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    Jan 20, 2021
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    Does training of Health Extension Workers reduce scabies load in district health facilities in rural Ethiopia?

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    Gezmu et al 2020 Does training ...
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    Authors
    Gezmu, T
    Enbiale, W
    Asnakew, M
    Bekele, A
    Beresaw, G
    Nigussie, M
    Takarinda, K
    Manzi, M
    Zachariah, R
    Issue Date
    2020-06-30
    Submitted date
    2020-07-25
    
    Metadata
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    Journal
    Journal of Infection in Developing Countries
    Abstract
    Introduction: In 2017, Ethiopia included scabies management within the responsibility of health extension workers. In Kamba (the intervention district) workers were trained on scabies management. Whereas, in Arba Minch Zuria (the control district) there was no such training. This study assesses whether decentralization of scabies management to communities would reduce the load on health facilities and allow earlier scabies treatment access. Methodology: All individuals presenting with scabies before (January - June 2018) and after (August 2018-January 2019) the introduction of training (July 2018) in Kamba district and the Arba Minch Zuria district were included. We compared between the two districts in the period before and after training, the numbers of scabies cases presenting to health facilities, their demography, clinical characteristics and treatment. Results: There were 1,891 scabies cases in the intervention district and 809 in the control district. Scabies cases declined in the intervention district from 7.6 to 1.6 per 1,000 population (a 4.8-fold reduction). In the control district, scabies cases increased from 1.3 to 2.4 per 1,000 population (a 1.8-fold increase). In intervention district, the proportion of scabies patients with secondary skin infections reduced from 1,227 (78%, n = 1,565) to 156 (48%, n = 326, P < 0.001). In the control district the difference was insignificant 39 (14%, n = 288) to 86 (17%, n = 521, P = 0.2). Conclusions: Introducing trained health extension workers at community level were associated with reductions in health facility load for scabies and secondary infections. This is a wider community health benefit.
    Publisher
    Journal of Infection in Developing Countries
    URI
    http://hdl.handle.net/10144/619721
    DOI
    10.3855/jidc.11730
    PubMed ID
    32614794
    Type
    Article
    Language
    en
    EISSN
    1972-2680
    ae974a485f413a2113503eed53cd6c53
    10.3855/jidc.11730
    Scopus Count
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    Operational Research Courses

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