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. 2021 Sep;26(9):1088-1097.
doi: 10.1111/tmi.13630. Epub 2021 Jul 22.

Model of care, Noma Children's Hospital, northwest Nigeria

Shafi'u Isah  1 , Mohana Amirtharajah  2 , Elise Farley  1   3 , Adeniyi Semiyu Adetunji  1 , Joseph Samuel  1   3 , Bukola Oluyide  3 , Karla Bil  2 , Muhammad Shoaib  3 , Nura Abubakar  1   3 , Annette de Jong  2 , Monique Pereboom  2 , Annick Lenglet  2   4 , Mark Sherlock  2
Affiliations

Model of care, Noma Children's Hospital, northwest Nigeria

Shafi'u Isah et al. Trop Med Int Health. 2021 Sep.

Abstract

The Nigerian Ministry of Health has been offering care for noma patients for many years at the Noma Children's Hospital (NCH) in Sokoto, northwest Nigeria, and Médecins Sans Frontières has supported these initiatives since 2014. The comprehensive model of care consists of four main components: acute care, care for noma sequelae, integrated hospital-based services and community-based services. The model of care is based on the limited evidence available for prevention and treatment of noma and follows WHO's protocols for acute patients and best practice guidelines for the surgical treatment of noma survivors. The model is updated continually as new evidence becomes available, including evidence generated through the operational research studies performed at NCH. By describing the model of care, we wish to share the lessons learned with other actors working in the noma and neglected tropical disease sphere in the hope of guiding programme development.

Keywords: Nigeria; cancrum oris; model of care; noma.

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Figures

Figure 1
Figure 1
Model of care Noma Children’s Hospital, Nigeria.
Figure 2
Figure 2
Proportion of cases presenting at the Noma Children’s Hospital self‐reported being vaccinated against listed diseases (N = 496).
See this image and copyright information in PMC

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