Unprogrammed deworming in the Kibera slum, Nairobi: implications for control of soil-transmitted helminthiases

PLoS Neglected Tropical Diseases
Julie R HarrisDavid Addiss

Abstract

Programs for control of soil-transmitted helminth (STH) infections are increasingly evaluating national mass drug administration (MDA) interventions. However, "unprogrammed deworming" (receipt of deworming drugs outside of nationally-run STH control programs) occurs frequently. Failure to account for these activities may compromise evaluations of MDA effectiveness. We used a cross-sectional study design to evaluate STH infection and unprogrammed deworming among infants (aged 6-11 months), preschool-aged children (PSAC, aged 1-4 years), and school-aged children (SAC, aged 5-14 years) in Kibera, Kenya, an informal settlement not currently receiving nationally-run MDA for STH. STH infection was assessed by triplicate Kato-Katz. We asked heads of households with randomly-selected children about past-year receipt and source(s) of deworming drugs. Local non-governmental organizations (NGOs) and school staff participating in school-based deworming were interviewed to collect information on drug coverage. Of 679 children (18 infants, 184 PSAC, and 477 SAC) evaluated, 377 (55%) reported receiving at least one unprogrammed deworming treatment during the past year. PSAC primarily received treatments from chemists (48.3%) or healthcare cen...Continue Reading

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Citations

Jun 1, 2018·PLoS Neglected Tropical Diseases·Nathan C LoEran Bendavid
Nov 7, 2015·PLoS Neglected Tropical Diseases·Richard Senam KumapleyNita Dalmiya

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Methods Mentioned

BETA
MDA

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