Progress towards countrywide control of schistosomiasis and soil-transmitted helminthiasis in Uganda
Progress towards countrywide control of schistosomiasis and soil-transmitted helminthiasis in Uganda
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DOI：
10.1016/j.trstmh.2005.03.015
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发表时间：
2006-03-01
影响因子：
2.2
通讯作者：
Fenwick, A
中科院分区：
文献类型：
--
作者：
Kabatereine, NB;Tukahebwa, E;Fenwick, A
曼氏血吸虫感染引起的血吸虫病在乌干达 56 个区中的 38 个区造成严重的公共卫生负担。本文回顾了国家控制计划的初步经验。该项目于 2003 年启动，从试点阶段开始，主要目的是利用经验制定可行且适当的药物输送方法。总体而言，共有 432 746 人接受治疗，学校覆盖率为 91.4%，社区覆盖率为 64.7%。独立评估人员提出的问题包括，大多数社区没有参与社区药品经销商（CDD）的选择，教师和CDD需要进修培训，主要是健康教育和副作用管理方面的培训。作为前进的方向，建议卫生部将驱虫纳入现有的卫生基础设施，以便每次儿童获得任何卫生服务时，该儿童也能接受驱虫。 (c) 2005 年皇家热带医学和卫生学会。由爱思唯尔有限公司出版。保留权利。
Schistosomiasis caused by infection with Schistosoma mansoni is a serious public health burden in 38 of the 56 districts of Uganda. This article reviews the initial experience of the national control programme. Launched in 2003, this started with a pilot phase with the main aim of utilizing the experience to formulate feasible and appropriate methods of drug delivery. Overall, 432 746 people were treated and coverage was 91.4% in schools and 64.7% in communities. The issues raised by independent evaluators included that most communities did not participate in the selection of community drug distributors (CDD) and that teachers and CDDs needed refresher training mainly on health education and the management of side effects. As a way forward, it is suggested that the Ministry of Health should integrate deworming into the existing health infrastructure so that every time a child is reached for any health service, the child is also dewormed. (c) 2005 Royal Society of Tropical Medicine and Hygiene. Published by Elsevier Ltd. All. rights reserved.