Can coverage of schistosomiasis and soil transmitted helminthiasis control programmes targeting school-aged children be improved? New approaches

Parasitology ◽  
2009 ◽  
Vol 136 (13) ◽  
pp. 1781-1788 ◽  
Author(s):  
K. MASSA ◽  
A. OLSEN ◽  
A. SHESHE ◽  
R. NTAKAMULENGA ◽  
B. NDAWI ◽  
...  
Keyword(s):  
Lymphatic Filariasis ◽  
Drug Administration ◽  
Mass Drug Administration ◽  
Treatment Approach ◽  
Similar Treatment ◽  
Treatment Coverage ◽  
School Aged Children ◽  
School Based ◽  
Control Programmes ◽  
Soil Transmitted Helminthiasis

SUMMARYControl programmes generally use a school-based strategy of mass drug administration to reduce morbidity of schistosomiasis and soil-transmitted helminthiasis (STH) in school-aged populations. The success of school-based programmes depends on treatment coverage. The community-directed treatment (ComDT) approach has been implemented in the control of onchocerciasis and lymphatic filariasis in Africa and improves treatment coverage. This study compared the treatment coverage between the ComDT approach and the school-based treatment approach, where non-enrolled school-aged children were invited for treatment, in the control of schistosomiasis and STH among enrolled and non-enrolled school-aged children. Coverage during the first treatment round among enrolled children was similar for the two approaches (ComDT: 80·3% versus school: 82·1%, P=0·072). However, for the non-enrolled children the ComDT approach achieved a significantly higher coverage than the school-based approach (80·0 versus 59·2%, P<0·001). Similar treatment coverage levels were attained at the second treatment round. Again, equal levels of treatment coverage were found between the two approaches for the enrolled school-aged children, while the ComDT approach achieved a significantly higher coverage in the non-enrolled children. The results of this study showed that the ComDT approach can obtain significantly higher treatment coverage among the non-enrolled school-aged children compared to the school-based treatment approach for the control of schistosomiasis and STH.

scholarly journals Feasibility of school-based health intervention for compliance of mass drug administration for soil transmitted helminthiasis in Bangladesh

2020 ◽  
Author(s):  
Farah Faizah ◽  
Elsa Herdiana Murhandarwati ◽  
Yayi Suryo Prabandari ◽  
Be-Nazir Ahmed ◽  
Md Mahbub Hossain ◽  
...  
Keyword(s):  
Public Schools ◽  
Drug Administration ◽  
Mass Drug Administration ◽  
Program Implementation ◽  
Rural Students ◽  
School Level ◽  
Basic Knowledge ◽  
School Based ◽  
Trained Manpower ◽  
Soil Transmitted Helminthiasis

<p><i>Background:</i> Mass Drug Administration (MDA) Programs has been conducting bi-annually<i> </i>at school level to eliminate Soil Transmitted Helminthiasis (STH) from Bangladesh since 2008. Because of very low MDA coverage in Bangladesh, this study explored the perceptions of stakeholders about MDA program implementation, knowledge of students regarding helminthiasis and MDA including its potential barriers.</p> <p><i>Methods:</i> 258 students of grade IV of three public schools from Khulna district, Bangladesh were randomly selected. This study follows mixed-method approach while Qualitative methods were used to evaluate the perception, barriers and favourable environment based on IDIs and FGDs with key stakeholders and quantitative method used to assess the students’ response to School-Based Health Education (SBHE) intervention and knowledge of STH and MDA. </p> <p><i>Results:</i> In result, positive understanding and attitude towards MDA program are seen within community as well as have basic knowledge on STH. Rumour of drugs potential side effects and insufficiently trained manpower are found as key barriers. After SBHE intervention among urban and rural students’ knowledge improved by 64.31% and 13.04% respectively including MDA coverage has increased by 40.08% and 8.69% respectively as well.</p> <p><i>Conclusions:</i> SBHE intervention improves knowledge, but to make that knowledge effective and sustainable, teachers need to get proper trainings on regular basis. Improved knowledge of the community can increase MDA coverage if we are able to remove the program obstacle like rumours of side effect of the medicine and constraints of skilled human resources. </p>

scholarly journals Feasibility of school-based health intervention for compliance of mass drug administration for soil transmitted helminthiasis in Bangladesh

2020 ◽  
Author(s):  
Farah Faizah ◽  
Elsa Herdiana Murhandarwati ◽  
Yayi Suryo Prabandari ◽  
Be-Nazir Ahmed ◽  
Md Mahbub Hossain ◽  
...  
Keyword(s):  
Public Schools ◽  
Drug Administration ◽  
Mass Drug Administration ◽  
Program Implementation ◽  
Rural Students ◽  
School Level ◽  
Basic Knowledge ◽  
School Based ◽  
Trained Manpower ◽  
Soil Transmitted Helminthiasis

<p><i>Background:</i> Mass Drug Administration (MDA) Programs has been conducting bi-annually<i> </i>at school level to eliminate Soil Transmitted Helminthiasis (STH) from Bangladesh since 2008. Because of very low MDA coverage in Bangladesh, this study explored the perceptions of stakeholders about MDA program implementation, knowledge of students regarding helminthiasis and MDA including its potential barriers.</p> <p><i>Methods:</i> 258 students of grade IV of three public schools from Khulna district, Bangladesh were randomly selected. This study follows mixed-method approach while Qualitative methods were used to evaluate the perception, barriers and favourable environment based on IDIs and FGDs with key stakeholders and quantitative method used to assess the students’ response to School-Based Health Education (SBHE) intervention and knowledge of STH and MDA. </p> <p><i>Results:</i> In result, positive understanding and attitude towards MDA program are seen within community as well as have basic knowledge on STH. Rumour of drugs potential side effects and insufficiently trained manpower are found as key barriers. After SBHE intervention among urban and rural students’ knowledge improved by 64.31% and 13.04% respectively including MDA coverage has increased by 40.08% and 8.69% respectively as well.</p> <p><i>Conclusions:</i> SBHE intervention improves knowledge, but to make that knowledge effective and sustainable, teachers need to get proper trainings on regular basis. Improved knowledge of the community can increase MDA coverage if we are able to remove the program obstacle like rumours of side effect of the medicine and constraints of skilled human resources. </p>

scholarly journals Coverage Validation survey for lymphatic filariasis treatment in Itang special district of Gambella regional state of Ethiopia; Cross sectional study

2020 ◽  
Author(s):  
Abinet Teshome ◽  
Zerihun Zerdo ◽  
Mekuria Asnakew ◽  
Chuchu Churko ◽  
Manaye Yihune ◽  
...  
Keyword(s):  
Lymphatic Filariasis ◽  
Drug Administration ◽  
Mass Drug Administration ◽  
Target Population ◽  
Health Extension Workers ◽  
Preventive Chemotherapy ◽  
Cross Sectional ◽  
Treatment Coverage ◽  
Regional State ◽  
Special District

Abstract Background Coverage validation survey provides a more precise estimate of preventive chemotherapy coverage and avoids the biases, as well as some of the errors that can affect reported coverage. This coverage validation survey was done to know the difference between the reported coverage from district of Itang special for Ivermectin and Albendazole given for Lymphatic Filariasis with the actual coverage in the selected district. Methods Itang special district from Gambella region was purposively selected for lymphatic filariasis treatment coverage survey. The survey was done by using segments from each district whereby 30 segments were selected from the district. The name of the kebeles and the segments where the survey was carried out were selected by using random selection method. After getting the total number of households in each selected kebele from the village chief the number of segments to be visited was computed by dividing the number of households to 50 and 16 households were visited from each segment and eligible individuals aged 5 and above were interviewed. Data for variables related to coverage of the IVM plus ALB were collected using Survey CTO software. Location of each household and the kebele chief office was recorded by using Global positioning system. Information about the kebele including population size, number of households in the kebele, last dates of mass drug administration were gathered primarily from village chiefs when available and headmasters and health extension workers when unavailable. Results The coverage validation survey result shows that the coverage for lymphatic Filariasis treatment was 81.5% in Itang special district of Gambella regional state. From 825 individuals that reported that they were offered the treatment 823(99.6%) swallowed the drug. The main reason for not being offered ivermectin and Albendazole during the mass drug administration campaigns because they were missing class during those dates (37.2%). Conclusion The data collected from Itang special woreda of Gambella Region shows that the treatment coverage is higher than the recommended coverage of 65% of the target population should be treated. Different factors play a role for this achievement including using different treatment sites such as schools, community centers and home to home by using health development armies for those children not attending schools and for nomadic communities such as the one in Gambella Regional state. Keywords Lymphatic Filariasis, Ivermectin, Albendazole, Coverage

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