A case analysis of a mass treatment approach to control GI and water-related conditions in Sudan

Abstract Background The efficiency of mass chlorination in controlling diarrheal diseases during acute emergencies has been extensively reported in literature. However, long-term crises received unparallel attention. Researchers have previously carried out a trial that investigated the impact of usi...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Alaaddin Salih, Mohamed Mohamed
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Research challenges Strategies Emergency settings Security Collaboration Community engagement Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/94717b3c7cbb4068a6faac02855b9497
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:94717b3c7cbb4068a6faac02855b9497
record_format	dspace
spelling	oai:doaj.org-article:94717b3c7cbb4068a6faac02855b94972021-11-21T12:10:40ZA case analysis of a mass treatment approach to control GI and water-related conditions in Sudan10.1186/s12889-021-12154-01471-2458https://doaj.org/article/94717b3c7cbb4068a6faac02855b94972021-11-01T00:00:00Zhttps://doi.org/10.1186/s12889-021-12154-0https://doaj.org/toc/1471-2458Abstract Background The efficiency of mass chlorination in controlling diarrheal diseases during acute emergencies has been extensively reported in literature. However, long-term crises received unparallel attention. Researchers have previously carried out a trial that investigated the impact of using chemical means to treat water reservoirs of Um-Baddah Nevachah, a refugee camp located in the western outskirts of Khartoum, Sudan. A double-blind community experimental trial was carried out by randomly adding either chlorine or a placebo to the major water tanks in the area. Data were collected using a mixed-methods study design. The primary input was the quantitative data derived from total coliforms lab tests and records of the local primary healthcare center, while the embedded (nested) portion generated most of the qualitative data from direct face-to-face interviews. As a case analysis, this study aims to critically appraise the original trial. In the Background the authors discussed the context of the trial, approach used, and outcomes. Discussion section included three issues related to the trial: scientific importance, challenges and strategies. Discussion Importance: There are two factors that contribute to the importance of this study: First, the integrated and systematic approach followed to resolve associated challenges. The study swiftly moved from investigating potential water contamination, to test whether it is related to an endogenous focus that auto-taints drinking water, and finally it explored the impact of tanks chlorination on public health. Second, the longstanding humanitarian context which remains largely underreported in literature. Challenges: funding limitations were among the first obstacles faced. During the fieldwork preparation phase, a lot of work was required to resolve logistical and security challenges. Keeping volunteers motivated was the biggest concern during the last phase of data collection. Strategies: The “Matrix Solutions Strategy” was developed and used to optimize scarce resources to simultaneously target multiple problems through a single intervention. Conclusion Key lessons learned from the whole experience were: persistence is paramount for the success of studies in precarious situations; lateral thinking generates alternative solutions that are novel, feasibility and practical in resources-limited settings; and finally respecting local culture and regulations is essential for building trust with both authorities and vulnerable societies.Alaaddin SalihMohamed MohamedBMCarticleResearch challengesStrategiesEmergency settingsSecurityCollaborationCommunity engagementPublic aspects of medicineRA1-1270ENBMC Public Health, Vol 21, Iss 1, Pp 1-6 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Research challenges Strategies Emergency settings Security Collaboration Community engagement Public aspects of medicine RA1-1270
spellingShingle	Research challenges Strategies Emergency settings Security Collaboration Community engagement Public aspects of medicine RA1-1270 Alaaddin Salih Mohamed Mohamed A case analysis of a mass treatment approach to control GI and water-related conditions in Sudan
description	Abstract Background The efficiency of mass chlorination in controlling diarrheal diseases during acute emergencies has been extensively reported in literature. However, long-term crises received unparallel attention. Researchers have previously carried out a trial that investigated the impact of using chemical means to treat water reservoirs of Um-Baddah Nevachah, a refugee camp located in the western outskirts of Khartoum, Sudan. A double-blind community experimental trial was carried out by randomly adding either chlorine or a placebo to the major water tanks in the area. Data were collected using a mixed-methods study design. The primary input was the quantitative data derived from total coliforms lab tests and records of the local primary healthcare center, while the embedded (nested) portion generated most of the qualitative data from direct face-to-face interviews. As a case analysis, this study aims to critically appraise the original trial. In the Background the authors discussed the context of the trial, approach used, and outcomes. Discussion section included three issues related to the trial: scientific importance, challenges and strategies. Discussion Importance: There are two factors that contribute to the importance of this study: First, the integrated and systematic approach followed to resolve associated challenges. The study swiftly moved from investigating potential water contamination, to test whether it is related to an endogenous focus that auto-taints drinking water, and finally it explored the impact of tanks chlorination on public health. Second, the longstanding humanitarian context which remains largely underreported in literature. Challenges: funding limitations were among the first obstacles faced. During the fieldwork preparation phase, a lot of work was required to resolve logistical and security challenges. Keeping volunteers motivated was the biggest concern during the last phase of data collection. Strategies: The “Matrix Solutions Strategy” was developed and used to optimize scarce resources to simultaneously target multiple problems through a single intervention. Conclusion Key lessons learned from the whole experience were: persistence is paramount for the success of studies in precarious situations; lateral thinking generates alternative solutions that are novel, feasibility and practical in resources-limited settings; and finally respecting local culture and regulations is essential for building trust with both authorities and vulnerable societies.
format	article
author	Alaaddin Salih Mohamed Mohamed
author_facet	Alaaddin Salih Mohamed Mohamed
author_sort	Alaaddin Salih
title	A case analysis of a mass treatment approach to control GI and water-related conditions in Sudan
title_short	A case analysis of a mass treatment approach to control GI and water-related conditions in Sudan
title_full	A case analysis of a mass treatment approach to control GI and water-related conditions in Sudan
title_fullStr	A case analysis of a mass treatment approach to control GI and water-related conditions in Sudan
title_full_unstemmed	A case analysis of a mass treatment approach to control GI and water-related conditions in Sudan
title_sort	case analysis of a mass treatment approach to control gi and water-related conditions in sudan
publisher	BMC
publishDate	2021
url	https://doaj.org/article/94717b3c7cbb4068a6faac02855b9497
work_keys_str_mv	AT alaaddinsalih acaseanalysisofamasstreatmentapproachtocontrolgiandwaterrelatedconditionsinsudan AT mohamedmohamed acaseanalysisofamasstreatmentapproachtocontrolgiandwaterrelatedconditionsinsudan AT alaaddinsalih caseanalysisofamasstreatmentapproachtocontrolgiandwaterrelatedconditionsinsudan AT mohamedmohamed caseanalysisofamasstreatmentapproachtocontrolgiandwaterrelatedconditionsinsudan
_version_	1718419138509012992

A case analysis of a mass treatment approach to control GI and water-related conditions in Sudan

Ejemplares similares