wow-inequalities/02-data/intermediate/wos_sample/1c001856316e8548cce559ded9f668eb-coulborn-rebecca-ma/info.yaml

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2023-09-28 14:46:10 +00:00
abstract: 'Background
Ethiopia bears a high burden of visceral leishmaniasis (VL). Early
access to VL diagnosis and care improves clinical prognosis and reduces
transmission from infected humans; however, significant obstacles exist.
The approximate 250,000 seasonal mobile workers (MW) employed annually
in northwestern Ethiopia may be particularly disadvantaged and at risk
of VL acquisition and death. Our study aimed to assess barriers, and
recommend interventions to increase access, to VL diagnosis and care
among MWs.
Methodology/Principal findings
In 2017, 50 interviews and 11 focus group discussions were conducted
with MWs, mobile residents, VL patients and caretakers, community
leaders and healthcare workers in Kafta Humera District, Tigray.
Participants reported high vulnerability to VL among MWs and residents
engaged in transitory work. Multiple visits to health facilities were
consistently needed to access VL diagnosis. Inadequate healthcare worker
training, diagnostic test kit unavailability at the primary healthcare
level, lack of VL awareness, insufficient finances for care-seeking and
prioritization of income-generating activities were significant barriers
to diagnosis and care. Social (decision-making and financial) support
strongly and positively influenced care-seeking; workers unable to
receive salary advances, compensation for partial work, or peer
assistance for contract completion were particularly disadvantaged.
Participants recommended the government/stakeholders intervene to
ensure: MWs access to bed-nets, food, shelter, water, and healthcare at
farms or sick leave; decentralization of diagnostic tests to primary
healthcare facilities; surplus medications/staff during the peak season;
improved referral/feedback/reporting/training within the health system;
free comprehensive healthcare for all VL-related services; and community
health education.
Conclusions/Significance
Contrary to what health policy for VL dictates in this endemic setting,
study participants reported very poor access to diagnosis and,
consequently, significantly delayed access to treatment. Interventions
tailored to the socio-economic and health needs of MWs (and other
persons suffering from VL) are urgently needed to reduce health
disparities and the VL burden.'
affiliation: 'Coulborn, RM (Corresponding Author), Epictr, Paris, France.
Coulborn, Rebecca Marie; Schneider, Martin; Gerstl, Sibylle; Porten, Klaudia, Epictr,
Paris, France.
Gebrehiwot, Tesfay Gebregzabher, Mekelle Univ, Sch Publ Hlth, Mekelle, Ethiopia.
Adera, Cherinet; Herrero, Merce; den Boer, Margriet, KalaCORE, London, England.
Herrero, Merce, WHO, Geneva, Switzerland.
den Boer, Margriet, Med Sans Frontieres, London, England.
Ritmeijer, Koert, Med Sans Frontieres, Amsterdam, Netherlands.
Alvar, Jorge, Drugs Neglected Dis Initiat, Geneva, Switzerland.
Hassen, Abrahim, Tigray Reg Hlth Bur, Dept Hlth Promot \& Dis Prevent, Tigray, Ethiopia.'
article-number: e0006778
author: Coulborn, Rebecca Marie and Gebrehiwot, Tesfay Gebregzabher and Schneider,
Martin and Gerstl, Sibylle and Adera, Cherinet and Herrero, Merce and Porten, Klaudia
and den Boer, Margriet and Ritmeijer, Koert and Alvar, Jorge and Hassen, Abrahim
and Mulugeta, Afework
author-email: rebecca.coulborn@epicentre.msf.org
author_list:
- family: Coulborn
given: Rebecca Marie
- family: Gebrehiwot
given: Tesfay Gebregzabher
- family: Schneider
given: Martin
- family: Gerstl
given: Sibylle
- family: Adera
given: Cherinet
- family: Herrero
given: Merce
- family: Porten
given: Klaudia
- family: den Boer
given: Margriet
- family: Ritmeijer
given: Koert
- family: Alvar
given: Jorge
- family: Hassen
given: Abrahim
- family: Mulugeta
given: Afework
da: '2023-09-28'
doi: 10.1371/journal.pntd.0006778
files: []
issn: 1935-2735
journal: PLOS NEGLECTED TROPICAL DISEASES
keywords-plus: 'KALA-AZAR; HIV-INFECTION; RISK; PREVALENCE; OUTBREAK; DISEASES; AFRICA;
HUMERA; IMPACT; KENYA'
language: English
month: NOV
number: '11'
number-of-cited-references: '40'
orcid-numbers: Mulugeta, Afework/0000-0003-0707-4363
papis_id: 253970d9d1da4638fe1da1597ef5c644
ref: Coulborn2018barriersaccess
times-cited: '8'
title: 'Barriers to access to visceral leishmaniasis diagnosis and care among seasonal
mobile workers in Western Tigray, Northern Ethiopia: A qualitative study'
2023-10-01 08:15:07 +00:00
type: article
2023-09-28 14:46:10 +00:00
unique-id: WOS:000452162500005
usage-count-last-180-days: '1'
usage-count-since-2013: '11'
volume: '12'
web-of-science-categories: Infectious Diseases; Parasitology; Tropical Medicine
year: '2018'