Accuracy with which the disease can be recalled |
Progressive swelling and disfigurement of the lower legs; the pattern of settlement and the strong family relationship in rural Ethiopia keeps families closely connected minimizing recall bias |
(Price 1972; Davey et al. 2007b) |
Prevalence of the disease in the population |
Has high prevalence (average 5 %); prevalence higher than that of HIV/AIDS, malaria, and tuberculosis in endemic areas |
(Price 1972; Destas et al. 2003; Mengistu et al. 1987; Kloos et al. 1992; Alemu et al. 2011; Geshere Oli et al. 2012) |
Risk associated with family history |
Significant familial aggregation with an estimated risk genotype frequency of 15–40 % |
(Price 1972; Davey et al. 2007a) |
High heritability (63 %), high sibling recurrence risk ratio (5.1) |
Availability of effective early detection and prevention measures |
Footwear and personal hygiene effective in prevention |
(Price 1990; Kloos et al. 1992) |
No stigma associated with being at above average risk |
There is prevailing belief that podoconiosis has familial component. The resulting stigma is immense. Currently, the level of stigma is declining in southern Ethiopia because of community-based education programs and unaffected people are now appreciating the fact that podoconiosis is preventable with regular wearing of shoes and proper foot hygiene |
(Yakob et al. 2008; Tekola et al. 2009) |
Cost of the tool |
Family health history can be obtained during routine household visits by existing fieldworkers/health extension workers or at clinic visits by patients |
(Davey and Burridge 2009; Alemu et al. 2011; Datiko and Lindtjorn 2009) |