Evidence map›Paper›PMID 36960805›Full record

ArticleInternational health2023

A quality improvement approach in co-developing a primary healthcare package for raising awareness and managing female genital schistosomiasis in Nigeria and Liberia.

Akinola S Oluwole, Anthony K Bettee, Motto Malea Nganda, Helen L Piotrowski, Victoria O Fapohunda, Josephine B Adejobi, Islamiat Y Soneye, Maryam A Kafil-Emiola, Festus O Soyinka, Obiageli J Nebe and 7 more

Open access · goldAbstract read
In one paragraph

Article in International health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
11.6field-weighted citation impact, top 1% of its field
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

14 citing papers in PubMed, 20 citations in OpenAlex.

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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

17 authors at 3 institutions in 2 countries.

Akinola S OluwoleDepartment of Neglected Tropical Diseases, Sightsavers, Nigeria Country Office, 1 Golf course road, P.O. box 503, Kaduna, Nigeria.
Anthony K BetteeNational Schistosomiasis programme, Neglected Tropical Disease programme, Ministry of Health, Nigeria.
Motto Malea NgandaDepartment of International Public Health, Liverpool School of Tropical Medicine, Pembroke Place, Liverpool L35QA, UK.
Helen L PiotrowskiDepartment of International Public Health, Liverpool School of Tropical Medicine, Pembroke Place, Liverpool L35QA, UK.
Victoria O FapohundaDepartment of Neglected Tropical Diseases, Sightsavers, Nigeria Country Office, 1 Golf course road, P.O. box 503, Kaduna, Nigeria.
Josephine B AdejobiDepartment of Neglected Tropical Diseases, Sightsavers, Nigeria Country Office, 1 Golf course road, P.O. box 503, Kaduna, Nigeria.
Islamiat Y SoneyeNeglected Tropical Diseases Control Unit, Department of Public Health, Ministry of Health, Oke mosan, Ogun state, Nigeria.
Maryam A Kafil-EmiolaNeglected Tropical Diseases Control Unit, Department of Public Health, Ministry of Health, Oke mosan, Ogun state, Nigeria.
Festus O SoyinkaDepartment of Public Health, Ogun Ministry of health, Oke-mosan, Ogun state, Nigeria.
Obiageli J NebeNeglected Tropical disease Control Division, Department of Public Health, Federal ministry of health, Federal Secretariat Complex, Phase III, Shehu Shagari Way, Central Business District, Abuja, Nigeria.
Uwem F EkpoFederal University of Agriculture, Alabata Road, Abeokuta, Ogun State, Nigeria.
Karsor K KollieNeglected Tropical Disease Programme, Ministry of Health, Nigeria.
Sunday IsiyakuSightsavers, Nigeria Country Office, 1 Golf course road, P.O. box 503, Kaduna, Nigeria.
Rachael ThomsonDepartment of International Public Health, Liverpool School of Tropical Medicine, Pembroke Place, Liverpool L35QA, UK.ORCID 0000-0001-5010-3428
Laura DeanDepartment of International Public Health, Liverpool School of Tropical Medicine, Pembroke Place, Liverpool L35QA, UK.
Kim OzanoDepartment of International Public Health, Liverpool School of Tropical Medicine, Pembroke Place, Liverpool L35QA, UK.ORCID 0000-0001-8383-4577
Quality Improvement Team
Federal Ministry of Health · NGLiverpool School of Tropical Medicine · GBFederal University of Agriculture · NG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGirls and women living in endemic areas for urogenital schistosomiasis may have lifelong vulnerability to female genital schistosomiasis (FGS). For >2 decades, the importance of FGS has been increasing in sub-Saharan Africa, but without established policies for case detection and treatment. This research aimed to understand the level of FGS knowledge of frontline health workers and health professionals working in endemic areas and to identify health system needs for the effective management of FGS cases and prevention of further complications due to ongoing infections.

methodsWorkshops were conducted with health workers and stakeholders using participatory methods. These workshops were part of a quality improvement approach to develop the intervention.

resultsHealth workers' and system stakeholders' knowledge regarding FGS was low. Participants identified key steps to be taken to improve the diagnosis and treatment of FGS in schistosomiasis-endemic settings, which focused mainly on awareness creation, supply of praziquantel, development of FGS syndromic management and mass administration of praziquantel to all eligible ages. The FGS intervention component varies across countries and depends on the health system structure, existing facilities, services provided and the cadre of personnel available.

conclusionOur study found that co-developing a new service for FGS that responds to contextual variations is feasible, promotes ownership and embeds learning across health sectors, including healthcare providers, NTD policymakers and implementers, health professionals and community health workers.

Indexed as

PraziquantelSchistosomiasis haematobiaFemaleGenitalia, FemaleHumansLiberiaNigeriaPrimary Health CareQuality ImprovementPraziquantelfemale genital schistosomiasishealth systemshealth worker trainingparticipatory researchprimary healthcarequality improvement

Identifiers

PMID36960805
PMCPMC10037264
OpenAlexW4360813782

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.