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Gender differences in the perceived need for community-wide deworming: Formative qualitative research from the DeWorm3 study, India

Current soil-transmitted helminth (STH) programs target morbidity control with school-based deworming. Increasing interest in steering neglected tropical disease (NTD) programmes from morbidity control towards disease elimination has prompted evaluation of strategies that may interrupt transmission....

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Autores principales: Aruldas, Kumudha, Means, Arianna Rubin, Titus, Angelin, Jacob, Yesudoss, Rajendiran, Rajeshkumar, Johnson, Jabaselvi, Emmanuel-Fabula, Mira, Puthupalayam Kaliappan, Saravanakumar, Kamlakar Juvekar, Sanjay, Kang, Gagandeep, L. Walson, Judd, Ajjampur, Sitara Swarna Rao
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7688162/
https://www.ncbi.nlm.nih.gov/pubmed/33237928
http://dx.doi.org/10.1371/journal.pntd.0008829
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author Aruldas, Kumudha
Means, Arianna Rubin
Titus, Angelin
Jacob, Yesudoss
Rajendiran, Rajeshkumar
Johnson, Jabaselvi
Emmanuel-Fabula, Mira
Puthupalayam Kaliappan, Saravanakumar
Kamlakar Juvekar, Sanjay
Kang, Gagandeep
L. Walson, Judd
Ajjampur, Sitara Swarna Rao
author_facet Aruldas, Kumudha
Means, Arianna Rubin
Titus, Angelin
Jacob, Yesudoss
Rajendiran, Rajeshkumar
Johnson, Jabaselvi
Emmanuel-Fabula, Mira
Puthupalayam Kaliappan, Saravanakumar
Kamlakar Juvekar, Sanjay
Kang, Gagandeep
L. Walson, Judd
Ajjampur, Sitara Swarna Rao
author_sort Aruldas, Kumudha
collection PubMed
description Current soil-transmitted helminth (STH) programs target morbidity control with school-based deworming. Increasing interest in steering neglected tropical disease (NTD) programmes from morbidity control towards disease elimination has prompted evaluation of strategies that may interrupt transmission. The feasibility of interrupting transmission of STH with community-wide deworming is being tested in the ongoing DeWorm3 cluster randomized trial. Gender-based perspectives about susceptibility to infection and need for treatment have been shown to influence both health-seeking behaviour and health outcomes. We carried out a qualitative study among men and women in the community to understand their knowledge, beliefs, and attitudes about STH infections and community-wide mass drug administration (cMDA). Eight semi-structured focus group discussions were conducted among men and women residing in the DeWorm3 study site in India—Vellore and Tiruvannamalai districts of Tamil Nadu. Thematic coding was used to analyse the transcripts in ATLAS.ti 8.0. Both men and women in this study demonstrated a high level of STH knowledge but some men had misconceptions that intestinal worms were beneficial. Men and women shared several similar beliefs and attitudes regarding STH treatment. Both believed that adults were likely to have STH infections and both reported that stigma prevented them from seeking treatment. Influenced by gender norms, women were more likely to associate STH infections with inadequate sanitation and hygiene, while men were more likely to believe that those engaged in agricultural work were at risk. Both genders reported a positive attitude towards cMDA for STH. Barriers to cMDA implementation differed by gender; women expressed concern regarding side-effects and drug quality while men were concerned that treatment coverage may be affected due to the absence of people during the day when the drug is distributed. Both men and women perceived the treatment of adults for STH infections to be important, however, the perceived barriers to participating in cMDA differed by gender in this community. The study identified key messages to be incorporated in communication and outreach strategies for cMDA programmes.
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spelling pubmed-76881622020-12-05 Gender differences in the perceived need for community-wide deworming: Formative qualitative research from the DeWorm3 study, India Aruldas, Kumudha Means, Arianna Rubin Titus, Angelin Jacob, Yesudoss Rajendiran, Rajeshkumar Johnson, Jabaselvi Emmanuel-Fabula, Mira Puthupalayam Kaliappan, Saravanakumar Kamlakar Juvekar, Sanjay Kang, Gagandeep L. Walson, Judd Ajjampur, Sitara Swarna Rao PLoS Negl Trop Dis Research Article Current soil-transmitted helminth (STH) programs target morbidity control with school-based deworming. Increasing interest in steering neglected tropical disease (NTD) programmes from morbidity control towards disease elimination has prompted evaluation of strategies that may interrupt transmission. The feasibility of interrupting transmission of STH with community-wide deworming is being tested in the ongoing DeWorm3 cluster randomized trial. Gender-based perspectives about susceptibility to infection and need for treatment have been shown to influence both health-seeking behaviour and health outcomes. We carried out a qualitative study among men and women in the community to understand their knowledge, beliefs, and attitudes about STH infections and community-wide mass drug administration (cMDA). Eight semi-structured focus group discussions were conducted among men and women residing in the DeWorm3 study site in India—Vellore and Tiruvannamalai districts of Tamil Nadu. Thematic coding was used to analyse the transcripts in ATLAS.ti 8.0. Both men and women in this study demonstrated a high level of STH knowledge but some men had misconceptions that intestinal worms were beneficial. Men and women shared several similar beliefs and attitudes regarding STH treatment. Both believed that adults were likely to have STH infections and both reported that stigma prevented them from seeking treatment. Influenced by gender norms, women were more likely to associate STH infections with inadequate sanitation and hygiene, while men were more likely to believe that those engaged in agricultural work were at risk. Both genders reported a positive attitude towards cMDA for STH. Barriers to cMDA implementation differed by gender; women expressed concern regarding side-effects and drug quality while men were concerned that treatment coverage may be affected due to the absence of people during the day when the drug is distributed. Both men and women perceived the treatment of adults for STH infections to be important, however, the perceived barriers to participating in cMDA differed by gender in this community. The study identified key messages to be incorporated in communication and outreach strategies for cMDA programmes. Public Library of Science 2020-11-25 /pmc/articles/PMC7688162/ /pubmed/33237928 http://dx.doi.org/10.1371/journal.pntd.0008829 Text en © 2020 Aruldas et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Aruldas, Kumudha
Means, Arianna Rubin
Titus, Angelin
Jacob, Yesudoss
Rajendiran, Rajeshkumar
Johnson, Jabaselvi
Emmanuel-Fabula, Mira
Puthupalayam Kaliappan, Saravanakumar
Kamlakar Juvekar, Sanjay
Kang, Gagandeep
L. Walson, Judd
Ajjampur, Sitara Swarna Rao
Gender differences in the perceived need for community-wide deworming: Formative qualitative research from the DeWorm3 study, India
title Gender differences in the perceived need for community-wide deworming: Formative qualitative research from the DeWorm3 study, India
title_full Gender differences in the perceived need for community-wide deworming: Formative qualitative research from the DeWorm3 study, India
title_fullStr Gender differences in the perceived need for community-wide deworming: Formative qualitative research from the DeWorm3 study, India
title_full_unstemmed Gender differences in the perceived need for community-wide deworming: Formative qualitative research from the DeWorm3 study, India
title_short Gender differences in the perceived need for community-wide deworming: Formative qualitative research from the DeWorm3 study, India
title_sort gender differences in the perceived need for community-wide deworming: formative qualitative research from the deworm3 study, india
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7688162/
https://www.ncbi.nlm.nih.gov/pubmed/33237928
http://dx.doi.org/10.1371/journal.pntd.0008829
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