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Knowledge, attitudes and practices on Schistosomiasis in sub-Saharan Africa: a systematic review

BACKGROUND: Schistosomiasis remains a global health problem with an estimated 250 million people in 78 countries infected, of whom 85% live in Sub-Saharan Africa. Preventive chemotherapy remains the key public health strategy to combat schistosomiasis worldwide. Recently the WHO emphasized on the us...

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Autores principales: Sacolo, Hlengiwe, Chimbari, Moses, Kalinda, Chester
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5773048/
https://www.ncbi.nlm.nih.gov/pubmed/29347919
http://dx.doi.org/10.1186/s12879-017-2923-6
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author Sacolo, Hlengiwe
Chimbari, Moses
Kalinda, Chester
author_facet Sacolo, Hlengiwe
Chimbari, Moses
Kalinda, Chester
author_sort Sacolo, Hlengiwe
collection PubMed
description BACKGROUND: Schistosomiasis remains a global health problem with an estimated 250 million people in 78 countries infected, of whom 85% live in Sub-Saharan Africa. Preventive chemotherapy remains the key public health strategy to combat schistosomiasis worldwide. Recently the WHO emphasized on the use of integrative approaches in the control and elimination of schistosomiasis. However, a detailed understanding of sociocultural factors that may influence the uptake of the intended health activities and services is vital. Thus, our study sought to understand the knowledge, attitudes, perceptions, beliefs and practices about schistosomiasis in various communities in Sub-Saharan Africa. METHODS: A systematic search of literature for the period 2006–2016 was done on Medline, PubMed, CINAHL, Psych info and Google Scholar using the following key words “Schistosomiasis, S. mansoni, S. haematobium, knowledge, attitudes, perceptions, beliefs and practices in Sub-Saharan Africa” in combination with Bolean operators (OR, AND). In this context, we reviewed studies conducted among school children, community members and caregivers of preschool children. Thematic analysis was utilised for the overall synthesis of the selected studies. This was done after reading the articles in depth. Themes were identified and examined for similarities, differences and contradictions. RESULTS: Gaps in schistosomiasis related knowledge and sociocultural barriers towards the uptake of preventive and treatment services among communities in Sub-Saharan Africa were identified. In addition to limited knowledge and negative attitudes, risky water related practices among community members, school children and caregivers of preschool children were identified as key factors promoting transmission of the disease. CONCLUSION: The study concluded that a comprehensive health education programme using contextual and standardised training tools may improve peoples’ knowledge, attitudes and practices in relation to schistosomiasis prevention and control. Findings also highlight the significance of including caregivers in the planning and implementation schistosomiasis control programs targeting pre-school children. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12879-017-2923-6) contains supplementary material, which is available to authorized users.
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spelling pubmed-57730482018-01-26 Knowledge, attitudes and practices on Schistosomiasis in sub-Saharan Africa: a systematic review Sacolo, Hlengiwe Chimbari, Moses Kalinda, Chester BMC Infect Dis Research Article BACKGROUND: Schistosomiasis remains a global health problem with an estimated 250 million people in 78 countries infected, of whom 85% live in Sub-Saharan Africa. Preventive chemotherapy remains the key public health strategy to combat schistosomiasis worldwide. Recently the WHO emphasized on the use of integrative approaches in the control and elimination of schistosomiasis. However, a detailed understanding of sociocultural factors that may influence the uptake of the intended health activities and services is vital. Thus, our study sought to understand the knowledge, attitudes, perceptions, beliefs and practices about schistosomiasis in various communities in Sub-Saharan Africa. METHODS: A systematic search of literature for the period 2006–2016 was done on Medline, PubMed, CINAHL, Psych info and Google Scholar using the following key words “Schistosomiasis, S. mansoni, S. haematobium, knowledge, attitudes, perceptions, beliefs and practices in Sub-Saharan Africa” in combination with Bolean operators (OR, AND). In this context, we reviewed studies conducted among school children, community members and caregivers of preschool children. Thematic analysis was utilised for the overall synthesis of the selected studies. This was done after reading the articles in depth. Themes were identified and examined for similarities, differences and contradictions. RESULTS: Gaps in schistosomiasis related knowledge and sociocultural barriers towards the uptake of preventive and treatment services among communities in Sub-Saharan Africa were identified. In addition to limited knowledge and negative attitudes, risky water related practices among community members, school children and caregivers of preschool children were identified as key factors promoting transmission of the disease. CONCLUSION: The study concluded that a comprehensive health education programme using contextual and standardised training tools may improve peoples’ knowledge, attitudes and practices in relation to schistosomiasis prevention and control. Findings also highlight the significance of including caregivers in the planning and implementation schistosomiasis control programs targeting pre-school children. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12879-017-2923-6) contains supplementary material, which is available to authorized users. BioMed Central 2018-01-18 /pmc/articles/PMC5773048/ /pubmed/29347919 http://dx.doi.org/10.1186/s12879-017-2923-6 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Sacolo, Hlengiwe
Chimbari, Moses
Kalinda, Chester
Knowledge, attitudes and practices on Schistosomiasis in sub-Saharan Africa: a systematic review
title Knowledge, attitudes and practices on Schistosomiasis in sub-Saharan Africa: a systematic review
title_full Knowledge, attitudes and practices on Schistosomiasis in sub-Saharan Africa: a systematic review
title_fullStr Knowledge, attitudes and practices on Schistosomiasis in sub-Saharan Africa: a systematic review
title_full_unstemmed Knowledge, attitudes and practices on Schistosomiasis in sub-Saharan Africa: a systematic review
title_short Knowledge, attitudes and practices on Schistosomiasis in sub-Saharan Africa: a systematic review
title_sort knowledge, attitudes and practices on schistosomiasis in sub-saharan africa: a systematic review
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5773048/
https://www.ncbi.nlm.nih.gov/pubmed/29347919
http://dx.doi.org/10.1186/s12879-017-2923-6
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