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Achieving the endgame: Integrated NTD case searches.

Abstract

Trachoma and Guinea Worm Disease (GWD) are neglected tropical diseases (NTD) slated for elimination as a public health problem and eradication respectively by the World Health Organization. As these programs wind down, uncovering the last cases becomes an urgent priority. In 2010, Ghana Health Services, along with The Carter Center, Sightsavers, and other partners, conducted integrated case searches for both GWD and the last stage of trachoma disease, trachomatous trichiasis (TT), as well as providing surgical treatment for TT to meet elimination (and eradication targets). House to house case searches for both diseases were conducted and two case management strategies were explored: a centralized referral to services method and a Point of Care (POC) delivery method. 835 suspected TT cases were discovered in the centralized method, of which 554 accepted surgery. 482 suspected TT cases were discovered in the POC method and all TT cases accepted surgery. The cost per TT case examined was lower in the POC searches compared to the centralized searches ($19.97 in the POC searches and $20.85 in the centralized searches). Both strategies resulted in high surgical uptake for TT surgery, with average uptakes of 72.4% and 83.9% for the centralized and POC searches respectively. We present here that house to house case searches offering services at POC are feasible and a potential tool for elimination and eradication programs nearing their end.

More information

Type
Journal Article
Author
Buyon L
Slaven R
Emerson PM
King J
Debrah O
Aboe A
Ruiz-Tiben E
Callahan KE
Year of Publication
2018
Journal
PLoS neglected tropical diseases
Volume
12
Issue
12
Number of Pages
e0006623
Language
eng
ISSN Number
1935-2735
DOI
10.1371/journal.pntd.0006623
Alternate Journal
PLoS Negl Trop Dis
Publication Language
eng