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First-line health care provider performance in the management of common skin diseases using an algorithmic approach as a diagnostic tool in Kano State, Nigeria

Post E., et al.

Skin diseases are common and cause considerable morbidity worldwide. Lack of awareness of symptoms among the majority of lay people1,2 and lack of knowledge about skin diseases among first- and second-line health care providers have contributed to underestimations.3 Household surveys (including people not seeking treatment) before 2000 report point prevalence rates of 27%–53%,2,4,5 while it was 62%–87%6,7 after 2000. This increase may be due to the rising industrialization in developing countries, or different definitions of skin diseases as suggested by Abdel-Hafez et al.6 In Sub-Saharan Africa, population-based studies in primary schools report point prevalence rates of 27% and 74%.811 Community-based studies by Mahé et al12 and Odueko et al13 report that respectively 11.7% and 9.8% of the patients consulted primary health centers with skin-related symptoms.

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