Cargando…

Community based cross sectional study of podoconiosis and associated factors in Dano district, Central Ethiopia

BACKGROUND: Podoconiosis, affects lower limb, is an entirely preventable non-communicable tropical disease common in low income countries. Globally it is estimated that there are 4 million peoples with podoconiosis and nationally it is estimated that there are 1.56 million cases of podoconiosis. Eve...

Descripción completa

Detalles Bibliográficos
Autores principales: Dejene, Feven, Merga, Hailu, Asefa, Henok
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6366781/
https://www.ncbi.nlm.nih.gov/pubmed/30689654
http://dx.doi.org/10.1371/journal.pntd.0007050
_version_ 1783393667499687936
author Dejene, Feven
Merga, Hailu
Asefa, Henok
author_facet Dejene, Feven
Merga, Hailu
Asefa, Henok
author_sort Dejene, Feven
collection PubMed
description BACKGROUND: Podoconiosis, affects lower limb, is an entirely preventable non-communicable tropical disease common in low income countries. Globally it is estimated that there are 4 million peoples with podoconiosis and nationally it is estimated that there are 1.56 million cases of podoconiosis. Even though nationwide mapping has been conducted including the current district under investigation, there are no studies conducted to identify factors associated with podoconiosis in the district. Hence, this study was aimed to determine the prevalence of podoconiosis and associated factors in the west Shewa of Dano district community. METHOD: A community based cross sectional study was conducted from March 1 to 26, 2018. Seven kebeles out of the total of twenty-three kebeles found in the district were selected randomly. The total sample size was allocated by probability proportional to size to each kebele based on the number of households they had. Then, systematic random sampling was employed to select 652 study participants from the seven kebeles. Data was collected using interviewer administered structured questionnaire and observation. In addition, a blood sample was collected from the study subjects who had leg swelling for ruling out lymphedema due to lymphatic filarasis by using Immunochromatographic test card. Podoconiosis case was defined as bilateral but asymmetric swelling which develop first in the foot often confined to the lower leg and negative result for immune-chromatographic test (ICT card). The prevalence of podoconiosis was determined and multiple logistic regression model was fitted using SPSS version 23 to identify factors associated with podoconiosis. RESULT: The prevalence of podoconiosis in Dano district was found to be 6.3% (95%CI: 5.8, 6.8). Age at first shoe wearing (AOR = 1.08,95% CI = 1.06–1.11), washing practice of feet by water only (AOR = 3.68, 95% CI = 1.47–9.24) and not wearing shoe daily (AOR = 9.32, 95% CI = 4.27–20.4) were found to be significantly associated with increased odds of podoconiosis. CONCLUSION: This study revealed that there was significant burden of podoconiosis in the study area. Age at first shoe wearing, washing practice and frequency of shoe wearing were associated with the development of podoconiosis disease. Modalities to enhance the shoe wearing behaviour of the communities should be planned by high level decision makers working in the area of Health. Moreover, collaboration between local government and non-government stakeholders, and integration with existing programs addressing foot hygiene which involves washing feet with soap and water needs to be addressed.
format Online
Article
Text
id pubmed-6366781
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher Public Library of Science
record_format MEDLINE/PubMed
spelling pubmed-63667812019-02-22 Community based cross sectional study of podoconiosis and associated factors in Dano district, Central Ethiopia Dejene, Feven Merga, Hailu Asefa, Henok PLoS Negl Trop Dis Research Article BACKGROUND: Podoconiosis, affects lower limb, is an entirely preventable non-communicable tropical disease common in low income countries. Globally it is estimated that there are 4 million peoples with podoconiosis and nationally it is estimated that there are 1.56 million cases of podoconiosis. Even though nationwide mapping has been conducted including the current district under investigation, there are no studies conducted to identify factors associated with podoconiosis in the district. Hence, this study was aimed to determine the prevalence of podoconiosis and associated factors in the west Shewa of Dano district community. METHOD: A community based cross sectional study was conducted from March 1 to 26, 2018. Seven kebeles out of the total of twenty-three kebeles found in the district were selected randomly. The total sample size was allocated by probability proportional to size to each kebele based on the number of households they had. Then, systematic random sampling was employed to select 652 study participants from the seven kebeles. Data was collected using interviewer administered structured questionnaire and observation. In addition, a blood sample was collected from the study subjects who had leg swelling for ruling out lymphedema due to lymphatic filarasis by using Immunochromatographic test card. Podoconiosis case was defined as bilateral but asymmetric swelling which develop first in the foot often confined to the lower leg and negative result for immune-chromatographic test (ICT card). The prevalence of podoconiosis was determined and multiple logistic regression model was fitted using SPSS version 23 to identify factors associated with podoconiosis. RESULT: The prevalence of podoconiosis in Dano district was found to be 6.3% (95%CI: 5.8, 6.8). Age at first shoe wearing (AOR = 1.08,95% CI = 1.06–1.11), washing practice of feet by water only (AOR = 3.68, 95% CI = 1.47–9.24) and not wearing shoe daily (AOR = 9.32, 95% CI = 4.27–20.4) were found to be significantly associated with increased odds of podoconiosis. CONCLUSION: This study revealed that there was significant burden of podoconiosis in the study area. Age at first shoe wearing, washing practice and frequency of shoe wearing were associated with the development of podoconiosis disease. Modalities to enhance the shoe wearing behaviour of the communities should be planned by high level decision makers working in the area of Health. Moreover, collaboration between local government and non-government stakeholders, and integration with existing programs addressing foot hygiene which involves washing feet with soap and water needs to be addressed. Public Library of Science 2019-01-28 /pmc/articles/PMC6366781/ /pubmed/30689654 http://dx.doi.org/10.1371/journal.pntd.0007050 Text en © 2019 Dejene et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Dejene, Feven
Merga, Hailu
Asefa, Henok
Community based cross sectional study of podoconiosis and associated factors in Dano district, Central Ethiopia
title Community based cross sectional study of podoconiosis and associated factors in Dano district, Central Ethiopia
title_full Community based cross sectional study of podoconiosis and associated factors in Dano district, Central Ethiopia
title_fullStr Community based cross sectional study of podoconiosis and associated factors in Dano district, Central Ethiopia
title_full_unstemmed Community based cross sectional study of podoconiosis and associated factors in Dano district, Central Ethiopia
title_short Community based cross sectional study of podoconiosis and associated factors in Dano district, Central Ethiopia
title_sort community based cross sectional study of podoconiosis and associated factors in dano district, central ethiopia
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6366781/
https://www.ncbi.nlm.nih.gov/pubmed/30689654
http://dx.doi.org/10.1371/journal.pntd.0007050
work_keys_str_mv AT dejenefeven communitybasedcrosssectionalstudyofpodoconiosisandassociatedfactorsindanodistrictcentralethiopia
AT mergahailu communitybasedcrosssectionalstudyofpodoconiosisandassociatedfactorsindanodistrictcentralethiopia
AT asefahenok communitybasedcrosssectionalstudyofpodoconiosisandassociatedfactorsindanodistrictcentralethiopia