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. 2020 Oct 30:8:564381.
doi: 10.3389/fpubh.2020.564381. eCollection 2020.

A Stakeholder Analysis of Schistosomiasis Diagnostic Landscape in South-West Nigeria: Insights for Diagnostics Co-creation

Adeola Onasanya  1 , Maryam Keshinro  2 , Oladimeji Oladepo  3 , Jo Van Engelen  1 , Jan Carel Diehl  1
Affiliations

A Stakeholder Analysis of Schistosomiasis Diagnostic Landscape in South-West Nigeria: Insights for Diagnostics Co-creation

Adeola Onasanya et al. Front Public Health. .

Abstract

Background: Schistosomiasis, one of the neglected tropical diseases, is a water-based parasitic disease of public health importance. Currently, tests for Schistosoma haematobium infection either demonstrate poor specificity, are expensive or too laborious for use in endemic countries, creating a need for more sensitive, cheaper, and easy to use devices for the diagnosis of schistosomiasis. To ensure engagement during the process of device development; and effective acceptance and use after the introduction of diagnostics devices for S. haematobium, there is a need to involve stakeholders with varying power, interest, and stakes in device co-creation, as well as those relevant for later use situation in the diagnostic landscape. The main goal of this study is to identify and analyze relevant stakeholders for co-creation using a power-interest matrix. Materials and Methods: The study was based on an action research methodology using a case study approach. A contextual inquiry approach consisting of 2 stages: stakeholder identification and interview; and stakeholder analysis was used. The field part of the study was carried out in Oyo State, Nigeria using a multistage cluster purposive sampling technique based on the category of stakeholders to be interviewed predicated on the organizational structure within the state and communities. A mix of qualitative research techniques was used. Identified themes related to power and interest were mapped and analyzed. Results: We identified 17 characteristics of stakeholders across 7 categories of stakeholders important for schistosomiasis diagnostics. Most of the stakeholders were important for both the co-creation and adoption phase of the device development for diagnostics. However, not all stakeholders were relevant to co-creation. Key Stakeholders relevant for diagnostics co-creation demonstrated significant social power, organization power, and legitimate power bases. Most of the stakeholders showed significant interest in the device to be created. Discussion: The power and interest of these stakeholders reveal some insight into how each stakeholder may be engaged for both co-creation and device usage. The involvement of relevant actors who will also be important for co-creation and implementation, will simplify the engagement process for the critical stakeholders, increase the ability to manage the process, and increase diagnostic device acceptability.

Keywords: co-creation; diagnostics; interest; power; schistosomiasis; stakeholders.

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Figures

Figure 1
Figure 1
Process map of contextual inquiry into the schistosomiasis diagnostics landscape.
Figure 2
Figure 2
Stakeholder characteristics.
Figure 3
Figure 3
Stakeholder categorization within the health system.
Figure 4
Figure 4
Stakeholder mapping using a power/interest matrix.
See this image and copyright information in PMC

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References

    1. Ezeh CO, Onyekwelu KC, Akinwale OP, Shan L, Wei H. Urinary schistosomiasis in Nigeria: a 50 year review of prevalence, distribution and disease burden. Parasite. (2019) 26:19. 10.1051/parasite/2019020 - DOI - PMC - PubMed
    1. Chitsulo L, Engels D, Montresor A, Savioli L. The global status of schistosomiasis and its control. Acta Trop. (2000) 77:41–51. 10.1016/S0001-706X(00)00122-4 - DOI - PMC - PubMed
    1. Centers for Disease Control and Prevention Schistosomiasis. Centers for Disease Control and Prevention (2019). Available online at: https://www.cdc.gov/dpdx/schistosomiasis/index.html (accessed May 20, 2020).
    1. Nebe OJ, Anagbogu IN, Ngige EN, Isiyaku S, Adamani WEM A, Nwobi BC. Epidemiological mapping of schistosomiasis and soil transmitted helminthiasis in 19 states and the federal capital territory (fct), Nigeria. Am J Trop Med Hyg. (2017) 95(Suppl. 5):559 10.4269/ajtmh.abstract2016 - DOI
    1. LoVerde PT. Schistosomiasis. In: Toledo R, Bernard F, editors. Digenetic Trematodes. 2nd ed. New York, NY: Springer-Verlag; (2019). p. 45–70.

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