关键词: Community-based intervention Decreasing prevalence Ponds Praziquantel Urinary schistosomiasis White Nile River

来  源:   DOI:10.1016/j.parepi.2024.e00363   PDF(Pubmed)

Abstract:
UNASSIGNED: This study assessed the effectiveness of community-based interventions, health awareness, and treatment in controlling schistosomiasis among schoolchildren to improve policies and strategies.
UNASSIGNED: This pre- and post-intervention study was conducted in an Al-Alaqa male primary school, and systematic simple random sampling was used to investigate 237 participants, which resulted in 132 (55.7%) infected students. The infected and noninfected students (580 students) were treated by delivering the praziquantel doses immediately after the results; after 4 weeks, the infected students received the second dose. After 6 months, the rates were investigated again, and all procedures were performed after the height and weight of the students were recorded according to the protocol. Health education was provided for all participants using posters and leaflets. The data were collected via a questionnaire and urine test. The data were analyzed using SPSS (Statistical Package for the Social Sciences), and ANOVA and t-tests were used to determine the significant differences between the variables.
UNASSIGNED: A urine investigation was conducted on 237 students; 132 (55.7%) had positive results which showed marked improvement and the prevalence in the school decreased to 3.8% after the intervention. The researcher found strong evidence of a relationship between the prevalence of schistosomiasis before the intervention and availability of water in the home (chi-square = 18.331, df = 1, p value = 000). ANOVA showed strong statistical significance (0.002 and F = 6.564) between the mean score of student age and reasons behind going to the pond.
UNASSIGNED: This study concluded that mass chemotherapy and treatment were highly effective when associated with a health program intervention. Mass chemotherapy alone may reduce the prevalence of disease for a short time.
UNASSIGNED: Community-based interventions should be applied in schools with an emphasis on health education programs through the training of schoolteachers on investigations for schistosomiasis, treatment with praziquantel, and the provision of materials (microscopes, reagents, and drugs).
摘要:
这项研究评估了基于社区的干预措施的有效性,健康意识,和治疗控制学童血吸虫病,以改善政策和策略。
这项干预前后研究是在Al-Alaqa男性小学进行的,采用系统简单随机抽样对237名参与者进行调查,导致132名(55.7%)受感染的学生。感染和未感染的学生(580名学生)通过在结果后立即提供吡喹酮剂量进行治疗;4周后,受感染的学生接受了第二剂。六个月后,再次调查了费率,所有程序均在根据方案记录学生的身高和体重后进行.使用海报和传单为所有参与者提供了健康教育。通过问卷调查和尿液测试收集数据。数据使用SPSS(社会科学统计软件包)进行分析,并使用方差分析和t检验来确定变量之间的显著差异。
对237名学生进行了尿液调查;132名(55.7%)的阳性结果显着改善,干预后学校的患病率降至3.8%。研究人员发现了强有力的证据,表明干预前血吸虫病的患病率与家庭用水的可用性之间存在关系(卡方=18.331,df=1,p值=000)。ANOVA在学生年龄的平均得分与去池塘的原因之间显示出很强的统计学意义(0.002和F=6.564)。
这项研究得出结论,当与健康计划干预相关时,大规模化疗和治疗非常有效。单独的大规模化疗可以在短时间内降低疾病的患病率。
应通过对学校教师进行血吸虫病调查的培训,在学校应用以社区为基础的干预措施,重点是健康教育计划。用吡喹酮治疗,和提供材料(显微镜,试剂、和药物)。
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