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Improving access to diagnostics for schistosomiasis case management in oyo state, Nigeria

Barriers and opportunities

Journal Article (2020)
Author(s)

G. Young Van (TU Delft - Design for Sustainability)

Adeola Onasanya (TU Delft - Design for Sustainability)

J.M.L. van Engelen (TU Delft - Design for Sustainability, Rijksuniversiteit Groningen)

Oladimeji Oladepo (University of Ibadan, Ibadan)

J. C. Diehl (TU Delft - Design for Sustainability)

Research Group
Design for Sustainability
Copyright
© 2020 G.Y. Van, A.A. Onasanya, J.M.L. van Engelen, Oladimeji Oladepo, J.C. Diehl
DOI related publication
https://doi.org/10.3390/diagnostics10050328
More Info
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Publication Year
2020
Language
English
Copyright
© 2020 G.Y. Van, A.A. Onasanya, J.M.L. van Engelen, Oladimeji Oladepo, J.C. Diehl
Research Group
Design for Sustainability
Issue number
5
Volume number
10
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Abstract

Schistosomiasis is one of the Neglected Tropical Diseases that affects over 200 million people worldwide, of which 29million people in Nigeria. The principal strategy for schistosomiasis in Nigeria is a control and elimination program which comprises a school-based Mass Drug Administration (MDA)with limitations of high re-infection rates and the exclusion of high-risk populations. TheWorld Health Organization (WHO) recommends guided case management of schistosomiasis (diagnostic tests or symptom-based detection plus treatment) at the Primary Health Care (PHC) level to ensure more comprehensive morbidity control. However, these require experienced personnel with sufficient knowledge of symptoms and functioning laboratory equipment. Little is known aboutwhere, bywhom and how diagnosis is performed at health facilities within the case management of schistosomiasis in Nigeria. Furthermore, there is a paucity of information on patients' health-seeking behaviour from the onset of disease symptoms until a cure is obtained. In this study, we describe both perspectives in Oyo state, Nigeria and address the barriers using adapted health-seeking stages and access framework. The opportunities for improving case management were identified, such as a prevalence study of high-risk groups, community education and screening, enhancing diagnostic capacity at the PHC through point-of-care diagnostics and strengthening the capability of health workers.