Factors Associated with the Performance and Cost-Effectiveness of Using Lymphatic Filariasis Transmission Assessment Surveys for Monitoring Soil-Transmitted Helminths: A Case Study in Kenya
Identifieur interne : 001D96 ( Main/Merge ); précédent : 001D95; suivant : 001D97Factors Associated with the Performance and Cost-Effectiveness of Using Lymphatic Filariasis Transmission Assessment Surveys for Monitoring Soil-Transmitted Helminths: A Case Study in Kenya
Auteurs : Jennifer L. Smith ; Hugh J. W. Sturrock ; Liya Assefa ; Birgit Nikolay ; Sammy M. Njenga ; Jimmy Kihara ; Charles S. Mwandawiro ; Simon J. BrookerSource :
- The American Journal of Tropical Medicine and Hygiene [ 0002-9637 ] ; 2015.
Descripteurs français
- KwdFr :
- Adolescent, Analyse coût-bénéfice, Ancylostomatoidea, Animaux, Ascaridiose (épidémiologie), Ascaris lombricoides, Collecte de données, Enfant, Enfant d'âge préscolaire, Facteurs de l'âge, Filariose lymphatique (parasitologie), Filariose lymphatique (transmission), Filariose lymphatique (épidémiologie), Helminthes (physiologie), Humains, Infections à ankylostomes (épidémiologie), Kenya (épidémiologie), Prévalence, Sensibilité et spécificité, Sol (parasitologie), Surveillance de la population (), Taille d'échantillon, Trichocéphalose (épidémiologie), Trichuris, Études de cas sur les organisations de santé (économie).
- MESH :
- parasitologie : Filariose lymphatique, Sol.
- physiologie : Helminthes.
- économie : Filariose lymphatique, Études de cas sur les organisations de santé.
- épidémiologie : Ascaridiose, Filariose lymphatique, Infections à ankylostomes, Kenya, Trichocéphalose.
- Adolescent, Analyse coût-bénéfice, Ancylostomatoidea, Animaux, Ascaris lombricoides, Collecte de données, Enfant, Enfant d'âge préscolaire, Facteurs de l'âge, Humains, Prévalence, Sensibilité et spécificité, Surveillance de la population, Taille d'échantillon, Trichuris.
- Wicri :
- geographic : Kenya.
English descriptors
- KwdEn :
- Adolescent, Age Factors, Ancylostomatoidea, Animals, Ascariasis (epidemiology), Ascaris lumbricoides, Child, Child, Preschool, Cost-Benefit Analysis, Data Collection, Elephantiasis, Filarial (epidemiology), Elephantiasis, Filarial (parasitology), Elephantiasis, Filarial (transmission), Helminths (physiology), Hookworm Infections (epidemiology), Humans, Kenya (epidemiology), Organizational Case Studies (economics), Population Surveillance (methods), Prevalence, Sample Size, Sensitivity and Specificity, Soil (parasitology), Trichuriasis (epidemiology), Trichuris.
- MESH :
- chemical , parasitology : Soil.
- geographic , epidemiology : Kenya.
- economics : Organizational Case Studies.
- epidemiology : Ascariasis, Elephantiasis, Filarial, Hookworm Infections, Trichuriasis.
- methods : Population Surveillance.
- parasitology : Elephantiasis, Filarial.
- physiology : Helminths.
- transmission : Elephantiasis, Filarial.
- Adolescent, Age Factors, Ancylostomatoidea, Animals, Ascaris lumbricoides, Child, Child, Preschool, Cost-Benefit Analysis, Data Collection, Humans, Prevalence, Sample Size, Sensitivity and Specificity, Trichuris.
Abstract
Transmission assessment surveys (TAS) for lymphatic filariasis have been proposed as a platform to assess the impact of mass drug administration (MDA) on soil-transmitted helminths (STHs). This study used computer simulation and field data from pre- and post-MDA settings across Kenya to evaluate the performance and cost-effectiveness of the TAS design for STH assessment compared with alternative survey designs. Variations in the TAS design and different sample sizes and diagnostic methods were also evaluated. The district-level TAS design correctly classified more districts compared with standard STH designs in pre-MDA settings. Aggregating districts into larger evaluation units in a TAS design decreased performance, whereas age group sampled and sample size had minimal impact. The low diagnostic sensitivity of Kato-Katz and mini-FLOTAC methods was found to increase misclassification. We recommend using a district-level TAS among children 8–10 years of age to assess STH but suggest that key consideration is given to evaluation unit size.
Url:
DOI: 10.4269/ajtmh.14-0435
PubMed: 25487730
PubMed Central: 4347340
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PMC:4347340Le document en format XML
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<term>Ascaris lumbricoides</term>
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<term>Child, Preschool</term>
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<term>Collecte de données</term>
<term>Enfant</term>
<term>Enfant d'âge préscolaire</term>
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<term>Filariose lymphatique (parasitologie)</term>
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<term>Études de cas sur les organisations de santé</term>
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<front><div type="abstract" xml:lang="en"><p>Transmission assessment surveys (TAS) for lymphatic filariasis have been proposed as a platform to assess the impact of mass drug administration (MDA) on soil-transmitted helminths (STHs). This study used computer simulation and field data from pre- and post-MDA settings across Kenya to evaluate the performance and cost-effectiveness of the TAS design for STH assessment compared with alternative survey designs. Variations in the TAS design and different sample sizes and diagnostic methods were also evaluated. The district-level TAS design correctly classified more districts compared with standard STH designs in pre-MDA settings. Aggregating districts into larger evaluation units in a TAS design decreased performance, whereas age group sampled and sample size had minimal impact. The low diagnostic sensitivity of Kato-Katz and mini-FLOTAC methods was found to increase misclassification. We recommend using a district-level TAS among children 8–10 years of age to assess STH but suggest that key consideration is given to evaluation unit size.</p>
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