Development of a health education intervention strategy using an implementation research method to control taeniasis and cysticercosis in Burkina Faso View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2017-06-01

AUTHORS

Helena Ngowi, Ivan Ozbolt, Athanase Millogo, Veronique Dermauw, Télesphore Somé, Paul Spicer, Lori L. Jervis, Rasmané Ganaba, Sarah Gabriel, Pierre Dorny, Hélène Carabin

ABSTRACT

BackgroundTaeniasis and cysticercosis are two diseases caused by Taenia solium, a parasite transmitted between humans and pigs, leading to considerable economic loss and disabilities. Transmission of the parasite is linked to environmental and behavioural factors such as inadequate sanitation and hygiene, poor pig management, and consumption of infected pork. This study used implementation research method to design a health education intervention strategy for reducing T. solium infections in Burkina Faso, a country endemic for the parasite.MethodsEighteen group discussions were conducted with 8–18 participants each in three villages. In addition, structured interviews were conducted among 4 777 participants and 2 244 pig owners, who were selected through cluster random sampling in 60 villages of three provinces of Burkina Faso. Both approaches assessed knowledge and practices related to T. solium. The information obtained was used to develop a community-adapted health education intervention strategy to control taeniasis and cysticercosis in Burkina Faso.ResultsThe group discussions revealed that participants had a poor quality of life due to the diseases as well as inadequate access to latrines, safe water, and healthcare services. In addition, it was found that pig production was an important economic activity, especially for women. Furthermore, financial and knowledge constraints were important limitations to improved pig management and latrine construction. The survey data also showed that open defecation and drinking unboiled water were common behaviours, enhanced by a lack of knowledge regarding the transmission of the parasite, perceived financial barriers to the implementation of control measures, lack of public sensitization, as well as a lack of self-efficacy towards control of the parasite. Nevertheless, the perceived financial benefits of controlling porcine cysticercosis could be emphasized by an education program that discourages open defecation and encourages drinking safe water. The final intervention strategy included a Participatory Hygiene and Sanitation Transformation (PHAST) approach, as well as a 52-min film and an accompanying comic booklet.ConclusionsThe main problem in the study communities regarding the transmission of T. solium cysticercosis is the random disposal of human faeces, which can be contaminated with parasite eggs. Prevention of open defecation requires the building of latrines, which can be quite problematic in economically challenged settings. Providing the community with the skills to construct durable latrines using low-cost locally available materials would likely help to resolve this problem. Further studies are required to implement and evaluate the T. solium control strategy developed in this study. More... »

PAGES

95

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/s40249-017-0308-0

DOI

http://dx.doi.org/10.1186/s40249-017-0308-0

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1085328804

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/28569208


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34 Province
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38 activity
39 addition
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43 behavior
44 behavioral factors
45 benefits
46 booklet
47 buildings
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52 constraints
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54 consumption
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58 countries
59 cysticercosis
60 data
61 defecation
62 development
63 disability
64 discussion
65 disease
66 disposal
67 economic activity
68 economic losses
69 education programs
70 eggs
71 factors
72 faeces
73 films
74 financial barriers
75 financial benefits
76 group discussions
77 health education intervention strategy
78 healthcare services
79 human faeces
80 humans
81 hygiene
82 implementation
83 implementation research methods
84 important economic activity
85 important limitations
86 inadequate access
87 inadequate sanitation
88 infected pork
89 infection
90 information
91 intervention strategies
92 interviews
93 knowledge
94 knowledge constraints
95 lack
96 lack of knowledge
97 latrine construction
98 latrines
99 life
100 limitations
101 loss
102 main problems
103 management
104 materials
105 measures
106 method
107 open defecation
108 owners
109 parasite eggs
110 parasites
111 participants
112 pig management
113 pig owners
114 pig production
115 pigs
116 poor quality
117 porcine cysticercosis
118 pork
119 practice
120 prevention
121 problem
122 production
123 program
124 public sensitization
125 quality
126 random disposal
127 random sampling
128 research methods
129 safe water
130 sampling
131 sanitation
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133 services
134 setting
135 skills
136 solium
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138 solium infection
139 strategies
140 structured interviews
141 study
142 study communities
143 survey data
144 taeniasis
145 transformation approach
146 transmission
147 unboiled water
148 villages
149 water
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