Increasing the reach: Involving local Muslim religious teachers in a behavioral intervention to eliminate urogenital schistosomiasis in Zanzibar

Celone, Mike; Person, Bobbie; Ali, Said M.; Lyimo, Jameelat Harriet; Mohammed, Ulfat A.; Khamis, A. N.; Mohammed, Yussra S.; Mohammed, Khalfan A.; Rollinson, David; Knopp, Stefanie

doi:10.1016/j.actatropica.2016.08.004

Cited by 23 publications

(29 citation statements)

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“…This outcome resembles those of other successful interventions in SSA that provide healthcare workers with specialised HIV-prevention training (Harrowing, 2009;Kaponda et al, 2009). In another effective intervention, Islamic religious leaders received specialised schistosomiasis-prevention training (Celone et al, 2016).…”

Section: Discussionmentioning

confidence: 60%

“…Further, these perspectives indicate that cultural barriers are not unmalleable and need not impede successful intervention implementation. Other collaborative interventions with measurable outcomes (Celone et al, 2016;Ezeanolue et al, 2015;Kaponda et al, 2009;Willms, Arratia, & Makondesa, 2011) are meeting a serious and urgent need in for sustained engagement of community leaders. These and approaches like Trusted Messenger must continue to be implemented effectively if global strategies to control HIV are to succeed.…”

Section: Implications and Conclusionmentioning

confidence: 99%

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‘We can act different from what we used to’: Findings from experiences of religious leader participants in an HIV-prevention intervention in Zambia

Wiginton

King

Fuller

2018

Global Public Health

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Section: Discussionmentioning

confidence: 60%

Section: Implications and Conclusionmentioning

confidence: 99%

‘We can act different from what we used to’: Findings from experiences of religious leader participants in an HIV-prevention intervention in Zambia

Wiginton

King

Fuller

2018

Global Public Health

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“…The engagement of communities and faith-based organizations may increase the acceptance of the surveillance-response system, even more so if it could be coupled with health-related incentives. [23][24][25]…”

Section: Discussionmentioning

confidence: 99%

Operational Coverage and Timeliness of Reactive Case Detection for Malaria Elimination in Zanzibar, Tanzania

Horst

Al-Mafazy

Fakih

et al. 2020

The American Journal of Tropical Medicine and Hygiene

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Since 2012, the Zanzibar Malaria Elimination Program has been implementing reactive case detection (RACD). Health facility (HF) staff send individual malaria case notifications by using mobile phones, triggering a review of HF records and malaria testing and treatment at the household level by a district malaria surveillance officer. We assessed the completeness and timeliness of this system, from case notification to household-level response. We reviewed two years (2015-2016) of primary register information in 40 randomly selected HFs on Zanzibar's two islands Unguja and Pemba and database records of case notifications from all registered HFs for the period 2013-16. The operational coverage of the system was calculated as proportion of HF-registered cases that were successfully reviewed and followed up at their household. Timeliness was defined as completion of each step within 1 day. Public HFs notified almost all registered cases (91% in Unguja and 87% in Pemba), and 74% of cases registered at public HFs were successfully followed up at their household in Unguja and 79% in Pemba. Timely operational coverage (defined as each step, diagnosis to notification, notification to review, and review to household-level response, completed within 1 day) was achieved for only 25% of registered cases in Unguja and 30% in Pemba. Records and data from private HFs on Unguja indicated poor notification performance in the private sector. Although the RACD system in Zanzibar achieved high operational coverage, timeliness was suboptimal. Patients diagnosed with malaria at private HFs and hospitals appeared to be largely missed by the RACD system.

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“…In Uganda, it is reported that adults are increasingly rejecting free treatment of schistosomiasis and soil-transmitted helminths due to a fear of side-effects, divergence between biomedical and local understandings of schistosomiasis, as well as inappropriate and inadequate health education [20]. Considering the mass drug administration is closely related with the social, economic and ecological contexts, the need to adapt MDA to local circumstances is highlighted, as well as speci c generalizable issues, notably with regard to health education, drug distribution and more effective use of existing public health legislation [21][22].…”

Section: Discussionmentioning

confidence: 99%

The Application of Health Education and Health Promotion In Consolidation of Schistosomiasis Transmission Interrupted Period In Lake Area, China

Song

et al. 2020

Preprint

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Background: In China, 387 counties had reached the criteria of schistosomiasis transmission interruption by the end of 2018, including 26 counties in Jiangxi province. In recent years, however, the intermediate host - Oncomelania hupensis and schistosomiasis cases, as well as schistosome-infected snails, re-occurred or re-emerged in 9 transmission-interrupted counties, in Jiangxi Province. Surveillance on intermediate host and disease is the main strategy of schistosomiasis control in areas where the schistosomiasis transmission interrupted in China. Mobilizing residents to discover and report snails is a good method for improving snail surveillance. However, lack of awareness and passive behavior towards schistosomiasis control of residents is the main reason for the re-occurrence and spread of snails in schistosomiasis transmission-interrupted areas in China. The objective of this study was to assess the effect of health education and health promotion model of “information communication + behavior participation + behavior encouragement” to consolidate the achievements in lake area of China, where the transmission of schistosomiasis had been interrupted. Until recent years, there are few reports on the evaluation of the effect of health education and health promotion behavior intervention. The research results of this paper will not only consolidate and develop the existing achievements of schistosomiasis control in the areas where transmission is interrupted, prevent the epidemic from rising and reviving, but also play an important role in the implementation of the national health equity including residents in schistosomiasis endemic areas in the outline of "Healthy China 2030" and the implementation of the commitments of "2030 Agenda for Sustainable Development" of the United Nations.Methods: Two villages, Laoxia as control village and Xubo as experimental village, including its primary schools were located in Anyi County, Jiangxi Province, the typical region of lake and marshland area. The villagers aged 16-60 and pupils aged 8-10 were involved in the research. A model of interventions consisting of health education and promotion, namely, “information communication + behavior participation +behavior encouragement”, was implemented in the experimental village after the baseline survey with no significant difference in knowledge, attitude, belief and practice (KABP) regarding schistosomiasis control was detected before intervention.Results: After intervention, the percentages of villagers owning knowledge, appropriate attitude with regard to schistosomiasis control increased from 33.04% and 45.54% to 93.91%, and 92.17% (P<0.01), respectively. The corresponding percentages for pupils increased from 12.88% and 6.82% to 97.64% and 62.20%(P<0.01), respectively. Both groups showed a significant increase in the percentage in believing that schistosomiasis can be eliminated, while no significant changes were observed in the two study groups of the control village. i.e., the percentages with such believing in adult villagers and pupils rose from 28.57% and 3.79% to 96.52% and 71.65% (P<0.01), respectively. In addition, both the compliance towards snail survey of adult villagers and the compliance towards knowledge dissemination of pupils were significantly increased to 81.74% and 90.55% in the experimental village (P<0.01), respectively.Conclusions: The measures of “information communication + behavior participation +behavior encouragement” can be considered as an effective model of health education and promotion for consolidating the achievement of schistosomiasis control in transmission-interrupted areas in China.

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Increasing the reach: Involving local Muslim religious teachers in a behavioral intervention to eliminate urogenital schistosomiasis in Zanzibar

Abstract: Graphical abstractMadrassa teachers are influential in the society and hence important change agents within our community-level behavioral intervention for the elimination of urogenital schistosomiasis transmission in Zanzibar.

Cited by 23 publications

References 24 publications

‘We can act different from what we used to’: Findings from experiences of religious leader participants in an HIV-prevention intervention in Zambia

‘We can act different from what we used to’: Findings from experiences of religious leader participants in an HIV-prevention intervention in Zambia

Operational Coverage and Timeliness of Reactive Case Detection for Malaria Elimination in Zanzibar, Tanzania

The Application of Health Education and Health Promotion In Consolidation of Schistosomiasis Transmission Interrupted Period In Lake Area, China

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