Evaluation of mass drug administration for schistosomiasis and soil-transmitted helminths in school-aged children in Bankass, Mali
Background: In 2004, Mali implemented mass drug administration (MDA) aimed at controlling schistosomiasis and soil-transmitted helminths. Despite several rounds of MDA, the health district of Bankass reported low coverage (64.8%) for praziquantel and albendazole in 2017, meaning that this district w...
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2021
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oai:doaj.org-article:269a61f9ad6847d18f18d45150c0d1442021-11-30T04:14:03ZEvaluation of mass drug administration for schistosomiasis and soil-transmitted helminths in school-aged children in Bankass, Mali1201-971210.1016/j.ijid.2021.08.063https://doaj.org/article/269a61f9ad6847d18f18d45150c0d1442021-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S1201971221006950https://doaj.org/toc/1201-9712Background: In 2004, Mali implemented mass drug administration (MDA) aimed at controlling schistosomiasis and soil-transmitted helminths. Despite several rounds of MDA, the health district of Bankass reported low coverage (64.8%) for praziquantel and albendazole in 2017, meaning that this district was still facing challenges in accomplishing the targeted 75% coverage. This study aimed to explore the barriers and gaps that hindered MDA implementation in Bankass. Methods: A cross-sectional study was performed. Questionnaires were administrated to all school-aged children in randomly selected villages. Technical directors of community health centers and community drug distributors in the selected villages were included in the interviews. Results: A total of 2128 children and 52 health workers were interviewed. Coverage rates were 93.51% (1990/2128) for praziquantel and 95.25% (2027/2128) for albendazole. Among the untreated children, 31.63% (31/98) reported being unaware of the campaign and 26.53% (26/98) were unable to reach the distribution points. Most of the health workers suggested increasing incentives. Conclusion: The data showed satisfactory coverage >90%, in contrast with lower rates initially reported by the district health information system. These results raise concerns about the reliability of programmatic data and highlight the importance of population-based surveys for the evaluation of control interventions.Moussa SangareAdama BertheHousseini DoloAbdoul Fatao DiabatéFatoumata dite Nènè KonipoLamine SoumaoroSalif Seriba DoumbiaMichel Emmanuel CoulibalyLamine DiarraYacouba SanogoKueshivi Midodji AtsouAbdallah Amadou DialloSiaka Yamoussa CoulibalyModibo KeitaSeydou DoumbiaYaya Ibrahim CoulibalyElsevierarticleEvaluationMass drug administrationSchistosomiasisSoil-transmitted helminthsSchool-aged childrenBankass and MaliInfectious and parasitic diseasesRC109-216ENInternational Journal of Infectious Diseases, Vol 112, Iss , Pp 196-201 (2021) |
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Evaluation Mass drug administration Schistosomiasis Soil-transmitted helminths School-aged children Bankass and Mali Infectious and parasitic diseases RC109-216 |
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Evaluation Mass drug administration Schistosomiasis Soil-transmitted helminths School-aged children Bankass and Mali Infectious and parasitic diseases RC109-216 Moussa Sangare Adama Berthe Housseini Dolo Abdoul Fatao Diabaté Fatoumata dite Nènè Konipo Lamine Soumaoro Salif Seriba Doumbia Michel Emmanuel Coulibaly Lamine Diarra Yacouba Sanogo Kueshivi Midodji Atsou Abdallah Amadou Diallo Siaka Yamoussa Coulibaly Modibo Keita Seydou Doumbia Yaya Ibrahim Coulibaly Evaluation of mass drug administration for schistosomiasis and soil-transmitted helminths in school-aged children in Bankass, Mali |
description |
Background: In 2004, Mali implemented mass drug administration (MDA) aimed at controlling schistosomiasis and soil-transmitted helminths. Despite several rounds of MDA, the health district of Bankass reported low coverage (64.8%) for praziquantel and albendazole in 2017, meaning that this district was still facing challenges in accomplishing the targeted 75% coverage. This study aimed to explore the barriers and gaps that hindered MDA implementation in Bankass. Methods: A cross-sectional study was performed. Questionnaires were administrated to all school-aged children in randomly selected villages. Technical directors of community health centers and community drug distributors in the selected villages were included in the interviews. Results: A total of 2128 children and 52 health workers were interviewed. Coverage rates were 93.51% (1990/2128) for praziquantel and 95.25% (2027/2128) for albendazole. Among the untreated children, 31.63% (31/98) reported being unaware of the campaign and 26.53% (26/98) were unable to reach the distribution points. Most of the health workers suggested increasing incentives. Conclusion: The data showed satisfactory coverage >90%, in contrast with lower rates initially reported by the district health information system. These results raise concerns about the reliability of programmatic data and highlight the importance of population-based surveys for the evaluation of control interventions. |
format |
article |
author |
Moussa Sangare Adama Berthe Housseini Dolo Abdoul Fatao Diabaté Fatoumata dite Nènè Konipo Lamine Soumaoro Salif Seriba Doumbia Michel Emmanuel Coulibaly Lamine Diarra Yacouba Sanogo Kueshivi Midodji Atsou Abdallah Amadou Diallo Siaka Yamoussa Coulibaly Modibo Keita Seydou Doumbia Yaya Ibrahim Coulibaly |
author_facet |
Moussa Sangare Adama Berthe Housseini Dolo Abdoul Fatao Diabaté Fatoumata dite Nènè Konipo Lamine Soumaoro Salif Seriba Doumbia Michel Emmanuel Coulibaly Lamine Diarra Yacouba Sanogo Kueshivi Midodji Atsou Abdallah Amadou Diallo Siaka Yamoussa Coulibaly Modibo Keita Seydou Doumbia Yaya Ibrahim Coulibaly |
author_sort |
Moussa Sangare |
title |
Evaluation of mass drug administration for schistosomiasis and soil-transmitted helminths in school-aged children in Bankass, Mali |
title_short |
Evaluation of mass drug administration for schistosomiasis and soil-transmitted helminths in school-aged children in Bankass, Mali |
title_full |
Evaluation of mass drug administration for schistosomiasis and soil-transmitted helminths in school-aged children in Bankass, Mali |
title_fullStr |
Evaluation of mass drug administration for schistosomiasis and soil-transmitted helminths in school-aged children in Bankass, Mali |
title_full_unstemmed |
Evaluation of mass drug administration for schistosomiasis and soil-transmitted helminths in school-aged children in Bankass, Mali |
title_sort |
evaluation of mass drug administration for schistosomiasis and soil-transmitted helminths in school-aged children in bankass, mali |
publisher |
Elsevier |
publishDate |
2021 |
url |
https://doaj.org/article/269a61f9ad6847d18f18d45150c0d144 |
work_keys_str_mv |
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