their program on the lives of patients.

METHODS: Quantitative surveys recorded the participants' demographics, adherence to HASA's management recommendations and changes in quality of life (QOL). Qualitative questions were used to gather respondent perspectives on HASA programming.

RESULTS: We interviewed 127 patients from HASA's Musanze (n=47) and Burera (n=80) clinics. Almost all participants (98.4%) reported statistically significant (p<0.01) improvements in their QOL, and more than one-half (51.2%) had a favorable adherence score of >80%. Qualitative feedback identified specific challenges to adherence and recognition of program success in symptom management.

CONCLUSIONS: Our study demonstrated the value of community-based podoconiosis programming in improving the lives of patients. Practices such as regular feet washing, emollient application, shoe wearing and limb raising can result in a marked reduction of morbidity. Our findings support the argument for scaling up these management practices across Rwanda.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - year:2024

Enthalten in:

Transactions of the Royal Society of Tropical Medicine and Hygiene - (2024) vom: 11. März

Sprache:

Englisch

Beteiligte Personen:

Gebreselassie, Agazi Fitsum [VerfasserIn]
Shimelash, Natnael [VerfasserIn]
Kallon, Ahamed [VerfasserIn]
Mkondo, George [VerfasserIn]
Huston, Tonya [VerfasserIn]
Schurer, Janna M [VerfasserIn]

Links:

Volltext

Themen:

Heart and Sole Africa
Journal Article
Lymphedema
Neglected tropical disease
Podoconiosis
Quality of life
Rwanda

Anmerkungen:

Date Revised 11.03.2024

published: Print-Electronic

Citation Status Publisher

doi:

10.1093/trstmh/trae007

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM369552172