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Evaluation of staff performance and material resources for integrated schistosomiasis control in Northern Senegal

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dc.contributor.author Van der Werf, M. J. en_US
dc.contributor.author Mbaye, A. en_US
dc.contributor.author Sow, S. en_US
dc.contributor.author Gryseels, B. en_US
dc.contributor.author de Vlas, S. J. en_US
dc.date.accessioned 2007-12-06T14:34:26Z
dc.date.available 2007-12-06T14:34:26Z
dc.date.issued 2002 en_US
dc.identifier.issn 1360-2276 en_US
dc.identifier.doi http://dx.doi.org/10.1046/j.1365-3156.2002.00823.x
dc.identifier.other ITG-P1B en_US
dc.identifier.other ITG-P3A en_US
dc.identifier.other ITG-P4A en_US
dc.identifier.other PARAS en_US
dc.identifier.other U-SCHISTO en_US
dc.identifier.other DIREC en_US
dc.identifier.other JIF en_US
dc.identifier.other DOI en_US
dc.identifier.other FTB en_US
dc.identifier.other ABSTRACT en_US
dc.identifier.uri http://hdl.handle.net/10390/332
dc.description The definitive version is available at www3.interscience.wiley.com
dc.description.abstract BACKGROUND A project to improve integrated control of schistosomiasis in the primary health care system of Northern Senegal was implemented from February 1995 until September 1999, shortly after a Schistosoma mansoni outbreak. The activities included additional training of doctors and nurses in symptom-based treatment and making praziquantel (PZQ) available for an affordable price. OBJECTIVE To investigate staff performance and the availability and costs of diagnostic materials and PZQ at the end of this intervention project. METHODS We performed structured interviews with staff from 55 health care facilities in five districts. RESULTS Respondents from 23 health care facilities reported both S. haematobium and S. mansoni in the coverage area, 32 reported only S. haematobium and three only S. mansoni. The average cost to patients for consultation, diagnosis, treatment and transportation to a referral health care facility was approximately 1.60 Euro. Fifty-seven per cent of the health care facilities with reported S. haematobium in the coverage area treated patients presenting with haematuria on symptoms; 56% of the health care facilities with reported S. mansoni in the coverage area treated patients presenting with blood in stool on symptoms. Thirteen per cent performed a diagnostic test for patients presenting with haematuria and 12% for patients presenting with blood in stool. The remainder, approximately one-third of the health care facilities, referred their patients to another facility for a diagnostic test. Implementation of symptom-based treatment in all health care facilities will reduce the total costs by 0.43 Euro (29%) for patients infected with S. haematobium and 0.78 Euro (46%) for patients infected with S. mansoni. Of the 53 health care facilities with schistosomiasis in their area, 37 had PZQ in stock of which 33 (88%) sold PZQ for the recommended retail price of 0.15 Euro per tablet (or 0.60 Euro per course of four tablets) or lower. CONCLUSION Four years after the start of the intervention project, patients presenting with schistosomiasis related symptoms can generally expect proper diagnosis and treatment at all levels of the health care system in Northern Senegal, either at the initial visited health care facility or after referral. However, a further reduction of the total costs of treatment is still possible by a better implementation of symptom-based treatment and further reduction of the costs of PZQ. en_US
dc.language English en_US
dc.publisher Blackwell Publishing
dc.subject Health interventions en_US
dc.subject Helminthic diseases en_US
dc.subject Schistosomiasis en_US
dc.subject Schistosoma mansoni en_US
dc.subject Schistosoma haematobium en_US
dc.subject Control programs en_US
dc.subject Primary health care en_US
dc.subject Integration en_US
dc.subject Projects en_US
dc.subject Human resources en_US
dc.subject Training en_US
dc.subject Diagnosis en_US
dc.subject Treatment en_US
dc.subject Drug supply en_US
dc.subject Praziquantel en_US
dc.subject Cost en_US
dc.subject Senegal en_US
dc.subject Africa, West en_US
dc.title Evaluation of staff performance and material resources for integrated schistosomiasis control in Northern Senegal en_US
dc.type Article en_US
dc.citation.issue 1 en_US
dc.citation.jtitle Tropical Medicine and International Health en_US
dc.citation.volume 7 en_US
dc.citation.pages 70-79 en_US
dc.publisher.place Oxford
dc.identifier.pmid http://www.ncbi.nlm.nih.gov/pubmed/11851957
dc.citation.jabbreviation Trop Med Int Health en_US


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