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Community-Based Interventions for the Prevention and Control of Cutaneous Leishmaniasis: A Systematic Review

Polidano, Kay; Wenning, Brianne; Ruiz-Cadavid, Alejandra; Dawaishan, Baheya; Panchal, Jay; Gunasekara, Sonali; Abebe, Haftom; Morais, Marciglei; Price, Helen; Dikomitis, Lisa

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Authors

Kay Polidano

Brianne Wenning

Alejandra Ruiz-Cadavid

Baheya Dawaishan

Jay Panchal

Sonali Gunasekara

Haftom Abebe

Marciglei Morais

Lisa Dikomitis



Abstract

<jats:p>We reviewed the evidence on community-based interventions for the prevention and control of cutaneous leishmaniasis (CL). Community initiatives tailored towards awareness and mobilisation are regarded as a priority area in the Neglected Tropical Disease Roadmap 2021–2030 by the World Health Organization. We searched nine electronic databases for intervention-based studies. Two independent reviewers screened and assessed the articles for methodological quality using predefined criteria. We conducted a meta-analysis using a random effects model, along with narrative synthesis. Thirteen articles were eligible for inclusion, of which 12 were quantitative studies (quasi-experimental with control group and pre-post interventions) and one qualitative study. All articles reported on health education interventions aimed at changing people’s knowledge, attitudes, and practices (KAP) in relation to CL. Participant groups included students, mothers, housewives, volunteer health workers, and residents in general. An increased score was recorded for all outcomes across all interventions: knowledge (SMD: 1.85, 95% CI: 1.23, 2.47), attitudes (SMD: 1.36, 95% CI: 0.56, 2.15), and practices (SMD: 1.73, 95% CI: 0.99, 2.47). Whilst our findings show that educational interventions improved people’s knowledge, attitudes, and practices about CL, we argue that this approach is not sufficient for the prevention and control of this disease. Knowledge does not always translate into action, particularly where other structural barriers exist. Therefore, we recommend the design of more innovative community-based interventions with a broader focus (e.g., stigma, financial barriers, and healthcare access).</jats:p>

Journal Article Type Article
Acceptance Date Oct 14, 2022
Publication Date Oct 20, 2022
Publicly Available Date Mar 29, 2024
Journal Social Sciences
Publisher MDPI
Peer Reviewed Peer Reviewed
Volume 11
Issue 10
Article Number 490
DOI https://doi.org/10.3390/socsci11100490
Keywords interventions; community; neglected tropical diseases; cutaneous leishmaniasis
Publisher URL https://www.mdpi.com/2076-0760/11/10/490/htm

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