02505nas a2200325   4500000000100000008004100001260003400042653005700076653002100133653002800154100001100182700001600193700001600209700001400225700001200239700001500251700001300266700001200279700001400291700001400305700001400319700001400333700001100347245013000358856009200488300001200580490000700592520155500599022002502154       2023                            d  bOxford University Press (OUP)10aPublic Health, Environmental and Occupational Health10aGeneral Medicine10aHealth (social science)1 aLar LA1 aChowdhury S1 aUmunnakwe C1 aYahemba D1 aDavid A1 aOmitola OO1 aHaruna S1 aLawal S1 aIsiyaku S1 aShuaibu J1 aAlbarka J1 aThomson R1 aDean L00aA mixed methods evaluation of an integrated training package for skin neglected tropical diseases in Kaduna and Ogun, Nigeria  uhttps://academic.oup.com/inthealth/article-pdf/15/Supplement_1/i75/49573400/ihac081.pdf  ai75-i860 v153 a<p>Background: The overall burden of neglected tropical diseases (NTDs) affecting the skin is undetermined. Skin conditions are among the top 10 causes of disability worldwide. Affected persons seek treatment at advanced stages of the disease, resulting in morbidity and disability. We developed and evaluated an integrated training intervention for early case detection, referral and management of skin NTDs in two states in Nigeria.</p>

<p>Methods: This was a mixed-methods study using participatory approaches to develop specific skin algorithms and training packages for community and primary level health workers. This supported the identification, referral and clinical diagnosis of suspected cases. We used Kirkpatrick's model to evaluate the training package.</p>

<p>Results: Participants’ knowledge improved after the 2-months intervention. Across both states, knowledge retention appeared more robust for cadres at all levels: state, local government area and primary healthcare. All (100%) participants mentioned that the training assisted them in detecting, referring and managing skin NTDs. Training was understood by participants and training materials were easy to understand. Materials were also effective in educating community members about the symptoms of NTDs and supported referral to facilities for appropriate management.</p>

<p>Conclusions: Community implementers can be trained and supervised to detect people affected by skin NTDs and support appropriate management within the existing patient care pathway.</p>
  a1876-3413, 1876-3405