Salou Bachirou Zoulkifl, Mignanwande Zinsou Franck, Bokossa Hervé, Degnonvi Horace, Djossou Parfait, Hondjrebo Flora, Amoukpo Hermione, Anagonou Esai Gimatal, Agbo Inès, Toffa Damien, Ba Rafiatou, Gine Anna, Diez Gabriel, Johnson Roch Christian
Interfaculty Center for Training and Research in Environment for Sustainable Development (CIFRED), University of Abomey-Calavi, Abomey Calavi, Benin.
Anesvad Foundation, Bilbao, Spain.
Front Med (Lausanne). 2023 Feb 28;10:1022314. doi: 10.3389/fmed.2023.1022314. eCollection 2023.
Neglected Tropical Diseases (NTDs) are a diverse group of bacterial, viral, parasitic and fungal diseases affecting people, most of whom live below the poverty threshold. Several control strategies are defined against these diseases, including chemotherapy and Water, Hygiene and Sanitation (WASH). This study assesses the effect of promoting hygiene and sanitation on soil-transmitted helminthiasis s and NTDs of the skin. It took place in the communes of Ze, Lalo, and Zangnanado, three municipalities located in the south of Benin. This is a formative research that took place in three phases. The first phase entailed a baseline informations and situational analysis of the state of hygiene and health, using soil-transmitted helminthiasis and wound hygiene practices as cases studies. In the second phase, interventions to promote improved hygiene and sanitation were implemented. The third phase was devoted to post-intervention evaluation. The situation analysis showed that the prevalence of soil-transmitted helminthiasis was 6.43 and 7.10% in the municipalities of Ze and Lalo, respectively. In the communes of Zangnanado, the most common wound management practices identified were: putting sand or ashes in the wounds to keep flies away, the use of medicinal plants and the application of powder from antibiotic capsules for wound dressing. The post-intervention evaluation showed a decrease in the prevalence of soil-transmitted helminthiasis from 6.43 to 1.19% in the municipality of Lalo and from 7.10 to 1.75% in the municipality of Ze. In the commune of Zangnanado, a significant shift in wound management practices was noted, which led to the healing of several chronic wounds. This research supports the evidence that WASH-based interventions are very important to tackle neglected tropical diseases NTDs in addition to specific diseases based interventions.
被忽视的热带病（NTDs）是一类由细菌、病毒、寄生虫和真菌引起的多种疾病，影响着众多人群，其中大多数人生活在贫困线以下。针对这些疾病制定了多种控制策略，包括化学疗法以及水、卫生与环境卫生（WASH）措施。本研究评估了促进卫生与环境卫生对土壤传播的蠕虫病和皮肤被忽视的热带病的影响。研究在贝宁南部的三个市镇泽、拉洛和赞纳纳多的社区开展。这是一项分三个阶段进行的形成性研究。第一阶段以土壤传播的蠕虫病和伤口卫生习惯为案例研究，对卫生与健康状况进行基线信息收集和情况分析。第二阶段实施促进改善卫生与环境卫生的干预措施。第三阶段致力于干预后评估。情况分析表明，泽市和拉洛市土壤传播的蠕虫病患病率分别为6.43%和7.10%。在赞纳纳多的社区，最常见的伤口处理方法有：在伤口上撒沙子或灰烬以驱赶苍蝇、使用药用植物以及将抗生素胶囊粉末用于伤口包扎。干预后评估显示，拉洛市土壤传播的蠕虫病患病率从6.43%降至1.19%，泽市从7.10%降至1.75%。在赞纳纳多的社区，伤口处理方法发生了显著转变，这使得一些慢性伤口得以愈合。本研究支持了这样的证据，即除了基于特定疾病的干预措施外，基于水、卫生与环境卫生的干预措施对于应对被忽视的热带病非常重要。
