02428nas a2200265   4500000000100000008004100001260001200042653002800054100001500082700001400097700001900111700001600130700001400146700001700160700001200177700001300189700001200202700001600214245011300230856006800343300000800411490000700419520172200426022001402148       2022                            d  bMDPI AG10aGeneral Social Sciences1 aPolidano K1 aWenning B1 aRuiz-Cadavid A1 aDawaishan B1 aPanchal J1 aGunasekara S1 aAbebe H1 aMorais M1 aPrice H1 aDikomitis L00aCommunity-Based Interventions for the Prevention and Control of Cutaneous Leishmaniasis: A Systematic Review  uhttps://www.mdpi.com/2076-0760/11/10/490/pdf?version=1666335658  a4900 v113 a<p>We reviewed the evidence on community-based interventions for the prevention and control of cutaneous leishmaniasis (CL). Community initiatives tailored towards awareness and mobilisation are regarded as a priority area in the Neglected Tropical Disease Roadmap 2021–2030 by the World Health Organization. We searched nine electronic databases for intervention-based studies. Two independent reviewers screened and assessed the articles for methodological quality using predefined criteria. We conducted a meta-analysis using a random effects model, along with narrative synthesis. Thirteen articles were eligible for inclusion, of which 12 were quantitative studies (quasi-experimental with control group and pre-post interventions) and one qualitative study. All articles reported on health education interventions aimed at changing people’s knowledge, attitudes, and practices (KAP) in relation to CL. Participant groups included students, mothers, housewives, volunteer health workers, and residents in general. An increased score was recorded for all outcomes across all interventions: knowledge (SMD: 1.85, 95% CI: 1.23, 2.47), attitudes (SMD: 1.36, 95% CI: 0.56, 2.15), and practices (SMD: 1.73, 95% CI: 0.99, 2.47). Whilst our findings show that educational interventions improved people’s knowledge, attitudes, and practices about CL, we argue that this approach is not sufficient for the prevention and control of this disease. Knowledge does not always translate into action, particularly where other structural barriers exist. Therefore, we recommend the design of more innovative community-based interventions with a broader focus (e.g., stigma, financial barriers, and healthcare access).</p>
  a2076-0760