Extending anthelminthic coverage to non-enrolled school-age children using a simple and low-cost method

Extending anthelminthic coverage to non-enrolled school-age children using a simple and low-cost method
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DOI:
10.1046/j.1365-3156.2001.00750.x
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发表时间:
2001-07-01
影响因子:
3.3
通讯作者:
Savioli, L
Savioli, L
中科院分区:
医学4区
文献类型:
--
作者:
Montresor, A;Ramsan, M;Savioli, L

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学校卫生项目是世界卫生组织为降低发展中国家学龄人口因土源性线虫和血吸虫感染所致发病率而确定的战略基础。然而,入学率低可能是限制其成功的一个主要因素。在本研究中,教师告知入学儿童下次驱虫活动的日期,并邀请他们将此信息传递给学龄的父母、兄弟姐妹和朋友。在驱虫活动当天,教师被要求给在校的入学和未入学的学龄儿童服用驱虫药。在治疗日后的一个月,通过问卷调查在桑给巴尔翁吉亚岛两个地区的257户家庭中收集了覆盖情况的信息。超过89%的学龄儿童得到了治疗(入学儿童的98.9%加上未入学儿童的60%)。治疗未入学儿童的额外成本仅限于在每所学校提供额外剂量驱虫药的成本。未入学的学龄儿童可以轻松、成功且低成本地纳入基于学校的驱虫活动。控制项目的管理人员被邀请在其特定的文化环境中测试这种方法并加以调整。
School health programmes are the basis of the strategy defined by WHO to reduce morbidity due to soil-transmitted nematodes and schistosomes in school age populations in developing countries. However, low rates of school enrolment can be a major factor limiting their success.In the present study enrolled children were informed by teachers on the date of the next deworming compaign acid were invited to pass along this information to parents, siblings and friends of school-age.On the day of the deworming campaign, teachers were instructed to administer anthelminthics to enrolled and not enrolled school-age children present at school. Tn the month following the treatment day, information about coverage was collected by questionnaire in 257 households in two regions of Unguia Island, Zanzibar. Over 89% of school age children resulted treated (98.9% of those enrolled plus 60% of those not enrolled). The additional cost of treating non-enrolled is limited to the cost of providing additional doses of anthelminthic drug in each school.Non-enrolled school age children can easily, successfully and inexpensively included in school based deworming campaign. Managers of control programmes are invited to test this method adapting it in their particular and cultural environment.