背景:土壤传播的蠕虫病(STH)和血吸虫病(SCH)是最普遍的被忽视的热带病(NTD),影响全球15亿,在撒哈拉以南非洲有很大的负担,尤其是尼日利亚。这些疾病损害健康,并导致社会经济挑战,尤其是在儿童中,破坏教育和未来的经济前景。2030NTD路线图强调了大众药物管理局(MDA)作为控制这些NTD的关键战略,针对弱势人群,如学龄儿童。尽管取得了一些成功,挑战依然存在,表明需要对程序实施有更深入的见解。本研究的重点是卫生工作者在奥贡州选定的地方政府区域(LGA)实施MDA的观点,尼日利亚,旨在确定与更广泛的NTD2030目标相一致的挑战和推动因素。
结果:该研究采用了定性研究方法,包括焦点小组讨论和对奥贡州从事被忽视的热带病控制计划的卫生工作者的深入访谈,尼日利亚,2022年7月至9月。半结构化问卷指导了思想的探索,并使用QRSNvivo12软件包对数据进行分析。研究发现,基于学校的MDA控制程序的有效性在很大程度上依赖于强有力的合作和伙伴关系,尤其是教育者,社区负责人,和其他利益相关者。这些联盟和战略沟通方法,比如城镇公告和媒体宣传,在接触社区方面至关重要。然而,该计划确实克服了诸如父母误解之类的障碍,资金有限,人员配备不足,与教育部的错位。建议增加资金,促进早期利益相关者的参与,加强动员技术,并考虑引入类似免疫接种的监测卡系统。
结论:奥贡州立学校针对STH和SCH的MDA综合控制程序展示了一种整体方法,整合知识,合作,通信,和反馈。卫生工作者在他们的角色中表现出了承诺和熟练。然而,实现最大功效需要解决关键障碍,例如父母的误解和资助挑战。采取建议的策略,包括主动沟通,报酬增加,引入跟踪系统,可以显着增强程序的范围和影响。所有利益相关者的参与,从卫生工作者到社区领导人和家长,对于该计划的可持续性和成功至关重要。
BACKGROUND: Soil-transmitted helminthiasis (STH) and schistosomiasis (SCH) are among the most prevalent neglected tropical diseases (NTDs), affecting 1.5 billion globally, with a significant burden in sub-Saharan Africa, particularly Nigeria. These diseases impair health and contribute to socio-economic challenges, especially in children, undermining educational and future economic prospects. The 2030 NTD Roadmap highlights Mass Drug Administration (MDA) as a critical strategy for controlling these NTDs, targeting vulnerable populations like school-age children. Despite some successes, challenges persist, indicating the need for deeper insights into program implementation. This study focuses on the perspectives of health workers implementing MDA in selected local government areas (LGAs) of Ogun State, Nigeria, aiming to identify challenges and enablers that align with the broader NTD 2030 goals.
RESULTS: The study used a qualitative research approach involving focus group discussions and in-depth interviews with health workers engaged in neglected tropical disease control programs in Ogun State, Nigeria, between July and September 2022. A semi-structured questionnaire guided the exploration of ideas, and the data were analyzed using the QRS Nvivo 12 software package. The study found that the school-based MDA control program\'s efficacy largely relies on strong collaborations and partnerships, particularly with educators, community heads, and other stakeholders. These alliances and strategic communication methods, like town announcements and media campaigns, have been pivotal in reaching communities. However, the program does grapple with hurdles such as parental misconceptions, limited funds, insufficient staffing, and misalignment with the Ministry of Education. It is recommended to boost funding, foster early stakeholder involvement, enhance mobilization techniques, and consider introducing a monitoring card system similar to immunization.
CONCLUSIONS: The MDA Integrated Control Programs for STH and SCH in Ogun State schools demonstrate a holistic approach, integrating knowledge, collaboration, communication, and feedback. Health workers have shown commitment and adeptness in their roles. However, achieving maximum efficacy requires addressing critical barriers, such as parental misconceptions and funding challenges. Adopting the recommended strategies, including proactive communication, increased remuneration, and introducing a tracking system, can significantly enhance the program\'s reach and impact. The involvement of all stakeholders, from health workers to community leaders and parents, is essential for the program\'s sustainability and success.