Evidence map›Paper›PMID 36288011›Full record

ArticleTropical medicine and infectious disease2022

Healthcare Management of Human African Trypanosomiasis Cases in the Eastern, Muchinga and Lusaka Provinces of Zambia.

Allan Mayaba Mwiinde, Martin Simuunza, Boniface Namangala, Chitalu Miriam Chama-Chiliba, Noreen Machila, Neil E Anderson, Peter M Atkinson, Susan C Welburn

Abstract read
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In one paragraph

Article in Tropical medicine and infectious disease, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Allan Mayaba MwiindeDepartment of Public Health, Mazabuka Municipal Council, Mazabuka P.O. Box 620033, Zambia.
Martin SimuunzaSchool of Veterinary Medicine, University of Zambia, Lusaka P.O. Box 50110, Zambia.ORCID 0000-0001-6621-7470
Boniface NamangalaSchool of Veterinary Medicine, University of Zambia, Lusaka P.O. Box 50110, Zambia.ORCID 0000-0003-1157-247X
Chitalu Miriam Chama-ChilibaInstitute of Economic and Social Research (INESOR), University of Zambia, Lusaka P.O. Box 30900, Zambia.ORCID 0000-0002-8237-3681
Noreen MachilaSchool of Veterinary Medicine, University of Zambia, Lusaka P.O. Box 50110, Zambia.
Neil E AndersonThe Royal (Dick) School of Veterinary Studies and the Roslin Institute, University of Edinburgh, 49 Little France Crescent, Edinburgh EH25 9RG, UK.ORCID 0000-0001-7192-7717
Peter M AtkinsonCentre for Health Informatics, Computing and Statistics (CHICAS), Lancaster Medical School, Faculty of Health and Medicine, Lancaster University, Lancaster LA1 4YQ, UK.
Susan C WelburnSchool of Biomedical Sciences, Edinburgh Medical School, College of Medicine and Veterinary Medicine, University of Edinburgh, Edinburgh EH4 2XU, UK.

Funding

This work was funded by The Dynamic Drivers of Disease in Africa Consortium, Natural Environmental Research Council (NERC) project no. NE-J001570-1, was funded with support from the Ecosystem Services for Poverty Alleviation (ESPA) Programme. The ESPA pro NE-J001570-1
6 · The paper itself

Abstract

Human African trypanosomiasis (HAT) is a neglected tropical disease that has not received much attention in Zambia and most of the countries in which it occurs. In this study, we assessed the adequacy of the healthcare delivery system in diagnosis and management of rHAT cases, the environmental factors associated with transmission, the population at risk and the geographical location of rHAT cases. Structured questionnaires, focus group discussions and key informant interviews were conducted among the affected communities and health workers. The study identified 64 cases of rHAT, of which 26 were identified through active surveillance and 38 through passive surveillance. We identified a significant association between knowledge of the vector for rHAT and knowledge of rHAT transmission (p < 0.028). In all four districts, late or poor diagnosis occurred due to a lack of qualified laboratory technicians and diagnostic equipment. This study reveals that the current Zambian healthcare system is not able to adequately handle rHAT cases. Targeted policies to improve staff training in rHAT disease detection and management are needed to ensure that sustainable elimination of this public health problem is achieved in line with global targets.

Indexed as

health carehuman African trypanosomiasissleeping sicknessspatial distributionT. b. rhodesienseZambia

Identifiers

PMID36288011
PMCPMC9607271

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.