Parasites, Hosts and Diseases

The Korea Society for Parasitology and Tropical Medicine (대한기생충학·열대의학회)
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Improved Perceptions and Practices Related to Schistosomiasis and Intestinal Worm Infections Following PHAST Intervention on Kome Island, North-Western Tanzania

  • Mwanga, Joseph R. (National Institute for Medical Research) ;
  • Kaatano, Godfrey M. (National Institute for Medical Research) ;
  • Siza, Julius E. (National Institute for Medical Research) ;
  • Chang, Su Young (Good Neighbors International, Tanzania Western Chapter) ;
  • Ko, Yunsuk (Good Neighbors International, Tanzania Western Chapter) ;
  • Kullaya, Cyril M. (Good Neighbors International, Tanzania Western Chapter) ;
  • Nsabo, Jackson (Good Neighbors International, Tanzania Western Chapter) ;
  • Eom, Keeseon S. (Department of Parasitology, Medical Research Institute and Parasite Resource Bank, Chungbuk National University School of Medicine) ;
  • Yong, Tai-Soon (Department of Environmental Medical Biology, Institute of Tropical Medicine and Arthropods of Medical Importance Resource Bank, Yonsei University College of Medicine) ;
  • Chai, Jong-Yil (Department of Parasitology and Tropical Medicine, Seoul National University College of Medicine) ;
  • Min, Duk-Young (Department of Immunology and Microbiology, Eulji University School of Medicine) ;
  • Rim, Han-Jong (Department of Parasitology, College of Medicine, Korea University) ;
  • Changalucha, John M. (National Institute for Medical Research)
  • Received : 2015.07.23
  • Accepted : 2015.09.30
  • Published : 2015.10.31
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Abstract

Schistosomiasis and intestinal worm infections are widespread diseases of public health importance in Tanzania. A study on perceptions and practices related to schistosomiasis and intestinal worm infections was undertaken among a community population of Kome Island in Sengerema District, north-western Tanzania, where intestinal schistosomiasis and intestinal worm infections are endemic. Schistosomiasis and intestinal worm-related perceptions and practices were assessed before and 3 years after implementation of a participatory hygiene and sanitation transformation (PHAST) intervention as a control measure. Data were obtained from baseline and post-intervention knowledge, attitudes, and practices (KAP) questionnaire surveys conducted twice in 2009 and 2012 among 82 individuals aged ${\geq}15years$. We found significant increases in respondents' knowledge of the cause, transmission, symptoms, health consequences, and prevention of schistosomiasis and intestinal worm infections after PHAST intervention. The increase in respondents' knowledge on almost all aspects of the said infections was translated into actions to control schistosomiasis and intestinal worm infections. This has not been achieved by chance, but due to well-designed and locally-adapted PHAST intervention. We conclude that despite criticisms, PHAST approach is still useful in empowering communities to control water, sanitation, and hygiene related infectious diseases such as schistosomiasis and intestinal worm infections.

Keywords

References

  1. Utzinger J. A research and development agenda for the control and elimination of human helminthiases. PLoS Negl Trop Dis 2012; 6: e1646. https://doi.org/10.1371/journal.pntd.0001646
  2. Lustigman S, Prichard RK, Gazzinelli A, Grant WN, Boatin BA, McCarthy JS, Basanez MG. A research agenda for helminth diseases of humans: the problem of helminthiases. PLoS Negl Trop Dis 2012; 6: e1582. https://doi.org/10.1371/journal.pntd.0001582
  3. Gazzinelli A, Correa-Oliveira R, Yang GJ, Boatin BA, Kloos H. A research agenda for helminth diseases of humans: social ecology, environmental determinants, and health systems. PLoS Negl Trop Dis 2012; 6: e1603. https://doi.org/10.1371/journal.pntd.0001603
  4. Boatin BA, Basanez MG, Prichard RK, Awadzi K, Barakat RM, Garcia HH, Gazzinelli A, Grant WN, McCarthy JS, N'Goran EK, Osei-Atweneboana MY, Sripa B, Yang GJ, Lustigman S. A research agenda for helminth diseases of humans: towards control and elimination. PLoS Negl Trop Dis 2012; 6: e1547. https://doi.org/10.1371/journal.pntd.0001547
  5. Hotez PJ, Kamath A. Neglected tropical diseases in Sub-Saharan Africa: review of their prevalence, distribution and disease burden. PLoS Negl Trop Dis 2009; 3: e412. https://doi.org/10.1371/journal.pntd.0000412
  6. Hotez PJ, Brindley PJ, Bethony JM, King CH, Pearce EJ, Jacobson J. Helminth infections: the great neglected tropical diseases. J Clin Invest 2008; 118: 1311-1321. https://doi.org/10.1172/JCI34261
  7. Steinmann P, Kaiser J, Bos R, Tanner M, Utzinger J. Schistosomiasis and water resources development: systematic review, meta-analysis, and estimates of people at risk. Lancet Infect Dis 2006; 6: 411-425. https://doi.org/10.1016/S1473-3099(06)70521-7
  8. Brooker S, Clements AC, Bundy DA. Global epidemiology, ecology and control of soil-transmitted helminth infections. Adv Parasitol 2006; 62: 221-261. https://doi.org/10.1016/S0065-308X(05)62007-6
  9. Brooker S, Clements AC, Hotez PJ, Hay SI, Tatem AJ, Bundy DA, Snow RW. The co-distribution of Plasmodium falciparum and hookworm among African schoolchildren. Malar J 2006; 5: 99. https://doi.org/10.1186/1475-2875-5-99
  10. Mazigo HD, Nuwaha F, Kinung’hi S, Morona D, Pinot de Moira A, Wilson S, Heukelbach J, Dunne DW. Epidemiology and control of human schistosomiasis in Tanzania. Parasit Vectors 2012; 5: 274. https://doi.org/10.1186/1756-3305-5-274
  11. Hotez PJ, Molyneux DH, Fenwick A, Kumaresan J, Sachs SE, Sachs JD, Savioli L. Control of neglected tropical diseases. N Engl J Med 2007; 35: 1018-1027.
  12. Molyneux DH, Malecela MN. Neglected tropical diseases and the millennium development goals: why the "other diseases" matter: reality versus rhetoric. Parasit Vectors 2011; 4: 234. https://doi.org/10.1186/1756-3305-4-234
  13. Little MP, Breitling LP, Basanez MG, Alley ES, Boatin BA. Association between microfilarial load and excess mortality in human onchocerciasis: an epidemiological study. Lancet 2004; 363: 1514-1521. https://doi.org/10.1016/S0140-6736(04)16151-5
  14. Utzinger J, Keiser J. Schistosomiasis and soil-transmitted helminthiasis: common drugs for treatment and control. Expert Opin Pharmacother 2004; 5: 263-285. https://doi.org/10.1517/14656566.5.2.263
  15. Prichard RK, Basanez, MG, Boatin BA, McCarthy JS, Garcia HH, Yang GJ, Sripa B, Lustigman S. A research agenda for helminth diseases of humans: intervention for control and elimination. PLoS Negl Trop Dis 2012; 6: e1549. https://doi.org/10.1371/journal.pntd.0001549
  16. Bruun B, Aagaard-Hansen J. The social context of schistosomiasis and its control. An introduction and annotated bibliography. Geneva, Switzerland. UNICEF/UNDP/World Bank/WHO Special Programme for Research & Training in Tropical Diseases (TDR). 2008, pp. 1-213.
  17. Aagaard-Hansen J, Mwanga JR, Bruun B. Social science perspectives on schistosomiasis control in Africa: past trends and future directions. Parasitology 2009; 136: 1747-1758. https://doi.org/10.1017/S0031182009006404
  18. Mwanga JR, Lwambo NJS. Pre-and post-intervention perceptions and water contact behaviour related to schistosomiasis in north-western Tanzania. Acta Trop 2013; 128: 391-398. https://doi.org/10.1016/j.actatropica.2012.09.017
  19. National Bureau of Statistics. The 2002 population and housing census, Mwanza regional profile. Dar es Salaam, Tanzania. President's Office, Planning Commission. 2003.
  20. National Bureau of Statistics & Ministry of Finance, Dar es Salaam & Office of Chief Government Statistician, Dar es Salaam, Tanzania. President's Office, Finance, Economy and Development Planning, Zanzibar. The 2013 Population and Housing Census. 2013.
  21. Wood S, Sawyer R, Simpson-Hebert M. PHAST step-by-step guide: a participatory approach for the control of diarrhoeal diseases. Geneva, Switzerland. World Health Organization (WHO/EOS/98.3). 1998, pp. 1-137.
  22. Mwanga JR, Lwambo NSJ, Rumisha SF, Vounatsou P, Utzinger J. Dynamics of people’s socio-economic status in the face of schistosomiasis control intervention in Ukerewe district, Tanzania. Acta Trop 2013; 128: 399-406. https://doi.org/10.1016/j.actatropica.2013.01.004
  23. Bernard, HR. Press, WalResearch methods in anthropology, qualitative and quantitative approaches. 2nd ed. London and New Delhi. Altamira nut Creek. 1995, pp. 1-585.
  24. Tones K, Tilford S. Effectiveness in Health Promotion, Efficiency and Equity. 3rd ed. London, UK. Nelson Thorne. 2001, pp. 2-524.
  25. Lansdown R, Ledward A, Hall A, Issae W, Yona E, Matulu J, Mweta M, Kihamia C, Nyandindi U, Bundy D. Schistosomiasis, helminth infection and health education in Tanzania: achieving behaviour change in primary schools. Health Educ Res 2002; 17: 425-433. https://doi.org/10.1093/her/17.4.425
  26. Mwanga, JR. Community-integrated and action-oriented health education intervention on schistosomiasis and other illnesses among children of primary school-going age in Magu district, Tanzania. Ph.D. thesis. Mwanza/Copenhagen/Charlottenlund, National Institute for Medical Research/Danish University of Education/Danish Bilharziasis Laboratory. 2004.
  27. Mwanga JR, Magnussen P, Mugashe CL, Gabone RM, Aagaard-Hansen J. Schistosomiasis-related perceptions, attitudes and treatment-seeking practices in Magu district, Tanzania: public health implications. J Biosoc Sci 2004; 36: 63-81. https://doi.org/10.1017/S0021932003006114
  28. Mwanga JR, Mugashe CL, Gabone RM. Schistosomiasis and intestinal helminth infections in Sengerema district, Tanzania: sociological and epidemiological approaches. Tanzania Health Res Bull 2005; 7: 49-54.
  29. Mwanga JR. Perceptions and practices on schistosomiasis among communities in Ukerewe district, Tanzania. Tanzania Health Res Bull 2005; 7: 55-61.
  30. Malebo HM, Massaga JJ, Mshana JM, Kesheni PS, Lugimbana-Malebo L, Nyoni J, Dillip A, Kisinza WN, Nyigo VA, Imeda C, Msambazi M, Swai M, Lyimo A, Rwakibalila G, Kahesa A, Bibby S. Evaluation of Performance of the Participatory Hygiene and Sanitation Transformation strategy (PHAST) in Tanzania: focusing on effectiveness and sustainability of water, sanitation and hygiene activities in four districts of mainland Tanzania. Unpublished Report. 2008, pp. 1-62.

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