{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T06:08:33Z","timestamp":1791353313886,"version":"4.3.1"},"reference-count":58,"publisher":"Public Library of Science (PLoS)","issue":"10","license":[{"start":{"date-parts":[[2024,10,22]],"date-time":"2024-10-22T00:00:00Z","timestamp":1729555200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000272","name":"National Institute for Health and Care Research","doi-asserted-by":"publisher","award":["NIHR200140"],"award-info":[{"award-number":["NIHR200140"]}],"id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:p>Community-based chronic care intervention is important in the control and prevention of lifelong conditions such as podoconiosis and similar \u2018intensive disease management\u2019 neglected tropical diseases (NTDs). Despite a call for such interventions, few efforts have been made to identify opportunities and challenges related to their implementation. Employing a qualitative approach, this study explored the possibility of engaging community actors, physical places and networks to promote chronic care management in rural Ethiopia. We gathered data from affected individuals, community members, local leaders, health professionals and community health workers between April and May 2022. The study revealed that affected individuals, family members, religious leaders, traditional leaders, and health professionals have the potential to extend chronic care management in rural areas. Houses, churches, schools, and healthcare facilities are suitable venues at which to perform interventions. Strong community solidarity and political will are vital to chronic care interventions, while lack of understanding about chronic conditions, financial constraints, and limited resources at healthcare facilities could pose challenges. Using community assets has great promise for expanding chronic care management with minimal costs and efforts in under resourced areas. Achieving this will require a successful plan to coordinate the collaboration among the agents and settings.<\/jats:p>","DOI":"10.1371\/journal.pone.0309770","type":"journal-article","created":{"date-parts":[[2024,10,22]],"date-time":"2024-10-22T17:27:39Z","timestamp":1729618059000},"page":"e0309770","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":3,"title":["Opportunities and challenges in utilizing community assets to extend chronic care management in podoconiosis endemic areas: Evidence from Northwestern Ethiopia"],"prefix":"10.1371","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7893-3121","authenticated-orcid":true,"given":"Kibur","family":"Engdawork","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gail","family":"Davey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Getnet","family":"Tadele","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Papreen","family":"Nahar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shahaduz","family":"Zaman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2024,10,22]]},"reference":[{"key":"pone.0309770.ref001","year":"2023","journal-title":"Noncommunicable diseases"},{"issue":"9642","key":"pone.0309770.ref002","doi-asserted-by":"crossref","first-page":"940","DOI":"10.1016\/S0140-6736(08)61404-X","article-title":"Improving the prevention and management of chronic disease in low-income and middle-income countries: a priority for primary health care","volume":"372","author":"R Beaglehole","year":"2008","journal-title":"Lancet"},{"issue":"1","key":"pone.0309770.ref003","doi-asserted-by":"crossref","first-page":"e129","DOI":"10.1097\/JNR.0000000000000422","article-title":"Chronic Disease Management, Self-Efficacy and Quality of Life","volume":"29","author":"SW Chan","year":"2021","journal-title":"J Nurs Res."},{"issue":"3","key":"pone.0309770.ref004","doi-asserted-by":"crossref","first-page":"300","DOI":"10.1016\/j.pec.2004.08.004","article-title":"Patients\u2019 perceived barriers to active self-management of chronic conditions.","volume":"57","author":"AF Jerant","year":"2005","journal-title":"Patient Educ Couns"},{"issue":"1","key":"pone.0309770.ref005","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1370\/afm.4","article-title":"Descriptions of barriers to self-care by persons with comorbid chronic diseases.","volume":"1","author":"EA Bayliss","year":"2003","journal-title":"Ann Fam Med"},{"issue":"13","key":"pone.0309770.ref006","doi-asserted-by":"crossref","first-page":"1169","DOI":"10.1056\/NEJMp1202011","article-title":"Tropical lymphedemas\u2014control and prevention","volume":"366","author":"DH Molyneux","year":"2012","journal-title":"N Engl J Med"},{"issue":"6","key":"pone.0309770.ref007","doi-asserted-by":"crossref","first-page":"885","DOI":"10.1016\/0035-9203(90)90115-U","article-title":"The significance of particle size of soils as a risk factor in the etiology of podoconiosis","volume":"84","author":"EW Price","year":"1990","journal-title":"Trans R Soc Trop Med Hyg"},{"issue":"4","key":"pone.0309770.ref008","first-page":"168","article-title":"Podoconiosis non-filarial elephantiasis, and lymphology","volume":"43","author":"G. 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