Towards nationwide control of schistosomiasis in Yemen: a pilot project to expand treatment to the whole community

Both the urinary and intestinal forms of schistosomiasis are thought to be widespread in the Republic of Yemen, with estimates of 3 million people infected and 600 000 suffering clinical morbidity. Sub-national control has been ongoing since 2006 via the distribution of praziquantel (PZQ) against sc...

Full description

Saved in:

Bibliographic Details
Published in:	Transactions of the Royal Society of Tropical Medicine and Hygiene Vol. 105; no. 11; pp. 617 - 627
Main Authors:	Oshish, Abdullah, AlKohlani, Abdulhakim, Hamed, Alaa, Kamel, Nehad, AlSoofi, Ahmed, Farouk, Hani, Ben-Ismail, Riadh, Gabrielli, Albis Francesco, Fenwick, Alan, French, Michael D.
Format:	Journal Article
Language:	English
Published:	Oxford Elsevier Ltd 01-11-2011 Royal Society of Tropical Medicine and Hygiene Oxford University Press
Subjects:	Adolescent Albendazole - administration & dosage Anthelmintics - administration & dosage Biological and medical sciences Child Community Health Services - economics Community Health Services - organization & administration Diseases caused by trematodes Female General aspects Helminthic diseases Humans Infectious diseases Male Mass drug administration Medical sciences Parasitic diseases Pilot Projects Praziquantel - administration & dosage Schistosoma Schistosoma haematobium Schistosoma mansoni Schistosomiases Schistosomiasis Schistosomiasis - drug therapy Schistosomiasis - epidemiology Schistosomiasis - prevention & control Schistosomicides - administration & dosage School Health Services - economics School Health Services - organization & administration Soil - parasitology Soil-transmitted helminthiases Yemen Yemen - epidemiology Asia Yemen Schistosomiasis Schistosoma mansoni Schistosoma haematobium Soil-transmitted helminthiases Mass drug administration Yemen Trematode disease Plathelmintha Check Parasitosis Helminthiasis Trematoda Infection Prevention Treatment Helmintha Tropical medicine Invertebrata
Online Access:	Get full text
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	Both the urinary and intestinal forms of schistosomiasis are thought to be widespread in the Republic of Yemen, with estimates of 3 million people infected and 600 000 suffering clinical morbidity. Sub-national control has been ongoing since 2006 via the distribution of praziquantel (PZQ) against schistosomiasis and albendazole (ALB) against soil-transmitted helminths using school-based treatment. In preparation for a 6-year nationwide control programme with the aim of expanding treatment to the wider community, a new programmatic approach of complementing school-based distribution with community-based treatment was trialled in 10 highly endemic districts in three governorates in December 2009. The new approach achieved coverage of 90.1% of non-enrolled children: a 40% increase compared with the same districts in 2008, and coverage of 97.9% of enrolled children: a 2% increase compared to 2008. Coverage of females (children and adults) was 81.8%, and of adults in general was 73.9%. The total cost per person treated was US$0.66 (US$0.79 in 2008), which includes training, health education, social mobilization, distribution and drugs. These results provide hope that a combined school and community-based approach can be successfully implemented on a wider scale during the main control programme in 2010–2015, with approximately 10 million people targeted in the first year alone.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0035-9203 1878-3503
DOI:	10.1016/j.trstmh.2011.07.013