The Effectiveness of School-based and Community-based Deworming Methods in Primary School Children with Soil-transmitted Helminth Infection
DOI:
https://doi.org/10.3889/oamjms.2020.3689Keywords:
Soil-transmitted helminth, School-based deworming, Community-based deworming, School-age children, ReinfectionAbstract
OBJECTIVE: Soil-transmitted helminth (STH) infection remains a public health problem, especially children. Preventive chemotherapy for school-aged children with STH infection in 2012 had only reached half of the World Health Organization target. Therefore, mass drug administration by community-based deworming (CBD) could be a solution to achieve the target.
METHODS: A quasi-experimental study was the sample test in STH-infected primary school children at Suka Village, Indonesia. It was conducted from December 2016 to April 2017. A single dose 400 mg albendazole was given in both study groups. Effectiveness was assessed by Kato-Katz stool examination at the 1st and 3rd months after treatment.
RESULTS: We enrolled 257 children and divided into school-based deworming (SBD) and CBD group. SBD consisted of 123 children while CBD was 134 children group which divided based on a school cluster system. The prevalence of STH infection is 55.6% with the most common infection that is ascariasis in both groups. The uninfected children are 72.5% of SBD and 59.5% of CBD group. Reinfection was found in 31.8% of SBD and 54.1% of CBD group. There are no significant differences of worm eggs intensity before and after deworming in both groups (P > 0.05).
CONCLUSION: SBD found to be more effective compared to CBD in primary school children with STH infection in Suka village, Indonesia.
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Copyright (c) 2020 Ridha Putri Sjafii, Oke Rina Ramayani, Syahril Pasaribu, Ayodhia Pitaloka Pasaribu (Author)
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