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Awareness and knowledge of female genital schistosomiasis in a population with high endemicity: a cross-sectional study in Madagascar

INTRODUCTION: Female genital schistosomiasis (FGS) is a neglected disease with long-term physical and psychosocial consequences, affecting approximately 50 million women worldwide and generally representing an unmet medical need on a global scale. FGS is the chronic manifestation of a persistent inf...

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Autores principales: Rausche, Pia, Rakotoarivelo, Rivo Andry, Rakotozandrindrainy, Raphael, Rakotomalala, Rivo Solotiana, Ratefiarisoa, Sonya, Rasamoelina, Tahinamandranto, Kutz, Jean-Marc, Jaeger, Anna, Hoeppner, Yannick, Lorenz, Eva, May, Jürgen, Puradiredja, Dewi Ismajani, Fusco, Daniela
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10598593/
https://www.ncbi.nlm.nih.gov/pubmed/37886060
http://dx.doi.org/10.3389/fmicb.2023.1278974
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author Rausche, Pia
Rakotoarivelo, Rivo Andry
Rakotozandrindrainy, Raphael
Rakotomalala, Rivo Solotiana
Ratefiarisoa, Sonya
Rasamoelina, Tahinamandranto
Kutz, Jean-Marc
Jaeger, Anna
Hoeppner, Yannick
Lorenz, Eva
May, Jürgen
Puradiredja, Dewi Ismajani
Fusco, Daniela
author_facet Rausche, Pia
Rakotoarivelo, Rivo Andry
Rakotozandrindrainy, Raphael
Rakotomalala, Rivo Solotiana
Ratefiarisoa, Sonya
Rasamoelina, Tahinamandranto
Kutz, Jean-Marc
Jaeger, Anna
Hoeppner, Yannick
Lorenz, Eva
May, Jürgen
Puradiredja, Dewi Ismajani
Fusco, Daniela
author_sort Rausche, Pia
collection PubMed
description INTRODUCTION: Female genital schistosomiasis (FGS) is a neglected disease with long-term physical and psychosocial consequences, affecting approximately 50 million women worldwide and generally representing an unmet medical need on a global scale. FGS is the chronic manifestation of a persistent infection with Schistosoma haematobium. FGS services are not routinely offered in endemic settings with a small percentage of women at risk receiving adequate care. Madagascar has over 60% prevalence of FGS and no guidelines for the management of the disease. This study aimed to determine FGS knowledge among women and health care workers (HCWs) in a highly endemic area of Madagascar. METHODS: A convenience sampling strategy was used for this cross-sectional study. Descriptive statistics including proportions and 95% confidence intervals (CI) were calculated, reporting socio-demographic characteristics of the population. Knowledge sources were evaluated descriptively. Binary Poisson regression with robust standard errors was performed; crude (CPR) and adjusted prevalence ratio (APR) with 95% CIs were calculated. RESULTS: A total of 783 participants were included in the study. Among women, 11.3% (n = 78) were aware of FGS while among the HCWs 53.8% (n = 50) were aware of FGS. The highest level of knowledge was observed among women in an urban setting [24%, (n = 31)] and among those with a university education/vocational training [23% (n = 13)]. A lower APR of FGS knowledge was observed in peri-urban [APR 0.25 (95% CI: 0.15; 0.45)] and rural [APR 0.37 (95% CI 0.22; 0.63)] settings in comparison to the urban setting. Most HCWs reported other HCWs [40% (n = 20)] while women mainly reported their family [32% (n = 25)] as being their main source of information in the 6 months prior to the survey. DISCUSSION AND CONCLUSIONS: Our study shows limited awareness and knowledge of FGS among population groups in the highly endemic Boeny region of Madagascar. With this study we contribute to identifying an important health gap in Madagascar, which relates to a disease that can silently affect millions of women worldwide. In alignment with the targets of the NTD roadmap, addressing schistosomiasis requires a paradigm shift for its control and management including a greater focus on chronic forms of the disease.
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spelling pubmed-105985932023-10-26 Awareness and knowledge of female genital schistosomiasis in a population with high endemicity: a cross-sectional study in Madagascar Rausche, Pia Rakotoarivelo, Rivo Andry Rakotozandrindrainy, Raphael Rakotomalala, Rivo Solotiana Ratefiarisoa, Sonya Rasamoelina, Tahinamandranto Kutz, Jean-Marc Jaeger, Anna Hoeppner, Yannick Lorenz, Eva May, Jürgen Puradiredja, Dewi Ismajani Fusco, Daniela Front Microbiol Microbiology INTRODUCTION: Female genital schistosomiasis (FGS) is a neglected disease with long-term physical and psychosocial consequences, affecting approximately 50 million women worldwide and generally representing an unmet medical need on a global scale. FGS is the chronic manifestation of a persistent infection with Schistosoma haematobium. FGS services are not routinely offered in endemic settings with a small percentage of women at risk receiving adequate care. Madagascar has over 60% prevalence of FGS and no guidelines for the management of the disease. This study aimed to determine FGS knowledge among women and health care workers (HCWs) in a highly endemic area of Madagascar. METHODS: A convenience sampling strategy was used for this cross-sectional study. Descriptive statistics including proportions and 95% confidence intervals (CI) were calculated, reporting socio-demographic characteristics of the population. Knowledge sources were evaluated descriptively. Binary Poisson regression with robust standard errors was performed; crude (CPR) and adjusted prevalence ratio (APR) with 95% CIs were calculated. RESULTS: A total of 783 participants were included in the study. Among women, 11.3% (n = 78) were aware of FGS while among the HCWs 53.8% (n = 50) were aware of FGS. The highest level of knowledge was observed among women in an urban setting [24%, (n = 31)] and among those with a university education/vocational training [23% (n = 13)]. A lower APR of FGS knowledge was observed in peri-urban [APR 0.25 (95% CI: 0.15; 0.45)] and rural [APR 0.37 (95% CI 0.22; 0.63)] settings in comparison to the urban setting. Most HCWs reported other HCWs [40% (n = 20)] while women mainly reported their family [32% (n = 25)] as being their main source of information in the 6 months prior to the survey. DISCUSSION AND CONCLUSIONS: Our study shows limited awareness and knowledge of FGS among population groups in the highly endemic Boeny region of Madagascar. With this study we contribute to identifying an important health gap in Madagascar, which relates to a disease that can silently affect millions of women worldwide. In alignment with the targets of the NTD roadmap, addressing schistosomiasis requires a paradigm shift for its control and management including a greater focus on chronic forms of the disease. Frontiers Media S.A. 2023-10-09 /pmc/articles/PMC10598593/ /pubmed/37886060 http://dx.doi.org/10.3389/fmicb.2023.1278974 Text en Copyright © 2023 Rausche, Rakotoarivelo, Rakotozandrindrainy, Rakotomalala, Ratefiarisoa, Rasamoelina, Kutz, Jaeger, Hoeppner, Lorenz, May, Puradiredja and Fusco. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Microbiology
Rausche, Pia
Rakotoarivelo, Rivo Andry
Rakotozandrindrainy, Raphael
Rakotomalala, Rivo Solotiana
Ratefiarisoa, Sonya
Rasamoelina, Tahinamandranto
Kutz, Jean-Marc
Jaeger, Anna
Hoeppner, Yannick
Lorenz, Eva
May, Jürgen
Puradiredja, Dewi Ismajani
Fusco, Daniela
Awareness and knowledge of female genital schistosomiasis in a population with high endemicity: a cross-sectional study in Madagascar
title Awareness and knowledge of female genital schistosomiasis in a population with high endemicity: a cross-sectional study in Madagascar
title_full Awareness and knowledge of female genital schistosomiasis in a population with high endemicity: a cross-sectional study in Madagascar
title_fullStr Awareness and knowledge of female genital schistosomiasis in a population with high endemicity: a cross-sectional study in Madagascar
title_full_unstemmed Awareness and knowledge of female genital schistosomiasis in a population with high endemicity: a cross-sectional study in Madagascar
title_short Awareness and knowledge of female genital schistosomiasis in a population with high endemicity: a cross-sectional study in Madagascar
title_sort awareness and knowledge of female genital schistosomiasis in a population with high endemicity: a cross-sectional study in madagascar
topic Microbiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10598593/
https://www.ncbi.nlm.nih.gov/pubmed/37886060
http://dx.doi.org/10.3389/fmicb.2023.1278974
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