A qualitative assessment of the context and enabling environment for the control of Taenia solium infections in endemic settings.

<h4>Background</h4>Taenia solium (T. solium), is a zoonotic helminth causing three diseases namely; taeniasis (in humans), neurocysticercosis (NCC, in humans) and porcine cysticercosis (PCC, in pigs) and is one of the major foodborne diseases by burden. The success or failure of control...

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Autores principales:	Nicholas Ngwili, Nancy Johnson, Raphael Wahome, Samuel Githigia, Kristina Roesel, Lian Thomas
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/f324d078d82545a0b6b4a252b8439ef9
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spelling	oai:doaj.org-article:f324d078d82545a0b6b4a252b8439ef92021-11-25T06:33:08ZA qualitative assessment of the context and enabling environment for the control of Taenia solium infections in endemic settings.1935-27271935-273510.1371/journal.pntd.0009470https://doaj.org/article/f324d078d82545a0b6b4a252b8439ef92021-06-01T00:00:00Zhttps://doi.org/10.1371/journal.pntd.0009470https://doaj.org/toc/1935-2727https://doaj.org/toc/1935-2735<h4>Background</h4>Taenia solium (T. solium), is a zoonotic helminth causing three diseases namely; taeniasis (in humans), neurocysticercosis (NCC, in humans) and porcine cysticercosis (PCC, in pigs) and is one of the major foodborne diseases by burden. The success or failure of control options against this parasite in terms of reduced prevalence or incidence of the diseases may be attributed to the contextual factors which underpin the design, implementation, and evaluation of control programmes.<h4>Methodology/principal findings</h4>The study used a mixed method approach combining systematic literature review (SLR) and key informant interviews (KII). The SLR focused on studies which implemented T. solium control programmes and was used to identify the contextual factors and enabling environment relevant to successful inception, planning and implementation of the interventions. The SLR used a protocol pre-registered at the International prospective register of systematic reviews (PROSPERO) number CRD42019138107 and followed PRISMA guidelines on reporting of SLR. To further highlight the importance and interlinkage of these contextual factors, KII were conducted with researchers/implementers of the studies included in the SLR. The SLR identified 41 publications that had considerations of the contextual factors. They were grouped into efficacy (10), effectiveness (28) and scale up or implementation (3) research studies. The identified contextual factors included epidemiological, socioeconomic, cultural, geographical and environmental, service and organizational, historical and financial factors. The enabling environment was mainly defined by policy and strategies supporting T. solium control.<h4>Conclusion/significance</h4>Failure to consider the contextual factors operating in target study sites was shown to later present challenges in project implementation and evaluation that negatively affected expected outcomes. This study highlights the importance of fully considering the various domains of the context and integrating these explicitly into the plan for implementation and evaluation of control programmes. Explicit reporting of these aspects in the resultant publication is also important to guide future work. The contextual factors highlighted in this study may be useful to guide future research and scale up of disease control programmes and demonstrates the importance of close multi-sectoral collaboration in a One Health approach.Nicholas NgwiliNancy JohnsonRaphael WahomeSamuel GithigiaKristina RoeselLian ThomasPublic Library of Science (PLoS)articleArctic medicine. Tropical medicineRC955-962Public aspects of medicineRA1-1270ENPLoS Neglected Tropical Diseases, Vol 15, Iss 6, p e0009470 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270
spellingShingle	Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Nicholas Ngwili Nancy Johnson Raphael Wahome Samuel Githigia Kristina Roesel Lian Thomas A qualitative assessment of the context and enabling environment for the control of Taenia solium infections in endemic settings.
description	<h4>Background</h4>Taenia solium (T. solium), is a zoonotic helminth causing three diseases namely; taeniasis (in humans), neurocysticercosis (NCC, in humans) and porcine cysticercosis (PCC, in pigs) and is one of the major foodborne diseases by burden. The success or failure of control options against this parasite in terms of reduced prevalence or incidence of the diseases may be attributed to the contextual factors which underpin the design, implementation, and evaluation of control programmes.<h4>Methodology/principal findings</h4>The study used a mixed method approach combining systematic literature review (SLR) and key informant interviews (KII). The SLR focused on studies which implemented T. solium control programmes and was used to identify the contextual factors and enabling environment relevant to successful inception, planning and implementation of the interventions. The SLR used a protocol pre-registered at the International prospective register of systematic reviews (PROSPERO) number CRD42019138107 and followed PRISMA guidelines on reporting of SLR. To further highlight the importance and interlinkage of these contextual factors, KII were conducted with researchers/implementers of the studies included in the SLR. The SLR identified 41 publications that had considerations of the contextual factors. They were grouped into efficacy (10), effectiveness (28) and scale up or implementation (3) research studies. The identified contextual factors included epidemiological, socioeconomic, cultural, geographical and environmental, service and organizational, historical and financial factors. The enabling environment was mainly defined by policy and strategies supporting T. solium control.<h4>Conclusion/significance</h4>Failure to consider the contextual factors operating in target study sites was shown to later present challenges in project implementation and evaluation that negatively affected expected outcomes. This study highlights the importance of fully considering the various domains of the context and integrating these explicitly into the plan for implementation and evaluation of control programmes. Explicit reporting of these aspects in the resultant publication is also important to guide future work. The contextual factors highlighted in this study may be useful to guide future research and scale up of disease control programmes and demonstrates the importance of close multi-sectoral collaboration in a One Health approach.
format	article
author	Nicholas Ngwili Nancy Johnson Raphael Wahome Samuel Githigia Kristina Roesel Lian Thomas
author_facet	Nicholas Ngwili Nancy Johnson Raphael Wahome Samuel Githigia Kristina Roesel Lian Thomas
author_sort	Nicholas Ngwili
title	A qualitative assessment of the context and enabling environment for the control of Taenia solium infections in endemic settings.
title_short	A qualitative assessment of the context and enabling environment for the control of Taenia solium infections in endemic settings.
title_full	A qualitative assessment of the context and enabling environment for the control of Taenia solium infections in endemic settings.
title_fullStr	A qualitative assessment of the context and enabling environment for the control of Taenia solium infections in endemic settings.
title_full_unstemmed	A qualitative assessment of the context and enabling environment for the control of Taenia solium infections in endemic settings.
title_sort	qualitative assessment of the context and enabling environment for the control of taenia solium infections in endemic settings.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/f324d078d82545a0b6b4a252b8439ef9
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A qualitative assessment of the context and enabling environment for the control of Taenia solium infections in endemic settings.

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