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Sentinel surveillance of Lymphatic filariasis, Schistosomiasis, Soil transmitted helminths and Malaria in rural southern Malawi

Identifieur interne : 003065 ( Pmc/Curation ); précédent : 003064; suivant : 003066

Sentinel surveillance of Lymphatic filariasis, Schistosomiasis, Soil transmitted helminths and Malaria in rural southern Malawi

Auteurs : Kelias Msyamboza [Malawi] ; Bagrey Ngwira [Malawi] ; Richard Banda [Malawi] ; Square Mkwanda [Malawi] ; Bernard Brabin [Royaume-Uni, Pays-Bas]

Source :

RBID : PMC:3345679

Abstract

Background

Baseline prevalence and knowledge, attitude and perception (KAP) survey is a prerequisite for mass drug administration for the control of Lymphatic filariasis (LF) and other neglected tropical diseases.

Methods

In preparation for the first mass drug administration for LF elimination, a baseline survey was conducted in six sentinel sites in the southern Malawi, amongst participants aged five years or more. A standard questionnaire was used to obtain data on socio-demographic factors, ownership and use of bed nets, previous ingestion of ivermectin and KAP toward hydrocele and lymphoedema. Finger prick blood samples were collected from 22:00 to 01:00 hours for LF microscopy, malaria and haemoglobin examination. Stool and urine samples were collected for internal helminths and schistosomiasis respectively.

Results

A total of 1, 903 participants were enrolled. Knowledge on the cause of hydrocele and lymphoedema was low in all the sentinel sites (16%–42%, 10%–24% (respectively). Sexual intercourse with a menstruating woman, bad weather and HIV/AIDS were perceived causes of hydrocele. Microfilaraemia prevalence was 1.5% and varied little between sentinel sites (1.0%–2.1%). Childhood urinary schistosomiasis was common in Phalombe (94.9%) and Blantyre (26.9%).

Conclusion

Integrated approach and understanding of the community KAP is vital or successful implementation of LF elimination programme.


Url:
PubMed: 21618842
PubMed Central: 3345679

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PMC:3345679

Le document en format XML

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<title xml:lang="en">Sentinel surveillance of Lymphatic filariasis, Schistosomiasis, Soil transmitted helminths and Malaria in rural southern Malawi</title>
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<title>Background</title>
<p>Baseline prevalence and knowledge, attitude and perception (KAP) survey is a prerequisite for mass drug administration for the control of Lymphatic filariasis (LF) and other neglected tropical diseases.</p>
</sec>
<sec sec-type="methods">
<title>Methods</title>
<p>In preparation for the first mass drug administration for LF elimination, a baseline survey was conducted in six sentinel sites in the southern Malawi, amongst participants aged five years or more. A standard questionnaire was used to obtain data on socio-demographic factors, ownership and use of bed nets, previous ingestion of ivermectin and KAP toward hydrocele and lymphoedema. Finger prick blood samples were collected from 22:00 to 01:00 hours for LF microscopy, malaria and haemoglobin examination. Stool and urine samples were collected for internal helminths and schistosomiasis respectively.</p>
</sec>
<sec sec-type="results">
<title>Results</title>
<p>A total of 1, 903 participants were enrolled. Knowledge on the cause of hydrocele and lymphoedema was low in all the sentinel sites (16%–42%, 10%–24% (respectively). Sexual intercourse with a menstruating woman, bad weather and HIV/AIDS were perceived causes of hydrocele. Microfilaraemia prevalence was 1.5% and varied little between sentinel sites (1.0%–2.1%). Childhood urinary schistosomiasis was common in Phalombe (94.9%) and Blantyre (26.9%).</p>
</sec>
<sec sec-type="conclusions">
<title>Conclusion</title>
<p>Integrated approach and understanding of the community KAP is vital or successful implementation of LF elimination programme.</p>
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</front>
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<subject>Original Research</subject>
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<article-title>Sentinel surveillance of Lymphatic filariasis, Schistosomiasis, Soil transmitted helminths and Malaria in rural southern Malawi</article-title>
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<name>
<surname>Msyamboza</surname>
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<surname>Ngwira</surname>
<given-names>Bagrey</given-names>
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<surname>Banda</surname>
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<surname>Mkwanda</surname>
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<name>
<surname>Brabin</surname>
<given-names>Bernard</given-names>
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<xref ref-type="aff" rid="A4">4</xref>
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World Health Organisation, Malawi Country Office, Lilongwe, Malawi</aff>
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Community Health Department, College of Medicine, Blantyre, Malawi</aff>
<aff id="A3">
<label>3</label>
LF Control Programme, Ministry of Health, Lilongwe, Malawi</aff>
<aff id="A4">
<label>4</label>
Child and Reproductive Health Group, Liverpool School of Tropical Medicine, UK</aff>
<aff id="A5">
<label>5</label>
EmmaKinderziekenhuis, Academic Medical Centre, University of Amsterdam, The Netherlands</aff>
<aff id="A6">
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Department of Community Paediatrics, Royal Liverpool Children's Hospital NHS Trust, Alder Hey, UK</aff>
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<corresp>Correspondence:
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<abstract abstract-type="executive-summary">
<sec>
<title>Background</title>
<p>Baseline prevalence and knowledge, attitude and perception (KAP) survey is a prerequisite for mass drug administration for the control of Lymphatic filariasis (LF) and other neglected tropical diseases.</p>
</sec>
<sec sec-type="methods">
<title>Methods</title>
<p>In preparation for the first mass drug administration for LF elimination, a baseline survey was conducted in six sentinel sites in the southern Malawi, amongst participants aged five years or more. A standard questionnaire was used to obtain data on socio-demographic factors, ownership and use of bed nets, previous ingestion of ivermectin and KAP toward hydrocele and lymphoedema. Finger prick blood samples were collected from 22:00 to 01:00 hours for LF microscopy, malaria and haemoglobin examination. Stool and urine samples were collected for internal helminths and schistosomiasis respectively.</p>
</sec>
<sec sec-type="results">
<title>Results</title>
<p>A total of 1, 903 participants were enrolled. Knowledge on the cause of hydrocele and lymphoedema was low in all the sentinel sites (16%–42%, 10%–24% (respectively). Sexual intercourse with a menstruating woman, bad weather and HIV/AIDS were perceived causes of hydrocele. Microfilaraemia prevalence was 1.5% and varied little between sentinel sites (1.0%–2.1%). Childhood urinary schistosomiasis was common in Phalombe (94.9%) and Blantyre (26.9%).</p>
</sec>
<sec sec-type="conclusions">
<title>Conclusion</title>
<p>Integrated approach and understanding of the community KAP is vital or successful implementation of LF elimination programme.</p>
</sec>
</abstract>
</article-meta>
</front>
</pmc>
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