Sangho H, Dabo A, Sidibé A, Dembélé R, Diawara A, Diallo A, Konaté S
Centre de Recherche d’Etude et de Documentation pour la Survie de l’Enfant (CREDOS), BP 2109 Bamako.
Mali Med. 2009;24(2):21-4.
In Mali, schistosomiasis always remains a major public health problem. In 2005, mass treatment campaigns with praziquantel and albendazole have been organized in all endemic regions. The present study aimed to assess the impact of these mass treatment campaigns and the recipient's satisfaction in two endemic areas (Mopti and Ségou). It was a cross-sectional study with one passage from February to March 2006. The study carried out on political authorities (n=142), teachers and school administers (n=70), health workers (n=46), community distributors (n=33), community members (n=2170) and pupils (n=2480). We used Lot Quality Assurance Sample (LQAS) to determine treatment coverage and recipient's satisfaction. Two types of lots were considered, villages and schools. Questionnaires were used for investigation. In Ségou, the treatment rates varied from 100% at school level and in community in Bla district to 97.2% in the community of Ségou town. In Mopti, a treatment rate of 100% was observed in Bankass and Douentza both at school and in the community. The proportion of happiest individuals (to feel well) after the mass treatment campaign was 72.3% among pupils and 76.6% in the community. The results of this study suggest that the high treatment coverage rates observed during these campaigns should be sustained by a yearly chemotherapy strategy preceded by a community's health education programmes.
在马里,血吸虫病一直是一个重大的公共卫生问题。2005年,在所有流行地区组织了使用吡喹酮和阿苯达唑的大规模治疗运动。本研究旨在评估这些大规模治疗运动的影响以及两个流行地区(莫普提和塞古)接受者的满意度。这是一项横断面研究,于2006年2月至3月进行了一次调查。研究对象包括政治当局人员(n = 142)、教师和学校管理人员(n = 70)、卫生工作者(n = 46)、社区分发人员(n = 33)、社区成员(n = 2170)和学生(n = 2480)。我们使用批质量保证抽样法(LQAS)来确定治疗覆盖率和接受者满意度。考虑了两种类型的批次,即村庄和学校。通过问卷调查进行调查。在塞古,治疗率从布拉区学校和社区的100%到塞古镇社区的97.2%不等。在莫普提,班卡斯和杜恩泽的学校和社区治疗率均为100%。大规模治疗运动后感觉最幸福(感觉良好)的个体比例在学生中为72.3%,在社区中为76.6%。本研究结果表明,这些运动期间观察到的高治疗覆盖率应通过在社区健康教育计划之前实施的年度化疗策略来维持。