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Present and future schistosomiasis control activities with support from the Schistosomiasis Control Initiative in West Africa

Published online by Cambridge University Press:  27 July 2009

A. GARBA ,
S. TOURÉ ,
R. DEMBELÉ ,
P. BOISIER ,
Z. TOHON ,
E. BOSQUÉ-OLIVA ,
A. KOUKOUNARI  and
A. FENWICK
A. GARBA*
Affiliation:
Programme National de Lutte contre la Bilharziose et les Géohelminthes, Ministère de la Santé Publique, 2648 Bd du Zarmaganda, B.P. 13724, Niamey, Niger
S. TOURÉ
Affiliation:
Programme National de Lutte contre la Schistosomiase, Ministère de la Santé, 06 B.P. 9103, Ouagadougou 06, Burkina Faso
R. DEMBELÉ
Affiliation:
Programme National de Lutte contre la Schistosomiase, PNLSH-Quartier du Fleuve, B.P. 228, Bamako, Mali
P. BOISIER
Affiliation:
Centre de Recherche Médicale et Sanitaire (CERMES), B.P. 10887, Niamey, Niger
Z. TOHON
Affiliation:
Centre de Recherche Médicale et Sanitaire (CERMES), B.P. 10887, Niamey, Niger
E. BOSQUÉ-OLIVA
Affiliation:
Schistosomiasis Control Initiative, Department of Infectious Disease Epidemiology, Imperial College London, St Mary's Campus, Norfolk Place, LondonW2 1PG, UK
A. KOUKOUNARI
Affiliation:
Schistosomiasis Control Initiative, Department of Infectious Disease Epidemiology, Imperial College London, St Mary's Campus, Norfolk Place, LondonW2 1PG, UK
A. FENWICK
Affiliation:
Schistosomiasis Control Initiative, Department of Infectious Disease Epidemiology, Imperial College London, St Mary's Campus, Norfolk Place, LondonW2 1PG, UK
*
*Corresponding author: Amadou Garba, PNLBG, 2648 Bd du Zarmaganda, B.P. 13724, Niamey, Niger. Tel: +227 2176-5748. Fax: +227 2075-3180. E-mail: [email protected]
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Summary

Since 2004 the West African countries of Burkina Faso, Mali and Niger have implemented national schistosomiasis and soil-transmitted helminthiasis control programmes with financial and technical support from the Schistosomiasis Control Initiative (SCI). In the first three years of the control programmes, nearly 13·5 million doses of praziquantel and albendazole have been administered against schistosomiasis and soil-transmitted helminthiasis with coverage rates varying between 67·0% and 93·9%. These treatments have resulted in a reduction of the prevalence and intensity of Schistosoma infection in the sentinel cohorts that were set up to monitor and evaluate the national control programmes. The challenges currently faced by these national control programmes are the ability to maintain the reduction in morbidity achieved thus far due to the mass treatment campaigns and ensuring sustainability. For reinforcement of surveillance, the establishment of a geographical information system is suggested in order to contribute towards enhanced sustainability of these programmes. Our new working hypothesis is that targeted control accompanied by periodic mass treatment campaigns (every two to three years) can contribute to maintaining the low levels of morbidity achieved thus far. The implementation of integrated neglected tropical disease control programmes in these countries will provide means to ensure the financial sustainability of control activities for the years to come.

Keywords

schistosomiasiscontrolmorbidityintegrationsustainabilityBurkina FasoMaliNiger
Type
SECTION 2 IMPLEMENTATION OF CONTROL AT NATIONAL LEVELS
Information
Parasitology , Volume 136 , Special Issue 13: Control of schistosomiasis in sub-Saharan Africa , November 2009 , pp. 1731 - 1737
Copyright
Copyright © Cambridge University Press 2009

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