Who misses out with school-based health programmes? A study of schistosomiasis control in Egypt
Who misses out with school-based health programmes? A study of schistosomiasis control in Egypt
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DOI：
10.1016/s0035-9203(96)90506-4
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发表时间：
1996-07-01
影响因子：
2.2
通讯作者：
Evans, DB
中科院分区：
文献类型：
--
作者：
Husein, MH;Talaat, M;Evans, DB
最近，发展中国家对以学校为基础的健康计划重新产生了兴趣，认为这是减少学龄儿童发病率、改善其身体发育和认知发展以及控制整个社区疾病传播的一种手段。这项研究使用了埃及一项大型血吸虫病流行病学调查收集的数据，以调查有多少比例的受感染儿童仅仅因为没有上学而错过了已建立的以学校为基础的国家血吸虫病控制计划的治疗。结果表明，未入学的儿童比上学的儿童感染率更高，感染程度也更严重。最极端的是，埃及某一地区超过 80% 的受感染女孩无法接受现有学校计划的治疗，因为她们没有上学。如果这些趋势在其他正在制定校本项目的国家也有类似的情况，那么校本教学可能会加剧社会现有的不平等现象，因此需要探索向不定期上学的儿童提供更多服务的方法。
There has been a recent revival of interest in school-based health programmes in developing countries as a means of reducing the morbidity observed in school-aged children, of improving their physical growth and cognitive development, and of controlling transmission of disease in the community at large. This study used data collected from a large epidemiological survey of schistosomiasis in Egypt to examine what proportion of infected children missed treatment from an established national school-based schistosomiasis control programme simply because they did not attend school. It showed that children who were not enrolled in school had a higher prevalence of infection and were more intensely infected than children who attended school. At the extreme, over 80% of infected girls in one part of Egypt could not be treated by the existing school programme because they did not attend school. If these trends are similar in other countries where school-based programmes are being developed, school-based delivery may exacerbate existing inequalities in society and ways of expanding services to children who do not attend school regularly need to be explored.