02701nas a2200217   4500000000100000008004100001260004400042653002400086653005700110100001500167700001500182700001300197700001500210700001600225700001500241245007700256856008500333490000700418520204400425022001402469       2022                            d  bSpringer Science and Business Media LLC10aInfectious Diseases10aPublic Health, Environmental and Occupational Health1 aWampande L1 aNyabuga LM1 aFowler K1 aOkengwu GC1 aBayisenge U1 aSchurer JM00aPodoconiosis instruction at nursing schools in Kenya, Rwanda, and Uganda  uhttps://tropmedhealth.biomedcentral.com/track/pdf/10.1186/s41182-022-00405-8.pdf0 v503 a<p>Background</p>

<p>Podoconiosis is a preventable, progressive, and non-infectious form of elephantiasis that can contribute to significant disability and economic burden when not treated early. Nurses play a critical role in early detection and response in rural Africa, but it is unclear if they receive adequate training on podoconiosis. We aimed to characterize podoconiosis instruction at all government accredited, post-secondary nursing institutions in three African countries.</p>

<p>Methods</p>

<p>Data for this cross-sectional study was collected through a quantitative survey with several open-answer questions. Through a rigorous online search, we identified all post-secondary institutions in Kenya, Rwanda and Uganda accredited to teach human nursing. A total of 289 accredited programs, including 85 certificate, 56 degree and 148 diploma programs were invited to participate. Respondents completed surveys online or by telephone. Measures focused on podoconiosis knowledge, perceptions of quality/quantity of podoconiosis instruction, and barriers to sufficient podoconiosis education.</p>

<p>Results</p>

<p>We obtained information about 212 curricula across 149 nursing institutions in the three countries (participation rate: 73.4%). Podoconiosis coverage was limited across programs (certificate—24.1%; diploma—55.6%; degree—30.3%). Most respondents felt that the quality and quantity of instruction were insufficient (60.6%, 62.9%), respectively. Exclusion from government curricula, low priority and faculty lack of knowledge were commonly reported barriers to podoconiosis inclusion.</p>

<p>Conclusions</p>

<p>This study demonstrated clear gaps in podoconiosis training for nurses across the three countries and highlights a serious challenge in eliminating podoconiosis as a public health problem. Interventions to improve nurses’ knowledge could include the development and free distribution of podoconiosis teaching materials, designed for integration into pre-existing courses.</p>
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