Hi Ryan, thank you for your comments, of course, I have more than 5 years worked with interventions specifically around AD. We will introduce screening for children with atopic dermatitis into already existing immunization clinics at primary health care level in Local Government Areas (LGAs) of Monduli, Tanzania. For those children who will be screened positive for AD at any point during their visits to immunization Clinic, baseline assessment and interventions will be provided, the children will then be followed up every three (3) months for further evaluation to see if positive results are being achieved to children and possible review of intervention plans, if necessary. The interventions for identified children would include a combination of pharmacotherapy and psychotherapy. The intervention will address the visible symptoms of AD that can have a significant impact on the emotional and psychosocial well-being of the children living with AD. Also the interventions for the children include offering of health related advice based on clinical evaluation of each child. The interventions at this level will also include educating parents about what it means to live with AD,and helping parents to address misconceptions, misinformation and bullying that are often associated with AD and share experiences about AD, counseling and support for the family by establishment of Family Support Groups where parents can share their apprehension and concerns before referral to tertiary care center for further evaluation and specific interventions as required by identified children with AD.
Hello Anne, Thanks for check in, from our pilot we learn that to use the behavior communication change agent (Bcc) it is cost effective approach to increase awareness of immunization service coverage among caregiver this is because we select Bcc agent within the community the live.This led caregiver to believe Bcc agent and finally it become very easy for caregiver to accept immunization service.Also our pilot led us to create some changes the use of Bcc agent within the community we served and not outside.