A combined school- and community-based campaign targeting all school-age children of Burkina Faso against schistosomiasis and soil-transmitted helminthiasis: Performance, financial costs and implications for sustainability
Schistosomiasis Control Initiative, Imperial College London, St Mary's Campus, Norfolk Place, London, W2 1PG, United Kingdom; Programme National de Lutte contre la Schistosomiase et les Vers Intestinaux, Ministère de la Santé, 06 BP9103, Ouagadougou 06, Burkina Faso; Réseau International Schistosomoses, Environnement, Aménagements et Lutte, Saint-Mathurin, 56270 Ploemeur, France; Noguchi Memorial Institute for Medical Research, University of Ghana, P.O. Box LG581, Legon, Accra, Ghana; Direction de la Lutte contre la Maladie, Ministère de la Santé, 03 BP7035, Ouagadougou 03, Burkina Faso
A combined school- and community-based campaign targeting the entire school-age population of Burkina Faso with drugs against schistosomiasis (praziquantel) and soil-transmitted helminthiasis (albendazole) was implemented in 2004-2005. In total, 3,322,564 children from 5 to 15 years of age were treated, equivalent to a 90.8% coverage of the total school-age population of the country. The total costs of the campaign were estimated to be US$ 1,067,284, of which 69.4% was spent on the drugs. Delivery costs per child treated were US$ 0.098, in the same range as school-based only interventions implemented in other countries; total costs per child treated (including drugs) were US$ 0.32. We conclude that a combined school- and community-based strategy is effective in attaining a high coverage among school-age children in countries where school enrolment is low and where primary schools cannot serve as the exclusive drug distribution points. The challenge for Burkina Faso will now be to ensure the sustainability of these disease control activities. © 2006 Elsevier B.V. All rights reserved.
albendazole; praziquantel; child health; community care; cost; disease transmission; disease treatment; drug; performance assessment; sustainability; adolescent; article; Burkina Faso; child; community care; controlled study; disease control; drug cost; drug distribution; female; health care cost; health care delivery; helminthiasis; human; intervention study; major clinical study; male; primary school; schistosomiasis; school health service; Adolescent; Albendazole; Animals; Anthelmintics; Burkina Faso; Child; Child, Preschool; Drug Costs; Female; Health Care Costs; Humans; Male; Praziquantel; Schistosoma haematobium; Schistosoma mansoni; Schistosomiasis haematobia; Schistosomiasis mansoni; Schools; Africa; Burkina Faso; Sub-Saharan Africa; West Africa