Holistic management of skin neglected tropical diseases through church networks in the Songololo Territory, the Democratic Republic of Congo: a retrospective evaluation

Background: Neglected tropical diseases (NTDs) are a diverse group of conditions caused by a variety of pathogens mainly prevalent among impoverished communities in tropical areas.  In addition to disability and morbidity, they cause stigma and can reduce quality of life.  The Democratic Republic of Congo (DRC) is endemic for several NTDs, including leprosy, Buruli ulcer and yaws. Given 98.5% of the population in DRC is estimated to be Christian, and churches are often seen as trusted institutions,  a pilot project was implemented to Build Church Networks Capacity to end NTDs (BCNCE).

Methods:  A retrospective mixed-methods evaluation was conducted. The study took place in 12 health areas in the Kongo Central Province.  Quantitative data was reviewed from project reports, including data on suspect and referred cases and services provided. Qualitative data was gathered through 49 in-depth interviews and 16 focus group discussions with key stakeholders, including pastors, lay leaders, health workers, and persons affected.  Qualitative data was analyzed by themes and used to understand perspectives regarding the involvement of faith leaders through church networks in the holistic management of skin NTDs.   

Results: 160 churches were involved in the project; 480 religious and lay leaders  and 26 health workers participated in training on NTDs.  54,448 people were exposed to awareness sessions on NTDs and 441 suspected cases of skin NTDs were referred to the health centers. A total of 33 NTD cases were confirmed and treated.  81 patients benefited from spiritual and emotional support, with 17 receiving baptism. Results showed faith leaders support case identification, referral and psychological and spiritual care.

Conclusion: A comprehensive strategy for controlling NTDs can be put in place by utilizing the resources and power of church networks. This strategy covers not only the medical components of the disease but also its social and spiritual dimensions that affect both individuals and communities. In appropriate contexts, this model could provide a sustainable approach to case identification, stigma reduction, and needed psychospiritual support.