Community-Based Intervention and Its Effect on Decreasing the Prevalence of Urinary Schistosomiasis in an Al-Alaqa Male Primary school in Al-Alaqa Village White Nile State, Sudan.

Journal: Parasite epidemiology and control

Volume: 26

Issue: 

Year of Publication: 

Affiliated Institutions:  Department of Community Health Nursing, Batterjee Medical College for Sciences and Technology, Khamis Mushait, Saudi Arabia. Nursing Department, College of Applied Medical Sciences, University of Bisha, Bisha, Saudi Arabia. Nursing Department Surgical Nursing, University of Bisha, Bisha, Saudi Arabia. Department of Community and Mental Health, College of Nursing, Najran University, Najran, Saudi Arabia. Department of Medical Laboratory Sciences, College of Applied Medical Sciences, University of Bisha, Bisha, Saudi Arabia. Department of Medical Laboratory Sciences, College of Applied Medical Sciences, University of Bisha, P.O. Box , Bisha , Saudi Arabia.

Abstract summary 

This study assessed the effectiveness of community-based interventions, health awareness, and treatment in controlling schistosomiasis among schoolchildren to improve policies and strategies.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 ttests were used to determine the significant differences between the variables.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, 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.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.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).

Authors & Co-authors:  Balola Hamza Hussain Ahmed HHA Idress Eltayeb Abdelazeem EA Moreljwab Mohammed Hassan MH Mokhtar Amani Mahmoud Fadul AMF Tia Murtada Mustafa Gabir MMG Alharbi Mohammed F MF Osman Abdalla Mohamed Ahmed AMA Swamy D S Veerabhadra DSV MohamedAhmed Abubakr Ali Elamin AAE Elnageeb Mohamed E ME

Study Outcome 

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Citations :  Alemu A., Atnafu A., Addis Z., Shiferaw Y., Teklu T., Mathewos B., et al. Soil-transmitted helminths and Schistosoma mansoni infections among school children in Zarima town, Northwest Ethiopia. BMC Infect. Dis. 2011;11(1):189.
Authors :  10
Identifiers
Doi : e00363
SSN : 2405-6731
Study Population
Male
Mesh Terms
Other Terms
Community-based intervention;Decreasing prevalence;Ponds;Praziquantel;Urinary schistosomiasis;White Nile River
Study Design
Study Approach
Systemic Review
Country of Study
Sudan
Publication Country
Netherlands