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Community-based control of a neglected tropical disease: the mossy foot treatment and prevention association.

Davey G, Burridge E - PLoS Negl Trop Dis (2009)

View Article: PubMed Central - PubMed

Affiliation: School of Public Health, Addis Ababa University, Addis Ababa, Ethiopia. nerurkar@ethionet.et

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Information was collected by GD during visits in September 2007 (from the project director and head of social work), March 2008 (from patients and CPAs), and May 2008 (from the project director, representatives of network groups, and the director of the US funding project)... At this level, the health care organization is important, but the community has a prominent role, and therefore the quality and depth of the organization's interactions with the community are vital... Raise awareness and reduce stigma... They are expected to raise awareness of podoconiosis through (for example) local administrative meetings, school assemblies, church services, and coffee ceremonies (the key social meeting place for women in the zone) [project director, head of social work]... Encourage better outcomes through leadership and support... The MFTPA mobilizes their most important resource, podoconiosis patients, by training them as CPAs [project director]... Coordination of services within the MFTPA is good, with quarterly meetings that draw together the clinical, administrative, social work, and community advocacy teams to share good practices and identify important strategy areas [network group representatives, CPAs]... The information system used by the MFTPA is paper-based, reflecting the lack of technological expertise among CPAs, of power supplies at most outreach clinic sites, and of personnel at the project base equipped to utilize electronic databases [project director, training guide]... Political leaders need to be identified and then encouraged to create a positive policy environment for patients, their communities and health care organizations managing chronic problems”... In 2005, Ethiopia's most famous athlete, Haile Gebreselassie, endorsed a mass-participation road race to promote awareness of podoconiosis and reduce stigma associated with the condition... This is chiefly because of the MFTPA practice of transforming patients into CPAs who almost by definition encourage partnership-forming interactions between patients and families, practice teams, and community partners... In future, optimal use of CPAs will be achieved through more thorough supervision and an improved system of referral for coexisting health problems... The MFTPA effectively uses community groups to advocate for podoconiosis control and to reduce stigma against podoconiosis... The MFTPA is a grassroots organization that was established only ten years ago... Unsurprisingly, it is still relatively ineffective at macro-level within Ethiopia or on the international stage.

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The ICCC framework.Adapted from [6].
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pntd-0000424-g001: The ICCC framework.Adapted from [6].

Mentions: The Innovative Care for Chronic Conditions (ICCC) framework [6] was developed by a working group of the World Health Organization in response to the burden placed on developing countries' health care systems by non-communicable diseases. The ICCC framework evolved out of the Chronic Care Model, which was developed to enable primary care practices in developed country settings to improve care for patients with chronic disease [7]. The authors describe the ICCC framework as “comprised of fundamental components within the patient (micro-), organization/community (meso-), and policy (macro-) levels. These components are described as ‘building blocks’ that can be used to create or re-design a health care system that can more effectively manage long-term health problems” [8]. The framework is represented figuratively in both articles describing its development and use (Figure 1). Compared to the Chronic Care Model, the ICCC framework emphasizes the importance of the community and community partners, and the necessity of a positive policy environment [8].


Community-based control of a neglected tropical disease: the mossy foot treatment and prevention association.

Davey G, Burridge E - PLoS Negl Trop Dis (2009)

The ICCC framework.Adapted from [6].
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2682702&req=5

pntd-0000424-g001: The ICCC framework.Adapted from [6].
Mentions: The Innovative Care for Chronic Conditions (ICCC) framework [6] was developed by a working group of the World Health Organization in response to the burden placed on developing countries' health care systems by non-communicable diseases. The ICCC framework evolved out of the Chronic Care Model, which was developed to enable primary care practices in developed country settings to improve care for patients with chronic disease [7]. The authors describe the ICCC framework as “comprised of fundamental components within the patient (micro-), organization/community (meso-), and policy (macro-) levels. These components are described as ‘building blocks’ that can be used to create or re-design a health care system that can more effectively manage long-term health problems” [8]. The framework is represented figuratively in both articles describing its development and use (Figure 1). Compared to the Chronic Care Model, the ICCC framework emphasizes the importance of the community and community partners, and the necessity of a positive policy environment [8].

View Article: PubMed Central - PubMed

Affiliation: School of Public Health, Addis Ababa University, Addis Ababa, Ethiopia. nerurkar@ethionet.et

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

Information was collected by GD during visits in September 2007 (from the project director and head of social work), March 2008 (from patients and CPAs), and May 2008 (from the project director, representatives of network groups, and the director of the US funding project)... At this level, the health care organization is important, but the community has a prominent role, and therefore the quality and depth of the organization's interactions with the community are vital... Raise awareness and reduce stigma... They are expected to raise awareness of podoconiosis through (for example) local administrative meetings, school assemblies, church services, and coffee ceremonies (the key social meeting place for women in the zone) [project director, head of social work]... Encourage better outcomes through leadership and support... The MFTPA mobilizes their most important resource, podoconiosis patients, by training them as CPAs [project director]... Coordination of services within the MFTPA is good, with quarterly meetings that draw together the clinical, administrative, social work, and community advocacy teams to share good practices and identify important strategy areas [network group representatives, CPAs]... The information system used by the MFTPA is paper-based, reflecting the lack of technological expertise among CPAs, of power supplies at most outreach clinic sites, and of personnel at the project base equipped to utilize electronic databases [project director, training guide]... Political leaders need to be identified and then encouraged to create a positive policy environment for patients, their communities and health care organizations managing chronic problems”... In 2005, Ethiopia's most famous athlete, Haile Gebreselassie, endorsed a mass-participation road race to promote awareness of podoconiosis and reduce stigma associated with the condition... This is chiefly because of the MFTPA practice of transforming patients into CPAs who almost by definition encourage partnership-forming interactions between patients and families, practice teams, and community partners... In future, optimal use of CPAs will be achieved through more thorough supervision and an improved system of referral for coexisting health problems... The MFTPA effectively uses community groups to advocate for podoconiosis control and to reduce stigma against podoconiosis... The MFTPA is a grassroots organization that was established only ten years ago... Unsurprisingly, it is still relatively ineffective at macro-level within Ethiopia or on the international stage.

Show MeSH