Joseph R. Mwanga, Godfrey M. Kaatano, Julius E. Siza, Su Young Chang, Yunsuk Ko, Cyril M. Kullaya, Jackson Nsabo, Keeseon S. Eom, Tai-Soon Yong, Jong-Yil Chai, Duk-Young Min, Han-Jong Rim, John M. Changalucha
Korean J Parasitol 2015;53(5):561-569. Published online October 29, 2015
Schistosomiasis and intestinal worm infections are widespread diseases of public health importance in Tanzania. A study on perceptions and practices related to schistosomiasis and intestinal worm infections was undertaken among a community population of Kome Island in Sengerema District, north-western Tanzania, where intestinal schistosomiasis and intestinal worm infections are endemic. Schistosomiasis and intestinal worm-related perceptions and practices were assessed before and 3 years after implementation of a participatory hygiene and sanitation transformation (PHAST) intervention as a control measure. Data were obtained from baseline and post-intervention knowledge, attitudes, and practices (KAP) questionnaire surveys conducted twice in 2009 and 2012 among 82 individuals aged ≥15 years. We found significant increases in respondents’ knowledge of the cause, transmission, symptoms, health consequences, and prevention of schistosomiasis and intestinal worm infections after PHAST intervention. The increase in respondents’ knowledge on almost all aspects of the said infections was translated into actions to control schistosomiasis and intestinal worm infections. This has not been achieved by chance, but due to well-designed and locally-adapted PHAST intervention. We conclude that despite criticisms, PHAST approach is still useful in empowering communities to control water, sanitation, and hygiene related infectious diseases such as schistosomiasis and intestinal worm infections.
Citations
Citations to this article as recorded by
Effects of an integrated intervention on schistosomiasis prevalence in a rural area of Tanzania Yoonho Cho, Jungim Lee, Humphrey Deogratias Mazigo, Leah Elisha Salamba, Seungman Cha, Sutas Suttiprapa PLOS Neglected Tropical Diseases.2025; 19(7): e0013215. CrossRef
Awareness, Attitude, and Perception of Port Health to Customers and Other Regulatory Authorities at Rusumo OSBP Masunga Simon Tryphone, Kassim Moh’d Ali, Edward Joseph Macha European Journal of Theoretical and Applied Sciences.2024; 2(5): 676. CrossRef
Contextual factors influencing schistosomiasis treatment and identification of delivery platforms for arpraziquantel in hard-to-reach areas and populations in Homa Bay County, Kenya Phyllis Munyiva Isaiah, Doris Osei Afriyie, Mary Maghanga, Donna Obare Ogeto, Mary Amuyunzu Nyamongo, Peter Steinmann, Julia Robinson PLOS Global Public Health.2024; 4(12): e0004035. CrossRef
Subclinical vascular damage in Schistosoma spp. endemic regions Valeria Silvestri, Mwanahawa Idavas Mshana, Vivian Mushi, Witness M. Bonaventura, Nyanda C. Justine, Clemence Kinabo, Abdallah Zacharia, Giuseppe La Torre, Billy Ngasala Vasa.2023; 52(4): 275. CrossRef
Behaviour change interventions for the control and elimination of schistosomiasis: A systematic review of evidence from low- and middle-income countries Carlos A. Torres-Vitolas, Suzan C. M. Trienekens, Willemijn Zaadnoordijk, Anouk N. Gouvras, Alberto Novaes Ramos PLOS Neglected Tropical Diseases.2023; 17(5): e0011315. CrossRef
Interventions to improve water, sanitation, and hygiene for preventing soil-transmitted helminth infection Joshua V Garn, Jennifer L Wilkers, Ashley A Meehan, Lisa M Pfadenhauer, Jacob Burns, Rubina Imtiaz, Matthew C Freeman Cochrane Database of Systematic Reviews.2022;[Epub] CrossRef
A novel theatre-based behaviour change approach for influencing community uptake of schistosomiasis control measures May N. Sule, Justina Mosha, Teshome Emana Soboka, Safari M. Kinung’hi, Chrysoula Sfynia, Kamran Rafiq, Alex Dower, Marianne Comparet, Emma Bewley, Teckla Angelo, Feleke Zewge Beshah, Michael R. Templeton Parasites & Vectors.2022;[Epub] CrossRef
Molecular Detection of Haplorchis pumilio Eggs in Schoolchildren, Kome Island, Lake Victoria, Tanzania Hyejoo Shin, Bong-Kwang Jung, Seungwan Ryoo, Sooji Hong, Heonwoo Jeong, Hoo-Gn Jeoung, Sunhye Kim, Sun Kim, Min-Jae Kim, Hansol Park, Keeseon S. Eom, Godfrey M. Kaatano, Jong-Yil Chai Emerging Infectious Diseases.2022; 28(11): 2298. CrossRef
Blood Flukes and Arterial Damage: A Review of Aneurysm Cases in Patients with Schistosomiasis Valeria Silvestri, Vivian Mushi, Mwanahawa Idavas Mshana, Witness M. Bonaventura, Nyanda C. Justine, Deodatus Sabas, Billy Ngasala, Arif Siddiqui Canadian Journal of Infectious Diseases and Medical Microbiology.2022; 2022: 1. CrossRef
Water, sanitation, and hygiene for schistosomiasis prevention: a qualitative analysis of experiences of stakeholders in rural KwaZulu-Natal Chanelle Mulopo, Moses J. Chimbari Journal of Water, Sanitation and Hygiene for Development.2021; 11(2): 255. CrossRef
From the One Health Perspective: Schistosomiasis Japonica and Flooding Su-Ying Guo, Lu Li, Li-Juan Zhang, Yin-Long Li, Shi-Zhu Li, Jing Xu Pathogens.2021; 10(12): 1538. CrossRef
Village Response to Mass Drug Administration for Schistosomiasis in Mwanza Region, Northwestern Tanzania: Are We Missing Socioeconomic, Cultural, and Political Dimensions? Joseph R. Mwanga, Safari M. Kinung’hi, Justina Mosha, Teckla Angelo, Jane Maganga, Carl H. Campbell The American Journal of Tropical Medicine and Hygiene.2020; 103(5): 1969. CrossRef
Parasitic infections in relation to practices and knowledge in a rural village in Northern Thailand with emphasis on fish-borne trematode infection K. Chaisiri, C. Jollivet, P. Della Rossa, S. Sanguankiat, D. Wattanakulpanich, C. Lajaunie, A. Binot, M. Tanita, S. Rattanapikul, D. Sutdan, S. Morand, A. Ribas Epidemiology and Infection.2019;[Epub] CrossRef
Community knowledge, perceptions and water contact practices associated with transmission of urinary schistosomiasis in an endemic region: a qualitative cross-sectional study Teckla Angelo, Safari M. Kinung’hi, Jorum Buza, Joseph R. Mwanga, Henry Curtis Kariuki, Shona Wilson BMC Public Health.2019;[Epub] CrossRef
Assessment of urogenital schistosomiasis knowledge among primary and junior high school students in the Eastern Region of Ghana: A cross-sectional study Rachel A. Martel, Bernard Gyamfi Osei, Alexandra V. Kulinkina, Elena N. Naumova, Abdul Aziz Abdulai, David Tybor, Karen Claire Kosinski, Abdallah M. Samy PLOS ONE.2019; 14(6): e0218080. CrossRef
Role of ecological approaches to eliminating schistosomiasis in Eryuan County evaluated by system modelling Yi Dong, Chun-Hong Du, Yun Zhang, Li-Fang Wang, Jing Song, Ming-Shou Wu, Wen-Can Yang, Shan Lv, Xiao-Nong Zhou Infectious Diseases of Poverty.2018;[Epub] CrossRef
Knowledge, practices and perceptions of geo-helminthes infection among parents of pre-school age children of coastal region, Kenya Janet Masaku, Faith Mwende, Gladys Odhiambo, Rosemary Musuva, Elizabeth Matey, Jimmy H. Kihara, Isaac G. Thuita, Doris W. Njomo, Aaron R. Jex PLOS Neglected Tropical Diseases.2017; 11(3): e0005514. CrossRef
Community Mobilization for Slum Upgrading through Sanitation in Roma Informal Settlements in the Paris Region Ipsita Nita Chaudhuri Frontiers in Public Health.2017;[Epub] CrossRef
Approaches to promote handwashing and sanitation behaviour change in low‐ and middle‐income countries: a mixed method systematic review Emmy De Buck, Hans Van Remoortel, Karin Hannes, Thashlin Govender, Selvan Naidoo, Bert Avau, Axel Vande Veegaete, Alfred Musekiwa, Vittoria Lutje, Margaret Cargo, Hans‐Joachim Mosler, Philippe Vandekerckhove, Taryn Young Campbell Systematic Reviews.2017; 13(1): 1. CrossRef
Integrated Schistosomiasis and Soil-Transmitted Helminthiasis Control over Five Years on Kome Island, Tanzania Godfrey M. Kaatano, Julius E. Siza, Joseph R. Mwanga, Duk-Yong Min, Tai-Soon Yong, Jong-Yil Chai, Yunsuk Ko, Su Young Chang, Cyril M. Kullaya, Han-Jong Rim, John M. Changalucha, Keeseon S. Eom The Korean Journal of Parasitology.2015; 53(5): 535. CrossRef
Joseph R. Mwanga, Godfrey M. Kaatano, Julius E. Siza, Su Young Chang, Yunsuk Ko, Cyril M. Kullaya, Jackson Nsabo, Keeseon S. Eom, Tai-Soon Yong, Jong-Yil Chai, Duk-Young Min, Han-Jong Rim, John M. Changalucha
Korean J Parasitol 2015;53(5):553-559. Published online October 29, 2015
Research on micro-level assessment of the changes of socio-economic status following health interventions is very scarce. The use of household asset data to determine wealth indices is a common procedure for estimating socio-economic position in resource poor settings. In such settings information about income is usually lacking, and the collection of individual consumption or expenditure data would require in-depth interviews, posing a considerable risk of bias. In this study, we determined the socio-economic status of 213 households in a community population in an island in the north-western Tanzania before and 3 year after implementation of a participatory hygiene and sanitation transformation (PHAST) intervention to control schistosomiasis and intestinal worm infections. We constructed a household 'wealth index' based housing construction features (e.g., type of roof, walls, and floor) and durable assets ownership (e.g., bicycle, radio, etc.). We employed principal components analysis and classified households into wealth quintiles. The study revealed that asset variables with positive factor scores were associated with higher socio-economic status, whereas asset variables with negative factor scores were associated with lower socio-economic status. Overall, households which were rated as the poorest and very poor were on the decrease, whereas those rated as poor, less poor, and the least poor were on the increase after PHAST intervention. This decrease/increase was significant. The median shifted from -0.4376677 to 0.5001073, and the mean from -0.2605787 (SD; 2.005688) to 0.2605787 (SD; 1.831199). The difference in socio-economic status of the people between the 2 phases was highly statistically significant (P<0.001). We argue that finding of this study should be treated with caution as there were other interventions to control schistosomiasis and intestinal worm infections which were running concurrently on Kome Island apart from PHAST intervention.
Citations
Citations to this article as recorded by
Estimation of household level variation in per capita calorie intake by measures of economic well‐being of the household in India Junaid Khan, Sanjay K. Mohanty Tropical Medicine & International Health.2025; 30(6): 481. CrossRef
The use of non-pharmaceutical interventions for the prevention and control of schistosomiasis in sub-Saharan Africa: A systematic review Buba Manjang, Elizabeth A. Ochola, Susan J. Elliott Global Public Health.2022; 17(3): 469. CrossRef
Socioeconomic determinants of Schistosoma mansoni infection using multiple correspondence analysis among rural western Kenyan communities: Evidence from a household-based study Isaiah Omondi, Maurice R. Odiere, Fredrick Rawago, Pauline N. Mwinzi, Carl Campbell, Rosemary Musuva, Mary Hamer Hodges PLOS ONE.2021; 16(6): e0253041. CrossRef
First
Prev
