Integration of Traditional Healers in Human African Trypanosomiasis Case Finding in Central Africa: A Quasi-Experimental Study
Abstract
:1. Introduction
2. Methods
2.1. Study Type
2.2. Setting
2.3. Study Population and Sampling
2.4. Study Procedure
2.5. Data Collection Tools
3. Data Analysis
4. Ethical Considerations
5. Results
5.1. General Characteristics of Traditional Healers and Study Participants
5.2. Diagnostic Test Results of HAT
5.3. Effect of the Intervention
6. Discussion
Author Contributions
Funding
Acknowledgments
Conflicts of Interest
References
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Country | Focus | Health Area | Traditional Healers Trained (%) | Traditional Healers Involved in the Study (%Participation) | Health Personnel in Each Focus |
---|---|---|---|---|---|
Cameroon | Campo | Campo | 5 | 5 (100) | 1 |
Congo | Ngabe | Ngabe | 5 | 5 (100) | 1 |
Gabon | Como Kango | Commune Kango | 5 | 2 (40) | 2 |
Equatorial Guinea | Mbini | Mbini | 5 | 5 (100) | 2 |
Central African Republic | Nola | Nola | 5 | 1 (20) | 1 |
Democratic Republic of Congo | Badundu | Nkara | 5 | 5 (100) | 1 |
Chad | Mandoul | Mandoul | 5 | 5 (100) | 3 |
Total | 35 | 28 (80) | 11 |
Country | Focus | Number of Suspected Cases Referred | Number of CATT- Cases | Number of CATT+ Cases (%) | Number of Microscopic Confirmed Cases (%) |
---|---|---|---|---|---|
Cameroon | Campo | 22 | 21 | 1 (0.36) | 1(0.36) |
Congo | Ngabe | 81 | 74 | 7 (2.52) | 4 (1.44) |
Gabon | Como Kango | 6 | 5 | 1 (0.36) | 0 (0) |
Equatorial Guinea | Mbini | 8 | 7 | 1 (0.36) | 1(0.36) |
Central African Republic | Nola | 13 | 12 | 1 (0.36) | 1(0.36) |
Democratic Republic of Congo | Bandundu | 73 | 64 | 9 (3.24) | 5(1.80) |
Chad | Mandoul | 75 | 75 | 0 (0) | 0(0) |
Total | 278 | 258 | 20 (7.19) | 12 (4.32) |
Total Number of Suspected Cases | Number of Negative Cases | Number of Confirmed Cases | Prevalence (%) | p-Value | |
---|---|---|---|---|---|
Before the intervention | 1177 | 1155 | 22 | 1.87 | 0.580 |
After the intervention | 1405 | 1374 | 31 | 2.21 |
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Kwedi Nolna, S.; Ntonè, R.; Fouda Mbarga, N.; Mbainda, S.; Mutangala, W.; Boua, B.; Niba, M.; Okoko, A. Integration of Traditional Healers in Human African Trypanosomiasis Case Finding in Central Africa: A Quasi-Experimental Study. Trop. Med. Infect. Dis. 2020, 5, 172. https://doi.org/10.3390/tropicalmed5040172
Kwedi Nolna S, Ntonè R, Fouda Mbarga N, Mbainda S, Mutangala W, Boua B, Niba M, Okoko A. Integration of Traditional Healers in Human African Trypanosomiasis Case Finding in Central Africa: A Quasi-Experimental Study. Tropical Medicine and Infectious Disease. 2020; 5(4):172. https://doi.org/10.3390/tropicalmed5040172
Chicago/Turabian StyleKwedi Nolna, Sylvie, Rodrigue Ntonè, Nicole Fouda Mbarga, Severin Mbainda, Willy Mutangala, Bernard Boua, Miriam Niba, and Aline Okoko. 2020. "Integration of Traditional Healers in Human African Trypanosomiasis Case Finding in Central Africa: A Quasi-Experimental Study" Tropical Medicine and Infectious Disease 5, no. 4: 172. https://doi.org/10.3390/tropicalmed5040172