Schistosomiasis and soil-transmitted helminth (STH) control programs require target population engagement, assessed through knowledge, attitudes and practices (KAP) surveys. We report the results of a KAP survey of Angolan schoolchildren supported by a school preventive chemotherapy (PC) programme, without or with a school water, sanitation and hygiene (WASH) programme (PC+/WASH- and PC+/WASH+, respectively); and schoolchildren without a school PC or WASH program (PC-/WASH-). Schoolchildren from PC+/WASH- ( = 218), PC+/WASH+ ( = 250) and PC-/WASH- ( = 254) schools were interviewed. Descriptive statistics were used to report demographics and survey responses. Chi-square or Fisher's exact test was used to compare PC+/WASH- schoolchildren with (i) PC+/WASH+ and (ii) PC-/WASH- schoolchildren. A lower proportion of PC+/WASH- schoolchildren used latrines and a higher proportion practised open defecation at school compared with PC+/WASH+ schoolchildren. A lower proportion of PC+/WASH- schoolchildren always washed their hands after toileting and before meals at school compared with PC+/WASH+ schoolchildren. However, the PC+/WASH- schoolchildren reported better toileting and handwashing practices at school compared to PC-/WASH- schoolchildren. Over 90% of PC+ schoolchildren agreed with schistosomiasis and STH control and accepted schoolteacher PC delivery. Expanding the integration of both school PC and WASH programs will improve health behaviours relevant to reduce the risk of schistosomiasis and STHs in schoolchildren. This article is part of the theme issue 'Challenges and opportunities in the fight against neglected tropical diseases: a decade from the London Declaration on NTDs'.
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| http://dx.doi.org/10.1098/rstb.2022.0430 | DOI Listing |
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Article Synopsis
- The Global Burden of Disease report highlights significant loss of life years due to soil-transmitted helminths (STHs), with millions at risk, particularly in regions like Sub-Saharan Africa and Asia.
- A systematic review and meta-analysis of studies from 1999 to 2022 indicated that 37.16% of schoolchildren aged 5-18 were infected with STH, with the highest prevalence found in the Western Pacific region at 50.41%.
- The study classifies regions into high and moderate-risk zones for STH infection and notes a 12% reduction in prevalence from 1999 to 2012, identifying one species as the most commonly found among these children.
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