基于社区的干预措施及其对降低苏丹白尼罗州 Al-Alaqa 村 Al-Alaqa 男子小学尿路血吸虫病流行率的影响

IF 2 Q3 INFECTIOUS DISEASES
Hamza Hussain Ahmed Balola , Eltayeb Abdelazeem Idress , Mohammed Hassan Moreljwab , Amani Mahmoud Fadul Mokhtar , Murtada Mustafa Gabir Tia , Mohammed F. Alharbi , Abdalla Mohamed Ahmed Osman , D.S. Veerabhadra Swamy , Abubakr Ali Elamin MohamedAhmed , Mohamed E. Elnageeb
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引用次数: 0

摘要

研究目的这项研究评估了基于社区的干预措施、健康意识和治疗在控制学龄儿童血吸虫病方面的效果,以改进政策和策略。方法这项干预前后研究在 Al-Alaqa 男童小学进行,采用系统简单随机抽样法调查了 237 名参与者,结果显示有 132 名学生(55.7%)受到感染。感染和未感染的学生(580 名)在检测结果出来后立即接受吡喹酮治疗;4 周后,感染的学生接受第二剂吡喹酮治疗。6 个月后,再次对感染率进行调查,所有程序都是在按照方案记录了学生的身高和体重后进行的。所有参与者都通过海报和传单接受了健康教育。数据通过问卷和尿检收集。研究人员使用 SPSS(社会科学统计软件包)对数据进行了分析,并使用方差分析和 t 检验来确定变量之间的显著差异。研究人员发现,干预前的血吸虫病流行率与家庭供水量之间存在密切关系(chi-square = 18.331,df = 1,p 值 = 000)。方差分析显示,学生年龄的平均值与去池塘的原因之间具有很强的统计学意义(0.002,F = 6.564)。建议以社区为基础的干预措施应在学校实施,重点是通过对学校教师进行血吸虫病调查培训、吡喹酮治疗和提供材料(显微镜、试剂和药物)等方式开展健康教育计划。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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

Aim of study

This study assessed the effectiveness of community-based interventions, health awareness, and treatment in controlling schistosomiasis among schoolchildren to improve policies and strategies.

Methods

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 t-tests were used to determine the significant differences between the variables.

Results

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, p 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.

Conclusion

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.

Recommendation

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).

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来源期刊
Parasite Epidemiology and Control
Parasite Epidemiology and Control Medicine-Infectious Diseases
CiteScore
5.70
自引率
3.10%
发文量
44
审稿时长
17 weeks
期刊介绍: Parasite Epidemiology and Control is an Open Access journal. There is an increasing amount of research in the parasitology area that analyses the patterns, causes, and effects of health and disease conditions in defined populations. This epidemiology of parasite infectious diseases is predominantly studied in human populations but also spans other major hosts of parasitic infections and as such this journal will have a broad remit. We will focus on the major areas of epidemiological study including disease etiology, disease surveillance, drug resistance and geographical spread and screening, biomonitoring, and comparisons of treatment effects in clinical trials for both human and other animals. We will also look at the epidemiology and control of vector insects. The journal will also cover the use of geographic information systems (Epi-GIS) for epidemiological surveillance which is a rapidly growing area of research in infectious diseases. Molecular epidemiological approaches are also particularly encouraged.
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