The Effectiveness of School-based and Community-based Deworming Methods in Primary School Children with Soil-transmitted Helminth Infection

Ridha Putri Sjafii; Oke Rina  Ramayani; Syahril  Pasaribu; Ayodhia Pitaloka Pasaribu

doi:10.3889/oamjms.2020.3689

Authors

Ridha Putri Sjafii Department of Child Health, Faculty of Medicine, Universitas Sumatera Utara, Medan 20155, Indonesia
Oke Rina Ramayani Department of Child Health, Faculty of Medicine, Universitas Sumatera Utara, Medan 20155, Indonesia
Syahril Pasaribu Department of Child Health, Faculty of Medicine, Universitas Sumatera Utara, Medan 20155, Indonesia
Ayodhia Pitaloka Pasaribu Department of Child Health, Faculty of Medicine, Universitas Sumatera Utara, Medan 20155, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2020.3689

Keywords:

Soil-transmitted helminth, School-based deworming, Community-based deworming, School-age children, Reinfection

Abstract

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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