Community perception of school-based delivery of anthelmintics in Ghana and Tanzania

Community perception of school-based delivery of anthelmintics in Ghana and Tanzania
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DOI:
10.1046/j.1365-3156.2001.00806.x
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发表时间:
2001-12-01
影响因子:
3.3
通讯作者:
Magingo, J
Magingo, J
中科院分区:
医学4区
文献类型:
--
作者:
Brooker, S;Marriot, H;Magingo, J

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本文介绍了两个大规模的,政府经营的,以学校为基础的健康计划,提供驱虫药给小学生,在加纳(80 442名儿童在577所学校)和坦桑尼亚(110 000名儿童在352所学校)的社区观念的评价结果。大多数教师(加纳96%,坦桑尼亚98%)对他们在方案中的作用持积极态度,包括驱虫药物的管理,父母和儿童完全接受他们承担这一角色。教师、家长和儿童都清楚地看到该方案在改善儿童健康和福利方面的好处。在加纳和坦桑尼亚,超过90%的父母表示愿意为继续戒毒治疗付费。评价还强调了对方案有效性至关重要的领域,如学校与家长之间的沟通、卫生和教育部门之间的合作问题、家长对蠕虫感染作为一个严重和慢性健康问题的重要性的认识(与疟疾等更急性和危及生命的疾病相比),以及谁应该支付副作用的治疗费用。
This paper presents the results of an evaluation of community perception of two large-scale, government-run, school-based health programmes delivering anthelmintic drugs to primary school children, in Ghana (80 442 children in 577 schools) and Tanzania (110 000 children in 352 schools). Most teachers (96% in Ghana and 98% in Tanzania) were positive about their role in the programme, including administration of anthelmintic drugs, and parents and children fully accepted their taking on this role. The benefits of the programme were apparent to teachers, parents and children in terms of improved health and well-being of the children. Over 90% of parents in both Ghana and Tanzania indicated a willingness to pay for the continuation of drug treatment. The evaluation also highlighted areas that are critical to programme effectiveness, such as communication between schools and parents, the issue of collaboration between the health and education sectors, parents' perception of the importance of helminth infection as a serious and chronic health problem (compared with more acute and life threatening illnesses such as malaria), and who should pay for treatment of side-effects.