A study of hurdles in mass treatment of schistosomiasis in KwaZulu-Natal, South Africa
Background: It has been estimated that 700 million people worldwide and 5.2 million people in South Africa are in need of annual treatment for schistosomiasis. In accordance with the current policy the Department of Health (DoH) in KwaZulu-Natal province, South Africa, aimed to reach 75% treatment c...
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AOSIS
2015-04-01
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| Series: | South African Family Practice |
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| Online Access: | https://safpj.co.za/index.php/safpj/article/view/4127 |
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| author | A. Randjelovic S. G. Frønæs M. Munsami J. D. Kvalsvig S. G. Zulu S. Gagai A. Maphumulo L. Sandvik S. G. Gundersen Eyrun F. Kjetland M. Taylor |
| author_facet | A. Randjelovic S. G. Frønæs M. Munsami J. D. Kvalsvig S. G. Zulu S. Gagai A. Maphumulo L. Sandvik S. G. Gundersen Eyrun F. Kjetland M. Taylor |
| author_sort | A. Randjelovic |
| collection | DOAJ |
| description | Background: It has been estimated that 700 million people worldwide and 5.2 million people in South Africa are in need of annual treatment for schistosomiasis. In accordance with the current policy the Department of Health (DoH) in KwaZulu-Natal province, South Africa, aimed to reach 75% treatment coverage in a mass treatment campaign (MTC) of schools in a schistosomiasis-endemic area.
Methods: A cross-sectional study was designed to explore the implementation, coverage, challenges and limitations of a DoH MTC in a middle-income country. The study was conducted by exploring nurses’ and research team records, school enrolment lists and parental consent forms.
Results: Slightly more than 10 000 learners in 43 primary and high schools were treated, achieving treatment coverage of 44.3%. A median of two schools per day were visited over the course of 39 days. We found that older learners, being male and attending a large school were independent significant predictors for low treatment coverage.
Conclusion: Our results indicate a much lower coverage than recommended by the South African National Department of Health and World Health Organization (WHO). Coverage would likely increase through improved consent procedures and repeated schools visits. Further information is needed on how to increase compliance in older teenagers, males and learners in large schools. (Full text available online at www.medpharm.tandfonline.com/ojfp) S Afr Fam Pract 2015; DOI: 10.1080/20786190.2014.978121 |
| format | Article |
| id | doaj-art-b2a7eea4137a443e92abb9ab64fdc031 |
| institution | Kabale University |
| issn | 2078-6190 2078-6204 |
| language | English |
| publishDate | 2015-04-01 |
| publisher | AOSIS |
| record_format | Article |
| series | South African Family Practice |
| spelling | doaj-art-b2a7eea4137a443e92abb9ab64fdc0312025-08-20T03:43:46ZengAOSISSouth African Family Practice2078-61902078-62042015-04-0157210.4102/safp.v57i2.41274903A study of hurdles in mass treatment of schistosomiasis in KwaZulu-Natal, South AfricaA. Randjelovic0S. G. Frønæs1M. Munsami2J. D. Kvalsvig3S. G. Zulu4S. Gagai5A. Maphumulo6L. Sandvik7S. G. Gundersen8Eyrun F. KjetlandM. Taylor9University of OsloUniversity of OsloDepartment of HealthUniversity of KwaZulu-NatalUniversity of KwaZulu-NatalUniversity of KwaZulu-NatalUniversity of KwaZulu-NatalOslo University HospitalUniversity of AgderUniversity of KwaZulu-NatalBackground: It has been estimated that 700 million people worldwide and 5.2 million people in South Africa are in need of annual treatment for schistosomiasis. In accordance with the current policy the Department of Health (DoH) in KwaZulu-Natal province, South Africa, aimed to reach 75% treatment coverage in a mass treatment campaign (MTC) of schools in a schistosomiasis-endemic area. Methods: A cross-sectional study was designed to explore the implementation, coverage, challenges and limitations of a DoH MTC in a middle-income country. The study was conducted by exploring nurses’ and research team records, school enrolment lists and parental consent forms. Results: Slightly more than 10 000 learners in 43 primary and high schools were treated, achieving treatment coverage of 44.3%. A median of two schools per day were visited over the course of 39 days. We found that older learners, being male and attending a large school were independent significant predictors for low treatment coverage. Conclusion: Our results indicate a much lower coverage than recommended by the South African National Department of Health and World Health Organization (WHO). Coverage would likely increase through improved consent procedures and repeated schools visits. Further information is needed on how to increase compliance in older teenagers, males and learners in large schools. (Full text available online at www.medpharm.tandfonline.com/ojfp) S Afr Fam Pract 2015; DOI: 10.1080/20786190.2014.978121https://safpj.co.za/index.php/safpj/article/view/4127health educationmass drug administrationmass-treatmenttreatmentrural healthhealth educationpraziquantelschistosomiasis |
| spellingShingle | A. Randjelovic S. G. Frønæs M. Munsami J. D. Kvalsvig S. G. Zulu S. Gagai A. Maphumulo L. Sandvik S. G. Gundersen Eyrun F. Kjetland M. Taylor A study of hurdles in mass treatment of schistosomiasis in KwaZulu-Natal, South Africa South African Family Practice health education mass drug administration mass-treatment treatment rural health health education praziquantel schistosomiasis |
| title | A study of hurdles in mass treatment of schistosomiasis in KwaZulu-Natal, South Africa |
| title_full | A study of hurdles in mass treatment of schistosomiasis in KwaZulu-Natal, South Africa |
| title_fullStr | A study of hurdles in mass treatment of schistosomiasis in KwaZulu-Natal, South Africa |
| title_full_unstemmed | A study of hurdles in mass treatment of schistosomiasis in KwaZulu-Natal, South Africa |
| title_short | A study of hurdles in mass treatment of schistosomiasis in KwaZulu-Natal, South Africa |
| title_sort | study of hurdles in mass treatment of schistosomiasis in kwazulu natal south africa |
| topic | health education mass drug administration mass-treatment treatment rural health health education praziquantel schistosomiasis |
| url | https://safpj.co.za/index.php/safpj/article/view/4127 |
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