scholarly journals Community's willingness to pay for a school-based chemotherapy programme to control morbidity due to schistosomiasis and soil-transmitted helminthiasis in children in rural Tanzania

2006 ◽  
Vol 7 (3) ◽  
Author(s):  
NJS Lwambo ◽  
JE Siza ◽  
GC Mwenda (Deceased)
Keyword(s):  
Willingness To Pay ◽  
School Based ◽  
Rural Tanzania ◽  
Soil Transmitted Helminthiasis

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.

COMMUNITY PERCEPTIONS ON THE COMMUNITY-DIRECTED TREATMENT AND SCHOOL-BASED APPROACHES FOR THE CONTROL OF SCHISTOSOMIASIS AND SOIL-TRANSMITTED HELMINTHIASIS AMONG SCHOOL-AGE CHILDREN IN LUSHOTO DISTRICT, TANZANIA

2009 ◽  
Vol 41 (1) ◽  
pp. 89-105 ◽  
Author(s):  
K. MASSA ◽  
P. MAGNUSSEN ◽  
A. SHESHE ◽  
R. NTAKAMULENGA ◽  
B. NDAWI ◽  
...  
Keyword(s):  
School Age Children ◽  
Community Perceptions ◽  
School Age ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
School Based ◽  
Control Programmes ◽  
Depth Interviews ◽  
Community Drug Distributors ◽  
Soil Transmitted Helminthiasis

SummaryThe success of the Community-Directed Treatment (ComDT) approach in the control of onchocerciasis and filariasis has caught the attention of other disease control programmes. In this study the ComDT approach was implemented and compared with the school-based approach for control of schistosomiasis and soil-transmitted helminthiasis among school-age children in Lushoto District, Tanzania. This was a qualitative study, consisting of in-depth interviews with village leaders, community drug distributors (CDDs) and schoolteachers, as well as focus group discussions with separate groups of mothers and fathers to assess the perceptions and experiences of the villagers on the implementation of the two approaches. It was found that the villagers accepted the ComDT approach and took the responsibility of selecting the CDDs, organizing and implementing their own method of distributing drugs to the school-age children in their villages. The ComDT approach was well received and was successfully implemented in the villages. Although the villagers pointed out the limitation in reaching the non-enrolled children in the school-based approach, they also expressed satisfaction with this approach. This study suggests that the ComDT approach is well accepted and can be implemented effectively to ensure better coverage of especially non-enrolled school-age children.

scholarly journals User preferences and willingness to pay for safe drinking water: Experimental evidence from rural Tanzania

2017 ◽  
Vol 173 ◽  
pp. 63-71 ◽  
Author(s):  
Zachary Burt ◽  
Robert M. Njee ◽  
Yolanda Mbatia ◽  
Veritas Msimbe ◽  
Joe Brown ◽  
...  
Keyword(s):  
Drinking Water ◽  
Willingness To Pay ◽  
Experimental Evidence ◽  
User Preferences ◽  
Safe Drinking Water ◽  
Rural Tanzania

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>

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