ArticlePLoS neglected tropical diseases2013
A qualitative study exploring barriers related to use of footwear in rural highland ethiopia: implications for neglected tropical disease control.
Article in PLoS neglected tropical diseases, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.
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Who cites it
32 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Association between footwear use and neglected tropical diseases: a systematic review and meta-analysis.PLoS neglected tropical diseases · 2014Pooled it
- Women's participation in a disease management intervention for podoconiosis in northern Rwanda: understanding the context of women's lives.International journal for equity in health · 2026Article
- Patient perspectives and barriers to effective home-based care in lymphatic filariasis: A mixed methods study from Puducherry, India.PLoS neglected tropical diseases · 2026Article
- "My feet are no longer swollen": Testing a co-designed podoconiosis protective footwear among rural female farmers in Rwanda.PLOS global public health · 2026Article
- Policy and Executive Barriers in Preventing and Eradicating Neglected Tropical Diseases: A Systematic Review.International journal of preventive medicine · 2024Review
- "We all think boots are meant for men": A community-based participatory assessment of rural women's barriers to preventing podoconiosis in Rwanda.PLOS global public health · 2024Article
- Determinants of podoconiosis among residents of Machakle District East Gojjam Zone Amhara Region Ethiopia.PLoS neglected tropical diseases · 2023Article
- Burden of neglected tropical diseases and access to medicine and diagnostics in Ethiopia: a scoping review.Systematic reviews · 2023Article
- Factors Associated With Anemia Among Orang Asli Children Aged Two to Six Years in Negeri Sembilan, Malaysia.Cureus · 2023Article
- Epidemiology of podoconiosis in sub-Saharan Africa: A systematic review and meta-analysis.SAGE open medicine · 2023Review
- Communication in Neglected Tropical Diseases' elimination: A scoping review and call for action.PLoS neglected tropical diseases · 2022Article
- Stakeholder perspectives on an integrated package of care for lower limb disorders caused by podoconiosis, lymphatic filariasis or leprosy: A qualitative study.PLoS neglected tropical diseases · 2022Article
- Self-Care Practice and Its Associated Factors Among Podoconiosis Patients in East Gojjam Zone, North West Ethiopia.Patient preference and adherence · 2022Article
- Evaluation of School-Based Health Education Intervention on the Incidence of Soil-Transmitted Helminths in Pupils of Rural Communities of Eastern Kogi State, North Central Nigeria.Journal of parasitology research · 2022Article
- The extent of protective footwear use among school-age rural children at high risk for podoconiosis and socio-economic correlates: A household cross-sectional survey in Southern Ethiopia.PLoS neglected tropical diseases · 2021Article
- Severely stigmatised skin neglected tropical diseases: a protocol for social science engagement.Transactions of the Royal Society of Tropical Medicine and Hygiene · 2020Article
- Podoconiosis: key priorities for research and implementation.Transactions of the Royal Society of Tropical Medicine and Hygiene · 2020Article
- Key concepts in children's footwear research: a scoping review focusing on therapeutic footwear.Journal of foot and ankle research · 2019Article
- Podoconiosis today: challenges and opportunities.Transactions of the Royal Society of Tropical Medicine and Hygiene · 2018Article
- A Human Right to Shoes? Establishing Rights and Duties in the Prevention and Treatment of Podoconiosis.Health and human rights · 2018Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
backgroundThe role of footwear in protection against a range of Neglected Tropical Diseases (NTDs) is gaining increasing attention. Better understanding of the behaviors that influence use of footwear will lead to improved ability to measure shoe use and will be important for those implementing footwear programs. METHODOLOGY/PRINCIPAL
findingsUsing the PRECEDE-PROCEED model we assessed social, behavioral, environmental, educational and ecological needs influencing whether and when children wear shoes in a rural highland Ethiopian community endemic for podoconiosis. Information was gathered from 242 respondents using focus groups, semi-structured interviews and extended case studies. Shoe-wearing norms were said to be changing, with going barefoot increasingly seen as 'shameful'. Shoes were thought to confer dignity as well as protection against injury and cold. However, many practical and social barriers prevented the desire to wear shoes from being translated into practice. Limited financial resources meant that people were neither able to purchase more than one pair of shoes to ensure their longevity nor afford shoes of the preferred quality. As a result of this limited access, shoes were typically preserved for special occasions and might not be provided for children until they reached a certain age. While some barriers (for example fit of shoe and fear of labeling through use of a certain type of shoe) may be applicable only to certain diseases, underlying structural level barriers related to poverty (for example price, quality, unsuitability for daily activities and low risk perception) are likely to be relevant to a range of NTDs. CONCLUSIONS/SIGNIFICANCE: Using well established conceptual models of health behavior adoption, we identified several barriers to shoe wearing that are amenable to intervention and which we anticipate will be of benefit to those considering NTD prevention through shoe distribution.
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