Impact of combined intermittent preventive treatment of malaria and helminths on anaemia, sustained attention, and recall in Northern Ghanaian schoolchildren
Identifieur interne : 000186 ( Main/Exploration ); précédent : 000185; suivant : 000187Impact of combined intermittent preventive treatment of malaria and helminths on anaemia, sustained attention, and recall in Northern Ghanaian schoolchildren
Auteurs : Ernest Cudjoe Opoku [Ghana, Danemark] ; Annette Olsen [Danemark] ; Edmund Browne [Ghana] ; Abraham Hodgson [Ghana] ; John K. Awoonor-Williams [Ghana] ; Lawrence Yelifari [Ghana] ; John Williams [Ghana] ; Pascal Magnussen [Danemark]Source :
- Global Health Action [ 1654-9716 ] ; 2016.
Abstract
The benefits of integrated control of malaria, schistosomiasis, and soil-transmitted helminth infections have not been fully explored in Ghanaian schoolchildren.
To assess the impact of co-administered artemether-lumefantrine plus albendazole, and artemether-lumefantrine plus albendazole plus praziquantel compared to albendazole plus praziquantel on anaemia, sustained attention, and recall in schoolchildren.
This three-arm, open-label intervention study was carried out in Ghana among class three schoolchildren. Artemether-lumefantrine and albendazole were co-administered to 131 schoolchildren in Study Arm 1; artemether-lumefantrine, albendazole, and praziquantel to 90 children in Study Arm 2 versus albendazole and praziquantel to 127 children in Control Arm 3. Medicines were administered to all children at least 30 min after a meal. A HemoCue® photometer was used to measure haemoglobin (Hb), while the code transmission test (CTT), adapted from the Test of Everyday Attention for Children (TEA-Ch), was used to measure sustained attention and recall before-and-after interventions in June 2011 and June 2012.
We observed significant malaria parasite prevalence reductions of 62.8 and 59.2% in Study Arm 1 from 24.2 to 9.0%,
Combined intermittent preventive treatment of malaria and deworming reduced prevalence of anaemia and improved sustained attention and recall in schoolchildren. Best results for sustained attention and recall were seen in Study Arm 2.
Url:
DOI: 10.3402/gha.v9.32197
PubMed: 27633035
PubMed Central: 5025525
Affiliations:
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Centre, Ghana Health Service, Navrongo, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Navrongo Health Research Centre, Ghana Health Service, Navrongo</wicri:regionArea><wicri:noRegion>Navrongo</wicri:noRegion></affiliation><affiliation wicri:level="3"><nlm:aff id="AF0002">Copenhagen School of Global Health, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark</nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>Copenhagen School of Global Health, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen</wicri:regionArea><placeName><settlement type="city">Copenhague</settlement><region type="région" nuts="2">Hovedstaden</region></placeName></affiliation></author><author><name sortKey="Olsen, Annette" sort="Olsen, Annette" uniqKey="Olsen A" first="Annette" last="Olsen">Annette Olsen</name><affiliation wicri:level="1"><nlm:aff id="AF0003">Department of Veterinary Disease Biology, Faculty of Health and Medical Sciences, University of Copenhagen, Frederiksberg, Denmark</nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>Department of Veterinary Disease Biology, Faculty of Health and Medical Sciences, University of Copenhagen, Frederiksberg</wicri:regionArea><wicri:noRegion>Frederiksberg</wicri:noRegion></affiliation></author><author><name sortKey="Browne, Edmund" sort="Browne, Edmund" uniqKey="Browne E" first="Edmund" last="Browne">Edmund Browne</name><affiliation wicri:level="1"><nlm:aff id="AF0004">Department of Community Health, School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Department of Community Health, School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi</wicri:regionArea><wicri:noRegion>Kumasi</wicri:noRegion></affiliation></author><author><name sortKey="Hodgson, Abraham" sort="Hodgson, Abraham" uniqKey="Hodgson A" first="Abraham" last="Hodgson">Abraham Hodgson</name><affiliation wicri:level="1"><nlm:aff id="AF0001">Navrongo Health Research Centre, Ghana Health Service, Navrongo, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Navrongo Health Research Centre, Ghana Health Service, Navrongo</wicri:regionArea><wicri:noRegion>Navrongo</wicri:noRegion></affiliation></author><author><name sortKey="Awoonor Williams, John K" sort="Awoonor Williams, John K" uniqKey="Awoonor Williams J" first="John K." last="Awoonor-Williams">John K. Awoonor-Williams</name><affiliation wicri:level="1"><nlm:aff id="AF0005">Regional Health Directorate, Ghana Health Service, Bolgatanga, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Regional Health Directorate, Ghana Health Service, Bolgatanga</wicri:regionArea><wicri:noRegion>Bolgatanga</wicri:noRegion></affiliation></author><author><name sortKey="Yelifari, Lawrence" sort="Yelifari, Lawrence" uniqKey="Yelifari L" first="Lawrence" last="Yelifari">Lawrence Yelifari</name><affiliation wicri:level="1"><nlm:aff id="AF0005">Regional Health Directorate, Ghana Health Service, Bolgatanga, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Regional Health Directorate, Ghana Health Service, Bolgatanga</wicri:regionArea><wicri:noRegion>Bolgatanga</wicri:noRegion></affiliation></author><author><name sortKey="Williams, John" sort="Williams, John" uniqKey="Williams J" first="John" last="Williams">John Williams</name><affiliation wicri:level="1"><nlm:aff id="AF0001">Navrongo Health Research Centre, Ghana Health Service, Navrongo, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Navrongo Health Research Centre, Ghana Health Service, Navrongo</wicri:regionArea><wicri:noRegion>Navrongo</wicri:noRegion></affiliation></author><author><name sortKey="Magnussen, Pascal" sort="Magnussen, Pascal" uniqKey="Magnussen P" first="Pascal" last="Magnussen">Pascal Magnussen</name><affiliation wicri:level="1"><nlm:aff id="AF0003">Department of Veterinary Disease Biology, Faculty of Health and Medical Sciences, University of Copenhagen, Frederiksberg, Denmark</nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>Department of Veterinary Disease Biology, Faculty of Health and Medical Sciences, University of Copenhagen, Frederiksberg</wicri:regionArea><wicri:noRegion>Frederiksberg</wicri:noRegion></affiliation><affiliation wicri:level="3"><nlm:aff id="AF0006">Centre for Medical Parasitology, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark</nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>Centre for Medical Parasitology, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen</wicri:regionArea><placeName><settlement type="city">Copenhague</settlement><region type="région" nuts="2">Hovedstaden</region></placeName></affiliation></author></analytic><series><title level="j">Global Health Action</title><idno type="ISSN">1654-9716</idno><idno type="eISSN">1654-9880</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="st1"><title>Background</title><p>The benefits of integrated control of malaria, schistosomiasis, and soil-transmitted helminth infections have not been fully explored in Ghanaian schoolchildren.</p></sec><sec id="st2"><title>Objective</title><p>To assess the impact of co-administered artemether-lumefantrine plus albendazole, and artemether-lumefantrine plus albendazole plus praziquantel compared to albendazole plus praziquantel on anaemia, sustained attention, and recall in schoolchildren.</p></sec><sec id="st3"><title>Design</title><p>This three-arm, open-label intervention study was carried out in Ghana among class three schoolchildren. Artemether-lumefantrine and albendazole were co-administered to 131 schoolchildren in Study Arm 1; artemether-lumefantrine, albendazole, and praziquantel to 90 children in Study Arm 2 versus albendazole and praziquantel to 127 children in Control Arm 3. Medicines were administered to all children at least 30 min after a meal. A HemoCue<sup>®</sup> photometer was used to measure haemoglobin (Hb), while the code transmission test (CTT), adapted from the Test of Everyday Attention for Children (TEA-Ch), was used to measure sustained attention and recall before-and-after interventions in June 2011 and June 2012.</p></sec><sec id="st4"><title>Results</title><p>We observed significant malaria parasite prevalence reductions of 62.8 and 59.2% in Study Arm 1 from 24.2 to 9.0%, <italic>p</italic><0.01, and 59.2% in Study Arm 2 from 26.7 to 10.9%, <italic>p</italic><0.01), respectively, compared to 8.93% in Control Arm 3 (from 34.7 to 31.6%, <italic>p</italic>>0.05). Meanwhile, anaemia prevalence reduced significantly (<italic>p</italic><0.01) in all three study arms after interventions by 38.4% (from 19.8 to 12.2%), 20.7% (from 26.6 to 21.1%), and 36.0% (from 28.3 to 18.1%) in Study Arms 1, 2, and 3, respectively. Although the interventions had no significant effects on Hb levels, anaemia prevalence reduced insignificantly by 38.4 and 20.7% in Study Arms 1 and 2, respectively, compared to 36.0% in Control Arm 3. Among schoolchildren in Study Arms 1 and 2, mean CTT score improved significantly after interventions by 10.4% (from 3.18 to 3.55, <italic>p</italic>=0.01) and 20.5% (from 2.83 to 3.56, <italic>p</italic>=0.01) respectively, compared to 5.75% in Control Arm 3 (from 2.95 to 3.13, <italic>p</italic>=0.09). Likewise, mean recall test score improvements after interventions were 16.9% (from 2.07 to 2.49, <italic>p</italic>=0.01) and 27.9% (from 1.91 to 2.65, <italic>p</italic>=0.01) in Study Arms 1 and 2, respectively, compared to 18.3% (from 1.92 to 2.35, <italic>p</italic>=0.01) in Control Arm 3.</p></sec><sec id="st5"><title>Conclusion</title><p>Combined intermittent preventive treatment of malaria and deworming reduced prevalence of anaemia and improved sustained attention and recall in schoolchildren. Best results for sustained attention and recall were seen in Study Arm 2.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Alonso, Pl" uniqKey="Alonso P">PL Alonso</name></author><author><name sortKey="Brown, G" uniqKey="Brown G">G Brown</name></author><author><name sortKey="Arevalo Herrera, M" uniqKey="Arevalo Herrera M">M Arevalo-Herrera</name></author><author><name sortKey="Binka, F" uniqKey="Binka F">F Binka</name></author><author><name sortKey="Chitnis, C" uniqKey="Chitnis C">C Chitnis</name></author><author><name sortKey="Collins, F" uniqKey="Collins F">F Collins</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Laishram, Dd" uniqKey="Laishram D">DD Laishram</name></author><author><name sortKey="Sutton, Pl" uniqKey="Sutton P">PL Sutton</name></author><author><name sortKey="Nanda, N" uniqKey="Nanda N">N 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Br" uniqKey="Luce B">BR Luce</name></author><author><name sortKey="Kramer, Jm" uniqKey="Kramer J">JM Kramer</name></author><author><name sortKey="Goodman, Sn" uniqKey="Goodman S">SN Goodman</name></author><author><name sortKey="Conor, Jt" uniqKey="Conor J">JT Conor</name></author><author><name sortKey="Tunis, S" uniqKey="Tunis S">S Tunis</name></author><author><name sortKey="Whlcher, D" uniqKey="Whlcher D">D Whlcher</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Velengtas, P" uniqKey="Velengtas P">P Velengtas</name></author><author><name sortKey="Mohr, P" uniqKey="Mohr P">P Mohr</name></author><author><name sortKey="Messner, Da" uniqKey="Messner D">DA Messner</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Danemark</li><li>Ghana</li></country><region><li>Hovedstaden</li></region><settlement><li>Copenhague</li></settlement></list><tree><country name="Ghana"><noRegion><name sortKey="Opoku, Ernest Cudjoe" sort="Opoku, Ernest Cudjoe" uniqKey="Opoku E" first="Ernest Cudjoe" last="Opoku">Ernest Cudjoe Opoku</name></noRegion><name sortKey="Awoonor Williams, John K" sort="Awoonor Williams, John K" uniqKey="Awoonor Williams J" first="John K." last="Awoonor-Williams">John K. Awoonor-Williams</name><name sortKey="Browne, Edmund" sort="Browne, Edmund" uniqKey="Browne E" first="Edmund" last="Browne">Edmund Browne</name><name sortKey="Hodgson, Abraham" sort="Hodgson, Abraham" uniqKey="Hodgson A" first="Abraham" last="Hodgson">Abraham Hodgson</name><name sortKey="Williams, John" sort="Williams, John" uniqKey="Williams J" first="John" last="Williams">John Williams</name><name sortKey="Yelifari, Lawrence" sort="Yelifari, Lawrence" uniqKey="Yelifari L" first="Lawrence" last="Yelifari">Lawrence Yelifari</name></country><country name="Danemark"><region name="Hovedstaden"><name sortKey="Opoku, Ernest Cudjoe" sort="Opoku, Ernest Cudjoe" uniqKey="Opoku E" first="Ernest Cudjoe" last="Opoku">Ernest Cudjoe Opoku</name></region><name sortKey="Magnussen, Pascal" sort="Magnussen, Pascal" uniqKey="Magnussen P" first="Pascal" last="Magnussen">Pascal Magnussen</name><name sortKey="Magnussen, Pascal" sort="Magnussen, Pascal" uniqKey="Magnussen P" first="Pascal" last="Magnussen">Pascal Magnussen</name><name sortKey="Olsen, Annette" sort="Olsen, Annette" uniqKey="Olsen A" first="Annette" last="Olsen">Annette Olsen</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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