Ministry of Public Health and Population, Al Hasaba, PO Box 543, Sana'a, Republic of Yemen.
Trans R Soc Trop Med Hyg. 2011 Nov;105(11):617-27. doi: 10.1016/j.trstmh.2011.07.013. Epub 2011 Sep 9.
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.
在也门共和国，人们认为有尿路和肠道两种类型的血吸虫病广泛存在，估计有 300 万人感染，60 万人患有临床疾病。自 2006 年以来，通过在学校分发吡喹酮（PZQ）治疗血吸虫病和阿苯达唑（ALB）治疗土壤传播的蠕虫，一直在进行分区域控制。为了筹备一项为期六年的全国控制规划，目的是将治疗范围扩大到更广泛的社区，在 2009 年 12 月，三个省的 10 个高度流行地区试用了一种新的规划方法，即补充以学校为基础的分发，开展以社区为基础的治疗。新方法的覆盖率达到了 90.1%的非入学儿童：与 2008 年相比，增加了 40%，入学儿童的覆盖率达到了 97.9%：与 2008 年相比，增加了 2%。女性（儿童和成人）的覆盖率为 81.8%，一般成人的覆盖率为 73.9%。每人治疗费用为 0.66 美元（2008 年为 0.79 美元），包括培训、健康教育、社会动员、分发和药物。这些结果表明，在 2010-2015 年的主要控制规划期间，以学校和社区为基础的综合方法可以在更大范围内成功实施，仅在第一年就有大约 1000 万人成为目标人群。
