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Capacity gaps in health facilities for case management of intestinal schistosomiasis and soil-transmitted helminthiasis in Burundi

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Infectious Diseases of Poverty 2018年第1期7卷 645-653页

作者： Paul Bizimana Katja Polman Jean-Pierre Van Geertruyden frederic nsabiyumva Celine Ngenzebuhoro Elvis Muhimpundu Giuseppina Ortu Global Health Institute Department of Epidemiology and Social MedicineFaculty of Medicine and Health SciencesUniversity of AntwerpGouverneur KinsbergencentrumDoornstraat 331Wilrijk2610 AntwerpBelgium Departement des Sciences de la SantePublique Direction de la FormationInstitut National de SantePubliqueB.P6807 BujumburaBurundi Departement de Medecine Communautaire Facultede Medecine de BujumburaUniversitedu BurundiBujumburaBurundi Medical Helminthology Unit Department of Biomedical SciencesInstitute of Tropical MedicineAntwerpBelgium Departement de Medecine Interne Facultede Medecine de BujumburaUniversitedu BurundiBujumburaBurundi Departement des Sciences de la SantePublique Institut Universitaire des Sciences de la Santeet de Developpement CommunautaireBujumburaBurundi Programme National Integrede Lutte contre les Maladies Tropicales Negligees et la Cecite Departement des programmes de santeMinistere de la SantePublique et de la Lutte contre le SidaBujumburaBurundi Department of Infectious Diseases and Epidemiology Schistosomiasis Control InitiativeImperial CollegeLondonUK

Background:Schistosomiasis and soil-transmitted helminthiasis(STH)are endemic diseases in *** control is integrated into health facilities(HF)across the country,but schistosomiasis control is *** present study aimed to assess the capacity of HF for integrating intestinal schistosomiasis case management into their routine *** addition,the current capacity for HF-based STH case management was ***:A random cluster survey was carried out in July 2014,in 65 HF located in Schistosoma mansoni and STH endemic *** were collected by semi-quantitative *** with different functions at the HF were interviewed(managers,care providers,heads of laboratory and pharmacy and data clerks).Data pertaining to knowledge of intestinal schistosomiasis and STH symptoms,human and material resources and availability and costs of diagnostic tests and treatment were ***:Less than half of the 65 care providers mentioned one or more major symptoms of intestinal schistosomiasis(abdominal pain 43.1%,bloody diarrhoea 13.9%and bloody stool 7.7%).Few staff members(15.7%)received higher education,and less than 10%were trained in-job on intestinal schistosomiasis case *** guidelines and laboratory protocols for intestinal schistosomiasis diagnosis and treatment were available in one third of the *** was performed by direct smear *** was not available in any of the *** results for STH were similar,except that major symptoms were more known and cited(abdominal pain 69.2%and diarrhoea 60%).Clinical guidelines were available in 61.5%of HF,and albendazole or mebendazole was available in all ***:The current capacity of HF for intestinal schistosomiasis and STH detection and management is *** was not available for *** issues need to be addressed to create an enabling environment for successful integration of intestinal schistosomiasis and STH case mana

关键词： Capacity gap Health facility Case management Intestinal schistosomiasis Soil-transmitted helminthiasis Burundi

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